Ichthammol
Indications
South African indications:
- Eczema
- Leg ulcers
Cautions
Contraindications
- Hypersensitivity to the active ingredient or any of its excipients
- Sulfa (Sulpha) allergy
Cautions
- Pregnancy
- Breastfeeding
- Renal impairment
- Hepatic impairment
- Elderly
- Contact with eyes
- Application to large areas
Adult dosage
Forms avail. in SA and covered in this monograph: oin
Eczema
Leg ulcers
- Topical (oin): Apply small quantity to affected area, 8-24hrly (avoid overuse)
Paediatric dosage
No information available
Special populations
Pregnancy
- Inadequate data to determine foetal risk
Breastfeeding
- Caution; no information available
- Inadequate data to determine infant risk
Renal Impairment
Hepatic Impairment
Elderly
Porphyria Information
Drugs in Sport
- Non-regulated product: Authorities caution athletes against the risk of using these products
Adverse reactions
Skin and Subcutaneous Tissue Disorders
- Skin irritation
- Erythema
- Inflammation
- Contact dermatitis
- Localised skin rash
Immune, Blood and Lymphatic System Disorders
- Hypersensitivity reactions
Interactions
No known significant interactions
Monitoring
None routine
Mechanism of action
Ichthammol is thought to exert anti-inflammatory, antibacterial and topical antifungal properties, however, the precise mechanism is unclear.
Dosage forms
- Ointment
Formulation
Ichthammol is available in several formulations. Please consult your pharmacy for the various products available.
References
1. Pharmacologist Pharmacologist References; • Micromedex medicine solutions. • Martindale the complete drug reference, 36th edition. • www.clinicalkey-com.ez • SAMF, 12th edition. • Drugs during pregnancy and lactation, 3rd edition. • Nilssen E, Wormald PJ, Oliver S. Glycerol and ichthammol: medicinal solution or mythical potion? J Laryngol Otol 1996; 110:319—21. 2. DB: Ichthammol; Drugbank: Accessed online; 3 Oct 2018 https://www.drugbank.ca/drugs/DB11341 3. NAPOS The Drug Database for Acute Porphyria: Ichthammol, topical; Accessed online 3 October 2018 http://www.drugs-porphyria.org/languages/UnitedKingdom/s1.php?l=gbr 4. South African Institute for Drug-Free Sport; Ichthammol; Accessed online 3 October 2018 http://www.drugfreesport.org.za/online-medication-check/ 5. Clinical Pharmacologist - Dr. M Irhuma.
Medical aid coverage
data not yet integrated- Comprehensive Series—
- Executive Plan—
- KeyCare Series—
- Priority Series—
- Saver Series—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.