NPH

NPH Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? NPH is a brand name. Its generic name is Hydrocortisone + Neomycin Sulphate + Polymixin B.

Introduction

NPH is a topical combination drug used to treat a variety of skin conditions. It contains hydrocortisone (a corticosteroid), neomycin sulfate (an antibiotic), and polymyxin B (a polypeptide antibiotic).

Uses For

NPH is used to treat minor cuts, scrapes, and burns, as well as bacterial, fungal and allergic skin reactions such as eczema, psoriasis, and dermatitis. It can also be used to treat insect bites and stings, or skin infections caused by bacteria, fungi, and viruses.

Mechanism of Action

Hydrocortisone is a corticosteroid that acts to reduce inflammation and itching. Neomycin sulfate is an antibiotic that helps prevent and reduce the growth of bacterial and fungal infections. Polymyxin B is a polypeptide antibiotic that works by binding to the bacterial cell walls. This helps to stop the bacteria from growing and spreading, allowing the skin to heal.

How Long Does It Take To Work

NPH typically takes about 5-7 days to start working, but the effects can vary depending on the severity of the skin condition.

Absorption

Hydrocortisone is quickly absorbed through the skin and is thought to have a limited systemic absorption. Neomycin sulfate and Polymyxin B have a higher absorption rate to the point where systemic effects have been occasionally reported.

Route of Elimination

Hydrocortisone is metabolized in the liver to inactive metabolites which are then excreted by the kidneys. Neomycin sulfate and polymyxin B are both metabolized in the liver and excreted in the feces.

Dosage

The usual dose of NPH is 0.5%-1% for adults and 0.25%-0.5% for children.

Administration

NPH should be applied topically to the affected area three to four times a day, or as directed by a physician.

Side Effects

Common side effects of NPH include burning, stinging, itching, redness, dryness, mild skin irritation, and rash. Systemic effects from systemic absorption are rare but can include headache, blurred vision, nausea, vomiting, dizziness, and insomnia.

Toxicity

Hydrocortisone is generally well tolerated when used as directed. Neomycin sulfate and polymyxin B are both generally safe for topical use.

Precautions

It is important not to use NPH on large areas of skin, as this increases the risk of systemic absorption. It is also important to avoid getting the medication in the eyes or mouth, as this can cause irritation or infection.

Interactions

NPH may interact with other medications, particularly those that affect the liver or kidneys. It is important to speak to a physician before using any other medications with this product.

Disease Interactions

NPH should be used with caution in patients with liver or kidney disease, as these medications can affect the function of these organs.

Drug Interactions

NPH has the potential to interact with other medications, especially those that affect the liver or kidneys. Talk to your doctor before using this product with any other drugs.

Food Interactions

NPH has no known food interactions.

Pregnancy Use

NPH should be used with caution in pregnant women, as the potential effects on the fetus are not known.

Lactation Use

NPH should be used with caution in nursing mothers, as the potential effects on the breastfeeding infant are not known.

Acute Overdose

An acute overdose of NPH is unlikely to occur. However, if an overdose is suspected, seek medical attention immediately.

Contraindication

NPH should not be used in patients with known hypersensitivity to any of the components.

Use Direction

NPH should be applied to the affected area three to four times a day, or as directed by a physician. Do not apply to large areas of skin, as this increases the risk of systemic absorption.

Storage Condition

NPH should be stored at room temperature (15-30°C) in an airtight container.

Volume of Distribution

The volume of distribution of NPH is unknown.

Half Life

The half-life of NPH is unknown.

Clearance

The clearance of NPH is unknown.

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