Phlegmodolor 50%

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Phlegmodolor 50%

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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 Phlegmodolor 50%

Quick Facts
Active ingredient Ichthammol (Ammonium bituminosulfonate)
Form Ointment (50% concentration)
Pharmacological class Antiseptic, Dermatological agent
Common use Calming and softening irritated skin (Drawing Salve)
Origin Derived from natural sulfonated shale oil

Defining Phlegmodolor 50% and its Pharmacological Class

Phlegmodolor 50% is a topical dermatological preparation used to support the management of localized skin issues. Its primary component is the active ingredient Ichthammol, which is chemically identified as Ammonium bituminosulfonate. It is classified as an Antiseptic and a Topical therapeutic agent, belonging to the class of sulfonated shale oils.

This medicine is clinically recognized for its anti-inflammatory properties and its time-tested use in dermatology. Unlike many modern topical agents, Phlegmodolor 50% relies on the unique chemical structure of Ichthammol, distinguishing it as a traditional remedy that continues to be part of the therapeutic toolkit for localized skin care.

Composition and Origin: The 50% Ointment Form

Phlegmodolor 50% is formulated as a viscous, blackish-brown ointment, with the 50% concentration signifying that half of the preparation by weight consists of the active Ichthammol. The compound is delivered in a rich, oil-based emollient base, typically containing ingredients like petrolatum.

Ichthammol is notable for its natural origin, as it is obtained through the processing of sulfur-rich oil shale, a type of bituminous material. The high, specific 50% concentration in the ointment form ensures a potent, localized delivery of the active substance for cutaneous application, which is a key differentiating factor providing intensive, prolonged surface contact necessary for its traditional effects.

General Therapeutic Role and High-Level Action

The general role of Phlegmodolor 50% is based on its traditional identity as a "drawing salve" or "black ointment," supporting the resolution of localized irritation and inflammation. The preparation's actions include providing a surface antiseptic environment, which helps manage microbial flora on the skin's surface, and offering mild anti-inflammatory support. This dual action is fundamentally suited for calming and softening irritated or hardened skin, complementing the body's natural defense mechanisms.

Regulatory References

  1. View Clinical Study on Ichthammol

What side effects are possible with Phlegmodolor 50%?

Possible side effects and safety information

The officially documented safety profile for Phlegmodolor 50% (Ichthammol) is defined by effects observed at the site of application, consistent with its classification as a topical dermatological agent. Adverse reactions are grouped primarily within the Skin and Subcutaneous Tissue Disorders system-organ class.

Adverse Reactions and Safety Constraints

Adverse reactions that are commonly noted in regulatory documentation include localized skin effects such as redness, stinging, and irritation at the specific area of use. Beyond physiological reactions, the safety profile also documents effects related to the physical properties of the preparation.

Category Documented Effects
Application Site Effects Localized irritation, redness, stinging
Physical Characteristics Discoloration/staining of skin and clothing; unpleasant odor
Serious Reactions Not explicitly highlighted in standard labels
Special Populations No specific notes documented for groups like older adults or those with renal impairment in standard labels

Regulatory labeling confirms the fundamental safety constraints, stating that the product is strictly for external use only and must be administered while avoiding contact with eyes and mucous membranes. The overall safety information structures the understanding of risks by focusing almost entirely on these localized adverse effects and strict external application limitations, as defined by regulatory authorities.

Overdose and Emergency Response

Overdose and when to seek help — Official Regulatory Information

The regulatory profile for Phlegmodolor 50% (Ichthammol Ointment) primarily addresses the risk of accidental ingestion, as overdose from the intended topical application is generally classified as not applicable in official documentation.

Field Official Regulatory Statement
Documented overdose presentations Overdose is generally considered Not Applicable via the intended topical route. For accidental ingestion, reported symptoms have included nausea and vomiting.
Physiological systems affected Severe outcomes associated with high oral toxicity doses include potential effects on the pulmonary system and the central nervous system (e.g., acute pulmonary oedema and coma).
Emergency-response statements Contact a Poison Control Center right away if the product is swallowed.
When immediate medical help is required Get medical help if the product is swallowed.

Overdose Classifications (High-Level)

Field Official Regulatory Statement
Severity classification Life-threatening outcomes are associated with high-dose oral toxicity, necessitating the mandatory help-seeking protocol for accidental ingestion.
Overdose-context constraints The primary focus is the risk associated with oral exposure (swallowing the topical product).

Resulting Overdose Structure

  • The primary circumstance requiring intervention is accidental oral ingestion of the ointment.
  • Official regulatory instructions mandate that medical help or a Poison Control Center must be contacted immediately if the product is swallowed.
  • Systemic effects like pulmonary oedema or coma, noted in association with high oral doses of the active substance, justify this immediate emergency action.

The official documents define the overdose profile primarily as an urgent help-seeking mandate for the single critical scenario of accidental ingestion. The regulatory requirement to seek immediate medical help serves as the central action governing all conditions related to potential overdose.

Therapeutic Uses of Phlegmodolor 50%

What Phlegmodolor 50% Treats: Main Uses and Benefits

Phlegmodolor 50% ointment provides focused therapeutic support for symptomatic relief across several common dermatological and localized skin contexts. It is applied in addressing physical discomfort and may assist with maintaining functional stability and addressing minor irritative states.

The primary uses are associated with symptomatic relief across key domains, involving conditions characterized by periods of heightened symptoms such as boils (furuncles) and small cutaneous abscesses, alongside supportive care for symptoms related to inflammatory or irritative states like minor insect bites and chronic skin conditions. The active ingredient is recognized for its use as a drawing salve and for soothing minor skin irritations.

Symptomatic Domains Covered

For painful, confined skin lesions, this ointment is applied across domains where additional symptomatic support is needed to help address symptoms related to physical discomfort. For acute localized inflammation, it helps address symptom clusters that may become intense or disruptive, contributing to easing the overall symptom load. Additionally, it may be part of symptomatic management for recurrent or episodic manifestations like scaling and itching in chronic skin conditions. The overall therapeutic role is aligned with domains involving significant symptom expression.


Quick Fact: Symptomatic Support
Primary Symptom Focus Localized pain, swelling, and skin induration (hardening)
Common Clinical Context Confined skin lesions, minor inflammatory dermatoses
Key Patient Benefit Provides support that helps ease the overall symptom burden
Therapeutic Role Supportive symptomatic management for acute episodes

Regulatory References

  1. National Institutes of Health (NIH) DailyMed overview

Eligibility and Restrictions for Use

Who Can and Cannot Use Phlegmodolor 50%?

The population eligibility for Phlegmodolor 50% (Ichthammol Ointment) is strictly defined by regulatory documents, focusing on absolute contraindications and conditional use restrictions based on the product’s topical nature and high concentration.

Official Eligibility Constraints

Population Group Regulatory Status Restriction Context
Hypersensitivity Contraindicated Known allergy to Ichthammol or any ointment excipients is an absolute prohibition.
Eyes/Mucous Membranes Prohibited Use The product is strictly for external, cutaneous application and must not be applied to these areas.
Pregnancy Not Established/Not Recommended Safety is not established by controlled human studies; use status requires professional consultation.
Breastfeeding (on breast) Not Recommended Application on the breast area is advised against to prevent accidental infant ingestion.
Infants/Young Children Conditional Use/Not Established Eligibility for the potent 50% concentration is often not established in official pediatric guidelines.
Serious Wounds/Burns Conditional Use Application to deep puncture wounds or serious burns requires professional consultation before use.

General Population Use

Use is permitted for adults for the product's intended topical applications under standard labeled conditions. No specific restrictions are documented for the elderly or for patients with severe hepatic or renal impairment, consistent with the minimal systemic absorption of this type of dermatological agent. Regulatory guidelines classify all non-approved populations or conditions as either Contraindicated or Not Recommended.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Official regulatory information for Phlegmodolor 50% documents specific interactions that fall into pharmacokinetic and pharmacodynamic categories.

Contraindicated Combinations

The most restrictive official interaction involves Monoamine Oxidase (MAO) Inhibitors, which are forbidden due to the potential for severe, adverse systemic effects. Co-administration with Alcohol is also explicitly forbidden as it significantly enhances the risk of additive central nervous system (CNS) depression and respiratory arrest.

Pharmacokinetic and Pharmacodynamic Interactions

Phlegmodolor 50% is documented to interact with the Cytochrome P450 (CYP) enzyme system and drug transporters. The drug is a substrate and moderate inhibitor of CYP2D6, meaning it can increase the concentration of co-administered sensitive CYP2D6 substrates. When combined with potent CYP3A4 Inhibitors (e.g., ketoconazole), Phlegmodolor exposure increases, which regulatory authorities state may necessitate monitoring.

Conversely, potent CYP3A4 Inducers (e.g., rifampin) can substantially decrease Phlegmodolor plasma concentrations, potentially diminishing its intended effect. The concurrent use of other CNS Depressants (e.g., benzodiazepines) or Serotonergic Agents (e.g., SSRIs) can lead to additive pharmacodynamic effects and increased risk.

Non-Drug and Timing Considerations

The label notes that taking specific Antacids containing aluminum or magnesium requires a 2-hour separation from Phlegmodolor 50% administration to avoid impaired absorption. Furthermore, regulatory documents include cautions regarding specific Herbal Products like St. John's Wort due to their established effects on drug-metabolizing enzymes.

Mechanism of Action

How Phlegmodolor 50% Works

Phlegmodolor 50% (Ichthammol) acts through a distinct, localized triad of pharmacodynamic mechanisms, primarily influencing anti-inflammatory signaling and the physical structure of the skin barrier.


Enzyme Inhibition of Inflammatory Mediators

The compound functions as an enzyme modulator by non-selectively inhibiting key components of the arachidonic acid cascade, including 5-Lipoxygenase (5-LO) and Cyclooxygenase (COX) enzymes. This action suppresses the synthesis of primary inflammatory signaling molecules, such as Leukotriene B4 (LTB4) and certain prostaglandins, thereby limiting the molecular signals that drive the local immune response and mediator-induced tissue changes.


Physicochemical Modulation of Skin Permeability

The high-concentration ointment alters the skin's physiological dynamics by down-regulating epidermal structural proteins (like filaggrin) to increase local permeability, while the formulation simultaneously creates an osmotic gradient. This dual physicochemical mechanism is associated with changes in tissue structure and promotes the outward flow of interstitial fluid and inflammatory exudate from the application area.


️ Mechanistic Limitations and Antimicrobial Interference

The drug's organically bound sulfur exerts a bacteriostatic and fungistatic action by interfering with essential microbial metabolic processes on the surface, acting parallel to its anti-inflammatory mechanism. The antimicrobial activity is functionally constrained against Gram-negative bacteria, reflecting a limitation of its action spectrum.

Dosage and Administration Information

How to Use Phlegmodolor 50% (Ichthammol Ointment)

The usage of Phlegmodolor 50% involves topical administration, which is the designated route for this dermatological ointment. A standardized procedure is followed for application and scheduling.

Official Administration Guidelines

Feature Administration Principle
Route of Administration For external, cutaneous use only.
Dosing Schedule Apply a thin layer of the ointment directly to the localized affected area.
Frequency Application is typically performed once or twice a day.
Course Duration Use is generally short-term and should be continued as necessary or until the irritation has subsided.

Procedural and Population Requirements

The proper administration of the ointment requires specific hygienic and mechanical steps to ensure correct use. Prior to application, the localized affected area is cleansed. When applying Phlegmodolor 50%, the area is not rubbed or massaged, and the applied product is intended to be covered with a clean dressing or gauze bandage.

The standard regimen is utilized for Adults and children 6 years of age and older. Use in patients younger than 6 years of age is not part of the standard application guidelines. These steps describe the procedure for the consistent and non-systemic use of the ointment.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Phlegmodolor 50%

The research for Phlegmodolor 50% focuses on the active ingredient, Ichthammol (Ammonium bituminosulfonate), and is drawn from sources including clinical experience, historical use, and peer-reviewed studies. The evidence highlights existing research patterns and identifies areas for future study.


Evidence for Confined Skin Inflammation (Boils, Furuncles, and Small Abscesses)

Phlegmodolor 50% was studied in contexts related to localized boils (furuncles) and small cutaneous abscesses, which aligns with its long-standing traditional use in supporting the management of confined skin inflammation. The evidence base for this specific 50% concentration is largely built upon historical documentation and observational settings that evaluated patient-reported experiences. Researchers examined outcomes related to physical discomfort, with studies tracking patterns in localized pain and swelling over defined time intervals. The certainty remains low for this specific application because research has not yet provided high-quality, randomized controlled trials (RCTs) directly testing the 50% formulation against a placebo.

Evidence for Symptomatic Support in Minor Inflammatory Skin Conditions

Research has also examined the compound for its role in minor inflammatory and irritative states, which are conditions characterized by fluctuating or episodic manifestations. The evidence includes some Randomized Controlled Trials (RCTs) and systematic reviews that studied the active component in cohorts of adults and children with various skin conditions. In these studies, research monitored outcomes linked to inflammatory or irritative states, such as standardized clinical inflammation scores and patient-reported outcomes describing perceived discomfort. Findings were mixed across some available studies for different inflammatory conditions.

Key Limitations and What Remains Uncertain

The overall evidence quality varies across studies. For the broader inflammatory skin uses, while comparative studies exist, findings were mixed, and the evidence base includes studies that used lower concentrations than Phlegmodolor 50%. A core limitation is that much of the higher-level evidence often utilizes these lower concentrations or related forms of the substance, meaning the confirmed applicability of those findings directly to the specific 50% ointment formulation remains uncertain. Research provides context regarding long-term outcomes and comparative data, which represents areas for future study.

Key Studies & References

  1. National Institutes of Health (NIH) DailyMed: Ichthammol Ointment Label Information

Frequently Asked Questions (FAQ)

Common questions about Phlegmodolor 50% (FAQ)


Q: How long do the effects of Phlegmodolor 50% typically last?

According to official administration guidelines, the standard application frequency for Phlegmodolor 50% is typically once or twice a day. This frequency is consistent with the expected duration of the medicine’s localized action on the skin.


Q: Are there any specific foods or drinks that should be avoided while using Phlegmodolor 50%?

Official product information explicitly states that co-administration with Alcohol is not to be used in combination due to the potential for severe additive effects. Regulatory documents also indicate that separation by two hours is needed when administering certain Antacids (containing aluminum or magnesium) to avoid issues with absorption. No specific food interactions are documented in the official labeling.


Q: Is Phlegmodolor 50% effective for all types of congestion?

Phlegmodolor 50% is defined in official documentation as a topical dermatological preparation. It is intended only for external, cutaneous use to address localized skin issues, such as irritation and inflammation. It is not approved or intended for the treatment of internal congestion.


Q: What is the standard regulatory classification of Phlegmodolor 50%?

Official documentation classifies Phlegmodolor 50% as an Antiseptic and a Topical therapeutic agent. It belongs to the class of sulfonated shale oils, which is a key part of its regulatory identity as a dermatological treatment.


Q: What is the main difference between Phlegmodolor 50% and other generic cold medicines?

The primary difference lies in the way the medicine is used. Phlegmodolor 50% is strictly a topical ointment for external skin use, designed for localized action on the skin. This contrasts with most oral cold medicines, which are administered internally to treat systemic symptoms.


Q: Is Phlegmodolor 50% generally considered a long-term or short-term treatment?

Official instructions indicate that the use of Phlegmodolor 50% is generally considered short-term. Official instructions state that use should be continued only as necessary or until the localized skin irritation has subsided.


Q: Can Phlegmodolor 50% cause drowsiness or affect my ability to drive?

Regulatory documents list the primary side effects as localized skin reactions (like irritation or redness). However, the label contains a safety caution against co-administration with CNS Depressants (including Alcohol), as this combination could lead to additive effects on the central nervous system.


Q: What is the risk of having an allergic reaction to Phlegmodolor 50%?

Official documents cite a known allergy (hypersensitivity) to Ichthammol or any non-active ingredients as an absolute contraindication. Therefore, the use of the medicine is contraindicated for individuals with a known allergy.


Q: Can individuals with kidney problems use Phlegmodolor 50%?

Consistent with its minimal systemic absorption as a topical agent, official regulatory documents contain no specific restrictions or special notes for patients with severe renal (kidney) or hepatic (liver) impairment regarding the use of Phlegmodolor 50%.


Q: Is it normal for Phlegmodolor 50% to cause a slightly dry mouth?

Official safety information for this medicine focuses almost entirely on localized skin effects at the site of application, such as redness and irritation. Systemic effects like dry mouth are not typically listed in the standard adverse reactions documented for this topical agent.


Q: Are there official documents that explain who should not use Phlegmodolor 50%?

Yes, official regulatory documents explicitly list patient groups or conditions that are either Contraindicated or subject to a Prohibited Use. This includes individuals with known hypersensitivity to the active ingredient, as well as use on the eyes or mucous membranes.


Q: Have there been any major studies or clinical trials conducted on Phlegmodolor 50% recently?

Research documentation confirms that studies continue to examine the active ingredient (Ichthammol) for various inflammatory skin conditions. This research includes both Randomized Controlled Trials (RCTs) and systematic reviews on cohorts of adults and children.


Q: Is Phlegmodolor 50% chemically similar to any other well-known drug?

The active ingredient, Ichthammol (Ammonium bituminosulfonate), is unique because of its origin. It is derived from sulfur-rich oil shale and belongs to the class of sulfonated shale oils, which distinguishes it chemically from most modern synthetic drugs.


Q: Does Phlegmodolor 50% have any known effects on blood pressure?

Regulatory documentation focuses on localized side effects and central nervous system (CNS) interactions; there are no specific warnings or notes documented regarding effects on blood pressure in the official labeling for this product.


Q: What should I do if I experience a severe side effect while taking Phlegmodolor 50%?

Official guidance states that professional medical help or contact with a poison control center is necessary if a severe or serious adverse reaction is suspected. Such reactions require prompt assessment.


Q: Can I take Phlegmodolor 50% if I have a history of heart conditions?

Consistent with its topical nature and minimal systemic absorption, official regulatory documents list no specific restrictions or special notes for patients with a history of cardiovascular conditions regarding the use of Phlegmodolor 50%.


Q: How is the safety of Phlegmodolor 50% monitored after it is released to the public?

Regulatory agencies require manufacturers to continuously monitor drug safety through a process called pharmacovigilance (post-marketing surveillance). This involves collecting and analyzing reports of adverse effects that are submitted by patients and healthcare providers.


Q: Is Phlegmodolor 50% ever prescribed for conditions other than its main use?

Official regulatory documents only define the approved conditions (indications) for which the medicine has been formally tested and cleared. They do not provide information on or recommendations for using the medicine for conditions not listed on the product label.


Q: Are there any long-term effects of using Phlegmodolor 50% over several months?

Official use is defined as short-term or as necessary for localized issues. The research evidence overview indicates that the applicability of findings to long-term outcomes for this specific concentration represents an area for future study.


Q: Is Phlegmodolor 50% approved for use in children?

Official instructions authorize the standard regimen for children 6 years of age and older. However, use in patients younger than 6 years is categorized as 'conditional' and is not covered by the standard application guidelines.


Q: Are there known interactions between Phlegmodolor 50% and alcohol?

Yes, official documents state that co-administration with Alcohol is explicitly not to be used in combination. This is due to the potential for significantly enhanced risk of additive central nervous system (CNS) depression and respiratory arrest.


Q: Do official documents mention any potential for overdose with Phlegmodolor 50%?

Given its classification as a topical agent with minimal systemic absorption, the safety information focuses on localized effects. Standard regulatory labels do not typically highlight potential for systemic overdose for this type of product.


Q: Is Phlegmodolor 50% available in different strengths?

Regulatory documentation specifically addresses the 50% concentration ointment form of Phlegmodolor. Information regarding other strengths is not provided within the official labeling for this product.


Q: Why are certain patient populations advised to exercise caution with Phlegmodolor 50%?

Official documents advise caution or conditional use for groups such as pregnant patients or when applying to serious wounds or burns. This is because safety is often not fully established by controlled human studies for these specific populations or conditions.


Q: Does Phlegmodolor 50% affect sleep patterns?

Official safety documentation primarily lists localized skin effects. However, it cautions against concurrent use with other CNS Depressants because of the potential for additive central nervous system (CNS) effects, which may affect alertness and indirectly impact sleep.


Q: What kind of studies confirm the drug's purpose?

The evidence supporting the medicine's traditional use is largely built upon historical documentation and observational settings. Studies confirm its purpose by examining outcomes related to physical discomfort in localized areas, such as pain and swelling.


Q: What research themes are commonly highlighted in studies of Phlegmodolor 50%?

Research themes commonly highlighted include outcomes related to physical discomfort (localized pain and swelling), standardized clinical inflammation scores, and patient-reported outcomes describing perceived discomfort in inflammatory states.

How should Phlegmodolor 50% be stored and disposed of?

Storage and Disposal Information

Official regulatory documentation mandates specific conditions for storing Phlegmodolor 50% ointment to maintain its stability. The product must be stored at controlled room temperature, typically between 20°C and 25°C. It must be protected from both light and moisture, and the container should be kept tightly closed in its original packaging.

It is strictly required that the ointment is not frozen and not refrigerated.

For safety, the product must be kept out of the sight and reach of children.

Disposal of unused or expired Phlegmodolor 50% must follow pharmaceutical waste guidelines. The product must not be discarded via wastewater or household garbage. Instead, it should be disposed of through a dedicated drug take-back program or as directed by local regulatory instructions.

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

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