Heel-Guard
Generic Name
Urea + Lactic Acid
Manufacturer
Care Pharmaceuticals Ltd.
Country
Bangladesh
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Description
Overview of the medicine
Heel-Guard Cream is a specialized dermatological preparation designed to moisturize, exfoliate, and repair dry, rough, and cracked heels. It contains Urea, a potent humectant that attracts and retains moisture, and Lactic Acid, an alpha-hydroxy acid that gently exfoliates dead skin cells, promoting smoother and softer skin.
Uses & Indications
Dosage
Adults
Apply a thin layer to affected areas twice daily, preferably after bathing and before bedtime. Gently massage until fully absorbed.
Elderly
No specific dosage adjustment required for elderly patients. Use as per adult dosage.
Renal_impairment
No specific dosage adjustment required as systemic absorption is minimal.
How to Take
For external use only. Clean and dry the affected area before application. Apply a small amount of cream and gently rub it in until absorbed. Wash hands thoroughly after application.
Mechanism of Action
Urea works as a humectant, drawing moisture from the air and deeper skin layers to hydrate the skin. It also has keratolytic properties, helping to loosen and shed dead skin cells. Lactic Acid, an AHA, further aids in chemical exfoliation, breaking down the bonds between dead skin cells and revealing softer skin underneath. This combination helps restore the skin's natural barrier function and elasticity.
Pharmacokinetics
Onset
Visible improvement in skin texture and hydration typically within 3-7 days of consistent use.
Excretion
Mainly through epidermal desquamation (shedding of skin cells); any absorbed components would be cleared via renal excretion.
Half life
Not clinically relevant for topical applications with minimal systemic absorption.
Absorption
Minimal systemic absorption expected when applied topically to intact skin. Higher absorption may occur on abraded or severely cracked skin.
Metabolism
Minimal metabolism expected systemically; local enzymes may break down components on the skin surface.
Side Effects
Contraindications
- Hypersensitivity to Urea, Lactic Acid, or any other component of the cream
- Application on severely broken, bleeding, or infected skin
- Children under 3 years of age (due to Lactic Acid)
Drug Interactions
Corticosteroid creams
No significant interactions known, but consult a doctor for combined use on compromised skin.
Other topical exfoliants (e.g., salicylic acid, retinoids)
Concurrent use may increase skin irritation or sensitivity. Use with caution or consult a physician.
Storage
Store below 30°C in a dry place, away from direct sunlight. Do not freeze. Keep out of reach of children.
Overdose
Accidental ingestion is unlikely to cause serious systemic effects but may lead to gastrointestinal upset. Topical overdose may cause excessive irritation, redness, or burning sensation. In such cases, wash the area with water and discontinue use. Seek medical attention if irritation persists or severe symptoms occur.
Pregnancy & Lactation
Generally considered safe for topical use during pregnancy and lactation, as systemic absorption is minimal. However, it is advisable to consult a healthcare professional before use, especially if applying to large areas.
Side Effects
Contraindications
- Hypersensitivity to Urea, Lactic Acid, or any other component of the cream
- Application on severely broken, bleeding, or infected skin
- Children under 3 years of age (due to Lactic Acid)
Drug Interactions
Corticosteroid creams
No significant interactions known, but consult a doctor for combined use on compromised skin.
Other topical exfoliants (e.g., salicylic acid, retinoids)
Concurrent use may increase skin irritation or sensitivity. Use with caution or consult a physician.
Storage
Store below 30°C in a dry place, away from direct sunlight. Do not freeze. Keep out of reach of children.
Overdose
Accidental ingestion is unlikely to cause serious systemic effects but may lead to gastrointestinal upset. Topical overdose may cause excessive irritation, redness, or burning sensation. In such cases, wash the area with water and discontinue use. Seek medical attention if irritation persists or severe symptoms occur.
Pregnancy & Lactation
Generally considered safe for topical use during pregnancy and lactation, as systemic absorption is minimal. However, it is advisable to consult a healthcare professional before use, especially if applying to large areas.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
24 months from the date of manufacture.
Availability
Available in pharmacies, supermarkets, and online stores
Approval Status
Over-the-counter (OTC)
Patent Status
Generally expired for active ingredients, product formulation may have patent protection
Clinical Trials
While specific large-scale clinical trials for 'Heel-Guard' might not be widely published, the active ingredients (Urea, Lactic Acid) have extensive clinical evidence supporting their efficacy in treating dry and hyperkeratotic skin conditions.
Lab Monitoring
- No specific lab monitoring required for topical use.
Doctor Notes
- Advise patients with severe cracks or signs of infection (redness, pus, severe pain) to seek medical consultation before use.
- Emphasize proper foot hygiene and hydration.
- Recommend regular follow-up for chronic conditions.
Patient Guidelines
- Use regularly for best results.
- Do not apply to open wounds or bleeding cracks.
- Avoid contact with eyes, nose, and mouth.
- Discontinue use if severe irritation occurs and consult a doctor.
Missed Dose Advice
If a dose is missed, apply it as soon as remembered. Do not apply a double dose to compensate for the missed one. Continue with the regular application schedule.
Driving Precautions
Heel-Guard Cream has no known effect on the ability to drive or operate machinery.
Lifestyle Advice
- Wear comfortable, well-fitting shoes to prevent pressure on heels.
- Stay hydrated by drinking plenty of water.
- Moisturize your feet regularly, even after healing.
- Avoid harsh soaps and very hot water when washing feet.
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