سعر توب فلام Top-flam‏ مرهم 15جم 2026

Topical ointment 15 gm combining an antibacterial (neomycin, gramicidin), an antifungal (nystatin) and a corticosteroid (triamcinolone), marketed in Egypt by Hikma Pharma in a 15 g pack.

• Local reactions reported infrequently with topical corticosteroids: burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, skin maceration, secondary infection, skin atrophy, striae and miliaria.General active-ingredient information · DailyMed (U.S. National Library of Medicine)

• Contraindicated in patients with a history of hypersensitivity to any component of the preparation.General active-ingredient information · DailyMed (U.S. National Library of Medicine)

• Systemic absorption of topical corticosteroids can cause reversible HPA-axis suppression, Cushing syndrome manifestations, hyperglycaemia and glucosuria; risk rises with large areas, prolonged use and occlusion.General active-ingredient information · DailyMed (U.S. National Library of Medicine)
• Children may absorb proportionally more topical corticosteroid and are more susceptible to HPA-axis suppression, Cushing syndrome and intracranial hypertension; use the least effective amount.General active-ingredient information · DailyMed (U.S. National Library of Medicine)
• For external use only; avoid contact with the eyes; not for ophthalmic use. Discontinue if irritation or hypersensitivity develops.General active-ingredient information · DailyMed (U.S. National Library of Medicine)

• Corticosteroids are teratogenic in animals; topical corticosteroid preparations should be used in pregnancy only if benefit justifies the fetal risk, and not extensively, in large amounts or for prolonged periods.General active-ingredient information · DailyMed (U.S. National Library of Medicine)
• It is not known whether the components are excreted in human milk; use caution in nursing women.General active-ingredient information · DailyMed (U.S. National Library of Medicine)

• If there is no therapeutic response, repeat microbiological studies (KOH smear/culture); urinary free cortisol and ACTH stimulation tests may help evaluate HPA-axis suppression.General active-ingredient information · DailyMed (U.S. National Library of Medicine)