Дерматол

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Дерматол

Treatment option: Skin Conditions

Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Дерматол

Property Description
Active Ingredient Bismuth Subgallate (Bismuthi subgallas)
Form Medicinal Powder, Capsule, Tablet
Pharmacological Class Astringent, Antiseptic, Adsorbent-Protective Agent
General Purpose Drying and protection of irritated surfaces; internal adsorption
Origin Synthetic Inorganic Salt

The Identity and Composition of Дерматол

Дерматол is a widely recognized pharmaceutical entity containing the single active ingredient, Bismuth Subgallate (Bismuthi subgallas), which is an odorless, yellow powder. Chemically, the compound is defined as a synthetic inorganic salt, specifically a basic salt formed from the heavy metal Bismuth and the organic compound Gallic Acid. A distinguishing factor of this formulation is its high insolubility, which ensures minimal systemic absorption whether applied externally or taken orally. Дерматол is provided in several high-level dosage forms, including a fine medicinal powder designed for direct topical use, and solid oral preparations such as capsules and tablets, confirming it as a single-ingredient product.


What Type of Medicine is Bismuth Subgallate?

Bismuth Subgallate is classified primarily as a powerful astringent agent, a mild antiseptic, and an adsorbent-protective agent. It promotes surface effects on both skin and mucosal tissues. This pharmacological utility is achieved because the compound interacts with surface proteins, causing them to condense and form a physical, non-absorbable, protective layer. The compound provides localized protective effects on mucous membranes. The core purpose is to help dry and protect irritated external surfaces by creating a shield that manages excess moisture and secretions. Its classification as a gastrointestinal agent further underscores its versatility: it functions through adsorbent-protective properties within the digestive tract, aiding in the management of undesirable compounds and providing an internal deodorizing benefit.

Regulatory References

  1. Bismuth Subgallate (DailyMed Label)

What side effects are possible with Дерматол?

Possible Side Effects and Safety Information

The safety profile of Дерматол (Bismuth Subgallate) is predominantly characterized by its minimal systemic absorption, leading to a spectrum of localized effects, primarily within the gastrointestinal system. The adverse reactions are classified based on official regulatory documentation.


Documented Adverse Reactions

The most commonly expected and documented adverse effects are related to the medicine’s local action in the digestive tract. These include darkening of the stool and, less frequently, constipation or abdominal discomfort [NIH MedlinePlus guidance on Bismuth compounds]. The darkening of the stool is a non-serious, anticipated physical change resulting from the formation of bismuth sulfide and is explicitly noted in regulatory safety information.

For many adverse reactions, regulatory documentation often classifies the frequency as Not known, meaning it cannot be reliably estimated from available data.


Serious Adverse Reactions and Safety Constraints

The most serious, though rare, adverse reaction associated with the class of bismuth compounds is Bismuth Encephalopathy or Neurotoxicity [MedlinePlus]. This risk is highly specific and tied only to the prolonged, high-dose administration of systemically absorbed bismuth salts.

Official labeling includes explicit safety constraints regarding specific populations. Due to the route of elimination, use is restricted in patients with severe renal impairment (kidney disease). This restriction is necessary to prevent the potential for bismuth accumulation in the body, which could lead to systemic effects.

Overdose and Emergency Response

Overdose involving Дерматол (Bismuth Subgallate) is primarily associated with the risk of systemic Bismuth intoxication, which typically occurs following chronic, high-dose exposure or acute, massive ingestion. This level of exposure may compromise the compound's normally low systemic absorption, leading to severe outcomes.

Documented Manifestations and Severe Outcomes

In cases of severe overdose, the regulatory profile documents the potential for life-threatening organ toxicity. Specific manifestations of Bismuth-related neurotoxicity may include progressive encephalopathy, a form of brain dysfunction, along with specific neurological symptoms such as myoclonus (muscle jerks), aphasia (speech disturbance), and gait instability. Furthermore, official warnings specify the risk of acute or chronic kidney failure (renal failure) as a severe consequence of excessive systemic Bismuth levels.

When to Seek Immediate Medical Help

Due to the severity of these documented outcomes, immediate medical attention is required in all cases of suspected overdose or when neurological or renal symptoms become evident. Patients should seek emergency services immediately. The primary required action involves the cessation of the Bismuth compound. Management of this condition is officially defined as symptomatic and supportive treatment, as no specific pharmacological antidote is cited in the regulatory labeling. A specific consideration is noted for patients with pre-existing renal impairment, who may be at an increased risk of severe toxicity due to compromised clearance of Bismuth.

Therapeutic Uses of Дерматол

Quick Facts

  • Therapeutic Domain: Addresses concerns related to stool and flatulence odor.
  • Primary Use: Management of internal malodor.
  • Associated Contexts: Utilized in settings following specific gastrointestinal surgeries or in the context of certain bowel conditions.

What Дерматол Treats: Main Uses and Benefits

Дерматол (Bismuth Subgallate) is a compound utilized within a therapeutic context to help manage internal odor associated with bodily waste. Its primary purpose involves contributing to the deodorization of flatulence and stools. This effect may be of supportive use for individuals experiencing specific gastrointestinal conditions or those who have undergone certain surgical procedures, such as ileostomy or bariatric surgery.

The application of Дерматол is recognized for its role as an internal deodorant. Additionally, the compound has been explored for its possible contribution to managing Helicobacter pylori infection and its use in wound care settings. This reflects the compound's multifaceted application in medical practice.

Regulatory References

  1. NIH MedlinePlus guidance on Bismuth compounds

Eligibility and Restrictions for Use

The eligibility profile for Дерматол (Bismuth Subgallate) is defined by specific regulatory guidelines regarding contraindications and population restrictions. The criteria establish who is allowed standard use and who requires conditional use or total exclusion.

Eligibility Scope

Populations for whom use is allowed
Adults and children 12 years of age and older.
Populations for whom use is contraindicated
Patients with known hypersensitivity to Bismuth Subgallate or any component.
Populations for whom use is restricted
Use with caution in patients with renal impairment or hepatic impairment.
Age-related eligibility rules
Use is not established for children under 12 years; these individuals must consult a health professional.
Pregnancy and lactation eligibility status
Requires consulting a health professional. Some regulatory classifications note it as Pregnancy Category C.

Eligibility Classifications

Official regulatory documents classify use based on several criteria. The highest restriction, Contraindicated, applies to individuals with a known hypersensitivity to the medication. Conditional use, or Use with Caution, is mandated for patients with compromised kidney or liver function due to the potential for bismuth accumulation in the body. Furthermore, use is not established for the pediatric population under age 12, and individuals who are pregnant or breastfeeding are directed to consult a health professional.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The interaction profile of Дерматол (Bismuth Subgallate), based on official regulatory documentation, is primarily structured around its limited systemic absorption and its binding properties within the gastrointestinal tract.


Documented Interaction Categories

Interaction Type Practical Implication Regulatory Status
Local Binding/Chelation May reduce the absorption of co-administered oral medications. Use with Caution
Additive Systemic Exposure Risk of Bismuth accumulation when used concurrently with other Bismuth-containing products. Use with Caution
Clearance Impairment Increased risk of exposure-related effects in individuals with poor kidney function. Use with Caution

Specific Interacting Substances and Constraints

Specific interactions are noted for substances that bind readily with Bismuth Subgallate in the digestive tract. The most relevant interaction involves Tetracycline Antibiotics. Co-administration may significantly reduce the therapeutic efficacy of tetracycline due to decreased absorption.

To mitigate this effect, official guidelines mandate a timing-based rule where the administration of Дерматол must be separated by several hours from the dose of any Tetracycline antibiotic.

Furthermore, patients with impaired renal function require specific consideration. Because the kidney is responsible for clearing the minimally absorbed Bismuth, regulatory documents advise caution due to an elevated risk of systemic accumulation, which can affect patient safety.

This information strictly reflects interaction statements found in authoritative government regulatory documents and is not a substitute for professional medical advice.

Mechanism of Action

The pharmacological action of Дерматол (Bismuth Subgallate) is strictly localized to the tissue surface, relying on a non-systemic mechanism of action due to its high insolubility and minimal systemic absorption.

️ Protein Coagulation and Barrier Mechanism

The compound initiates its primary mechanism through a chemical reaction where the bismuth ion precipitates surface proteins present in epithelial cells and tissue exudates. This interaction forms an insoluble, dense coagulum layer that functions as a physical shield over the contacted tissue surface. This mechanical barrier physically shields underlying nerve endings, which limits peripheral sensory stimulus.

Modulation of Local Fluid Dynamics

The resulting protein coagulum mechanically constricts superficial ducts and capillaries, directly modulating local fluid dynamics. This action limits the movement and outflow of serous fluid and moisture from the tissue, leading to a localized reduction in fluid exudation (astringency) observed on hyper-secretive surfaces.

Physical Adsorption of Local Irritants

Bismuth Subgallate also utilizes a high surface area to engage in physical adsorption. This non-specific process allows it to bind various molecules, including local irritant molecules and volatile sulfur compounds within the digestive tract, contributing to the sequestration of odor-causing molecules.

Dosage and Administration Information

How to Use Дерматол (Bismuth Subgallate)

This section outlines established administration and dosing protocols for Bismuth Subgallate, focusing on the procedural structure of use.


Official Administration Guidelines

Bismuth Subgallate is administered through distinct routes depending on the dosage form. The oral route is specified for internal use, while the topical or rectal route is utilized for localized protective effects, often as a component in a powder or suppository.

Standard adult dosing is established at 200 mg to 400 mg per dose, taken up to four times daily (QID), with an absolute maximum intake limit of 1600 mg in a 24-hour period.

Usage Parameter Regulatory Instruction
Dosing Frequency Up to four times daily or as needed.
Timing with Meals May be taken with or without food.
Age Criteria Use is authorized for individuals 12 years of age and older, following the adult dosing schedule.
Missed Dose Rule If a regular dose is missed, do not double the dose; if close to the next scheduled time, the missed dose should be skipped.

Procedural Administration Constraints

The proper method of intake is defined by the medicine's form. Specifically, any chewable tablet forms must be thoroughly masticated before being swallowed. For oral use, the medicine is generally intended for as-needed management rather than a fixed treatment cycle. Conversely, when used in certain topical/rectal formulations, a maximum duration of 7 days is often specified.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Дерматол


Evidence for Use in Managing Internal Odor

Research describes that Bismuth Subgallate was studied for internal odor and has primarily focused on certain patient groups, particularly those who have undergone gastrointestinal surgeries or who are dealing with specific bowel conditions where changes in odor may occur. Studies used in this area include controlled trials, such as one double-blind study, as well as other prospective trials. Researchers specifically examined the agent's effects by monitoring patient-reported outcomes describing perceived discomfort related to flatulence and stool odor. Findings describe patterns observed in the studies related to odor status in the specific populations included in the trials. However, evidence remains limited regarding long-term observations of this approach. Sample sizes were modest in some of the key controlled trials, and certainty remains low for a broader, general population.


Evidence for Topical Use on Skin and Surfaces

Research on the topical use of Bismuth Subgallate was evaluated in wound care settings and for its application for surface drying. This evidence base includes Randomized Controlled Trials (RCTs), comparative studies, and experimental laboratory research. Studies explored the agent's application in surgical contexts, such as following procedures on the mouth or throat. Researchers measured several key outcomes linked to inflammatory or irritative states and tissue repair, including the time taken for bleeding to stop and the rate at which tissue healed. Findings were mixed when it comes to the agent's influence on the overall wound healing process. Furthermore, comparative evidence is lacking for many common superficial skin irritations, meaning most data reflect the specific conditions under which they were conducted.


Research on Bismuth Subgallate as an Adjuvant in H. pylori Management

Research describes that Bismuth Subgallate was studied for its role as an adjuvant (a supportive component) within a multi-drug regimen known as quadruple therapy to address Helicobacter pylori infection, which was observed in patients with conditions like peptic ulcers. The research primarily consists of RCTs and meta-analyses that examined the bismuth-containing quadruple therapy against other treatment regimens. These studies monitored the H. pylori eradication rate (the success of fully eliminating the bacteria). Findings indicate patterns related to eradication success, but these results apply only to the populations studied and the specific combination of drugs used in the regimen. The research does not determine whether an individual will respond similarly to the agent alone, as it was studied for its use alongside powerful antimicrobials.

Key Studies & References

  1. Bismuth subgallate as a topical haemostatic agent at the palatal wounds: a histologic study in dogs
  2. What are the latest guideline recommendations for the treatment of Helicobacter pylori infection in the U.S.?

Frequently Asked Questions (FAQ)

Common questions about Дерматол (FAQ)


Q: Can I use Dermatol if I have sensitive skin?

Official documents note that Bismuth Subgallate is contraindicated (should not be used) if a person has a known hypersensitivity to the drug or any of its components. Separately, general safety information describes the risk of an allergic skin reaction, such as contact sensitivity, when applied to the skin. If an individual has sensitive skin, awareness of the possibility of such reactions may be relevant.


Q: Is it true that Dermatol can help with wound healing?

Dermatol is officially classified as an astringent, adsorbent, and protective agent. Its main purpose is to dry and protect irritated surfaces by forming a physical barrier. The product's classification as a protective and drying agent, along with mixed research findings, suggests its function is related to surface management rather than direct promotion of healing.


Q: Can Dermatol be applied to large areas of skin?

Official warnings about Bismuth Subgallate neurotoxicity are linked to systemic bismuth accumulation in the body. This accumulation risk can increase with prolonged or extensive topical use, especially if the skin is damaged or broken. This risk indicates that application to very large surface areas may warrant increased consideration.


Q: Is a prescription needed to buy Dermatol?

Many of the official dosing regimens for Bismuth Subgallate are described in regulatory documents as standard instructions for Over-The-Counter (OTC) drugs. This classification indicates that the medicine is generally available for purchase without a prescription for its indicated uses.


Q: Dermatol and other skin ointments – what's the difference?

Dermatol (Bismuth Subgallate) is officially classified as an astringent, antiseptic, and adsorbent-protective agent. Its primary mechanism of action is physical, creating a protective layer and causing surface proteins to condense, which helps to dry and shield irritated tissue.


Q: What should I do if I accidentally swallowed a little Dermatol?

In the event of accidental overdose or swallowing a significant amount of the product, official safety information requires that immediate medical assistance be sought or a poison control center be contacted.


Q: Can Dermatol cause an allergic reaction?

Yes, official warnings mention that hypersensitivity to Bismuth Subgallate is a contraindication for use. Additionally, there is a known, though rare, risk of developing an allergic skin reaction (contact sensitivity) when the product is applied.


Q: How long is it safe to use Dermatol?

For some forms used topically or rectally, a maximum use period, such as 7 days, may be specified on the label. For oral use, duration limits are related to the risk of rare neurotoxicity that can occur with prolonged, high-dose use. The documented risk associated with prolonged use suggests that the duration of application may be restricted.


Q: Is it true that pregnant women cannot use Dermatol?

The official pregnancy classification for Bismuth Subgallate is noted in some documents as Category C. This classification indicates that animal studies have shown adverse effects, but there are no adequate studies in humans. Official documents direct individuals to consult a health professional to review the potential risks and benefits associated with use during pregnancy.


Q: For what types of skin problems is Dermatol most often prescribed?

As an astringent and protective agent, Dermatol is used on external surfaces primarily for its ability to dry and create a barrier over irritated, weeping, or moist skin conditions. The agent is described as a component for local use in certain surgical and dental procedures.


Q: Does Dermatol change skin color with long-term use?

Official documents explicitly describe a common and non-serious adverse effect of temporary darkening of the stool and/or tongue when the product is taken orally. Skin darkening from topical use is not commonly listed among the expected side effects, though the yellow color of the powder itself may cause temporary surface staining upon application.


Q: If I miss an application, should I apply a double dose?

Official instructions concerning a missed dose (primarily for oral forms) specify that the dose should not be doubled to make up for the missed one. If it is close to the time for the next scheduled dose, the missed dose should simply be skipped.


Q: How should I store Dermatol so it doesn't spoil?

Dermatol must be stored according to official requirements: at controlled room temperature (typically 20–25°C), and it must be protected from light, moisture, and excessive heat. It should always be kept in its tightly closed original container.


Q: Does Dermatol have analogues with the same active substance?

The active substance in Dermatol is Bismuth Subgallate (Bismuthi subgallas). It is common in the pharmaceutical market for different medicines to contain the same active ingredient, often sold under various trade or generic names.


Q: Why does Dermatol sometimes not work immediately?

The action of Dermatol is local and mechanical, meaning it relies on a chemical reaction to occur on the tissue surface to form a physical protective barrier. The time required for this barrier to fully establish itself may influence when the user begins to observe the desired effect.


Q: Does Dermatol affect driving a car?

Official regulatory documents do not contain direct warnings regarding Dermatol affecting a person’s ability to drive a vehicle or operate machinery. The drug is characterized by minimal systemic absorption, which limits effects that could impact concentration or coordination.


Q: Is there a risk of dependence on Dermatol?

Dermatol (Bismuth Subgallate) is not classified as a controlled substance in regulatory schedules. The official documents do not mention or indicate that this product carries a risk of physical or psychological dependence.


Q: Is it true that Dermatol is photosensitive?

Official storage instructions require that Dermatol be protected from light to maintain its stability and effectiveness. This precaution indicates that the substance itself is sensitive to exposure to light.


Q: Can Dermatol be used on the face?

While there is no blanket prohibition on applying Dermatol to the face, general precautions regarding topical use apply. Use on sensitive or extensive areas should be done with caution due to the theoretical risk of systemic accumulation if absorption is increased.


Q: How to distinguish a side effect from an allergy to Dermatol?

Certain common side effects, such as darkening of the stool or constipation, are non-serious and expected outcomes of the drug’s action. By contrast, serious allergic reactions (hypersensitivity) involve symptoms like rash, hives, swelling of the face or throat, or trouble breathing. In the event of serious symptoms, immediate medical attention is required.


Q: Does Dermatol affect other diseases in the body?

Official eligibility guidelines clearly state that use of the drug is restricted or requires caution in patients who have pre-existing renal (kidney) or hepatic (liver) impairment. These precautions are necessary because the kidney clears the minimally absorbed Bismuth, and impairment can lead to accumulation.


Q: Can Dermatol be used by the elderly?

The product is authorized for use in individuals 12 years of age and older. However, official restrictions for all adults state that caution or exclusion is required for patients with renal impairment, a condition more common in the elderly, due to the risk of bismuth accumulation.


Q: What are the disposal rules for used Dermatol packaging?

Used packaging, such as empty tubes or bottles, must be disposed of according to local and national waste disposal regulations. These guidelines ensure that empty containers are safely discarded and not reused.


Q: How long does Dermatol remain in the body after stopping use?

Due to the drug's minimal systemic absorption, the majority of the Bismuth Subgallate remains localized on the surface and is quickly eliminated through the stool. The small amount that is absorbed into the bloodstream is processed and cleared by the kidneys, with the rate of elimination depending on kidney function.


Q: Is there a risk of overdose when using Dermatol externally?

Systemic overdose is unlikely when the drug is used correctly on small surface areas. However, there is a risk of bismuth accumulation associated with prolonged, extensive or incorrect topical application, particularly on broken skin. If overdose is suspected, medical attention is recommended.


Q: Can I continue to use Dermatol after symptoms disappear?

Official information indicates that oral Dermatol use is typically intended for the management of symptoms as needed, rather than as part of a fixed, mandatory treatment cycle. This suggests that use may be stopped once the symptoms have resolved.


Q: Are there any dietary restrictions when using Dermatol?

According to official instructions, oral forms of the medicine may be taken with or without food. No specific dietary restrictions (such as avoiding certain foods or drinks) are listed in the regulatory documents.


Q: What general precautions should be observed when using it?

General regulatory information highlights precautions, including the awareness of risk of Bismuth accumulation in the presence of impaired kidney function and the importance of separating the dose from certain other oral medications, such as tetracycline antibiotics, by several hours to avoid interaction.


Q: What are the expectations for the duration of Dermatol treatment?

For some localized applications, the label may specify a maximum duration of use, such as up to 7 days. For internal use, treatment is often focused on the as-needed management of symptoms. Regulatory caution is provided concerning the risks associated with prolonged use.


Q: Does Dermatol affect the ability to conceive a child?

Official information on the effects of Bismuth Subgallate on fertility or the ability to conceive a child is not provided in regulatory documentation.


Q: What evidence is there about the long-term safety of Dermatol?

The primary serious safety concern documented relates to the rare risk of Neurotoxicity associated with prolonged, high-dose systemic exposure to bismuth. Official research summaries indicate that evidence regarding long-term observations in certain populations (such as those studied for internal odor control) remains limited.

How should Дерматол be stored and disposed of?

How to Store and Dispose of Дерматол (Bismuth Subgallate)

Official guidelines mandate strict storage requirements to preserve the stability of the Bismuth Subgallate compound, which is sensitive to environmental factors.


Storage Requirements

Condition Requirement
Temperature Store at Controlled Room Temperature (typically 20°C to 25°C).
Protection Must be kept in a dry place and protected from light and excessive heat.
Packaging Keep the medicine in its original container and ensure the container is kept tightly closed.
Child Safety Store the product out of the sight and reach of children.

Disposal Instructions

Expired or unused Дерматол must not be flushed down the toilet or poured into a drain. Disposal must follow local regulatory instructions, such as utilizing an official drug take-back program or adhering to specific government guidance for safe household disposal, including mixing the medicine with an undesirable substance before discarding in the trash.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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