Уродерм

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Уродерм

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

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 Уродерм

Quick Facts

Property Description
Active ingredient Carbamide peroxide (Urea hydrogen peroxide)
Form Ointment or Solution for external use
Pharmacological class Keratolytic and Antiseptic Agent
Common use Management of excessive keratinization and skin roughness
Origin Synthetic chemical complex

What Type of Medicine is Уродерм and What is its Primary Classification?

Уродерм is a specialized, medicinal preparation intended for localized topical dermatological application. It is functionally classified as a keratolytic agent, a pharmacological class dedicated to the chemical management and modification of the skin's outer keratin layer. The medication’s general identity is recognized by its ATC code D11AX classification, grouping it with other preparations applied to the skin. This distinct positioning as a keratolytic agent focuses its action on the structural integrity of hardened skin cells, differentiating it from products intended to fight infection or inflammation.


Carbamide Peroxide: Composition, Origin, and Available Forms

The definitive active ingredient in the preparation is Carbamide peroxide, systematically known as urea hydrogen peroxide. This substance is a chemically stable, synthetic compound that provides a dual function: it acts as a powerful humectant via the urea component and a mild cleansing agent via the peroxide component. Its primary benefit is recognized for its ability to increase the skin's water-binding capacity, which is essential for managing dry, thick patches. The product is formulated for the topical route of administration in forms such as an ointment for external use or a solution (gel), utilizing an appropriate base for effective surface delivery.


General Therapeutic Purpose: Differentiation and Core Benefit

The preparation's overarching therapeutic goal is to address skin conditions characterized by excessive keratinization, such as persistent roughness or scaling, which is a common concern in various dermatological contexts. By providing a targeted action that combines intense softening of rigid keratin structures with deep moisturizing, the medicine offers a clear benefit in restoring the natural pliability and texture of the skin. Keratolytic agents have an established role in topical treatment, contributing to their utility in reducing hyperkeratosis and improving skin elasticity. This specific, focused mechanism provides an efficient approach to the physical management of hardened skin patches, leading to improved comfort and smoothness.

What side effects are possible with Уродерм?

Possible Side Effects and Safety Information

This section outlines the adverse reactions and essential safety characteristics for the preparation, based strictly on official regulatory documentation for its active ingredients (urea/carbamide peroxide).


Documented Adverse Reactions

The most frequently reported adverse reactions are localized to the site of application and are generally not classified by standard frequency terms (e.g., Common, Rare). These effects fall under the System Organ Class of Skin and Subcutaneous Tissue Disorders (Dermatological).

System Organ Class Officially Documented Adverse Reactions
Skin and Subcutaneous Tissue Disorders Transient stinging
Transient burning
Itching (Pruritus)
Localized irritation/Redness

These localized skin reactions are typically described as transient (short-lived) and are expected to resolve upon the discontinuation of the product's use.


Regulatory Safety Constraints and Restrictions

Official safety documentation defines specific limitations and contraindications for the use of this topical preparation:

  • Contraindication: The medicine is contraindicated in individuals with a known or suspected hypersensitivity to any of its components.
  • External Use Only: The preparation is intended exclusively for external use and must not be used for ophthalmic purposes.
  • Avoid Contact: Contact with the eyes, lips, or mucous membranes must be avoided.
  • Discontinuation Note: Use must be discontinued if persistent redness, irritation, or a rash develops in the treated area.

Safety in Special Populations

Regulatory notes address specific patient groups, though comprehensive studies may be absent:

  • Pregnancy: The active ingredient is generally categorized as Pregnancy Category B or C; use is advised only if clearly needed.
  • Nursing Mothers: It is not known whether the medicine is excreted in human milk, and caution is advised.
  • Pediatric Use: Safety and efficacy in pediatric patients have not been established according to the official documentation.

Overdose and Emergency Response

The official documentation for Carbamide peroxide overdose focuses predominantly on risks following accidental ingestion, as topical application is not typically associated with acute systemic toxicity. Ingesting the product may result in gastrointestinal distress, including stomach upset, vomiting, and throat irritation. In severe cases, the caustic properties can lead to chemical burns of the mouth, esophagus, or stomach, and the release of gas may cause gaseous distention. Documented severe outcomes include the potential for a life-threatening gas embolism, which may manifest as confusion, chest pain, or stroke.

When to Seek Immediate Medical Help

The official product labeling requires seeking emergency medical attention or contacting a Poison Help line immediately if the preparation is accidentally swallowed. Urgent medical evaluation is also mandated if symptoms of severe systemic toxicity are observed, such as difficulty breathing or persistent abdominal pain. Children are noted in the regulatory materials to be particularly susceptible to adverse effects at lower ingestion volumes, requiring extra vigilance.

Overdose Management and Antidote

Management is strictly symptomatic and supportive. Regulatory guidance explicitly states that vomiting must not be induced and gastric lavage is contraindicated due to the risk of chemical burn and potential organ perforation. There is no specific antidote known for the systemic effects resulting from the active ingredient's breakdown products.

Therapeutic Uses of Уродерм

What Уродерм Treats: Main Uses and Benefits

This preparation is considered relevant for conditions involving noticeable skin rigidity and chronic discomfort stemming from the thickening of the outer skin layers. As the active ingredient is applied to ease the rigidity of skin tissue, it is commonly applied when supportive symptom management is appropriate.

Its therapeutic scope is relevant for managing dermatological conditions marked by symptoms related to skin hardening, including hyperkeratosis, Ichthyosis, severe Xerosis, Psoriasis, calluses, and corns. Its application is relevant in situations where patients experience heightened discomfort related to structural skin changes.

By addressing chronic symptoms like persistent skin roughness, scaling, and the loss of natural flexibility, this medicine contributes to improved day-to-day comfort during symptomatic periods. It is commonly used when symptoms cluster into patterns requiring supportive management, which supports patients during symptomatic phases.


Quick Fact: Symptomatic Support
Symptom domains Addressing persistent roughness, thickening, and excessive scaling.
Clinical relevance Used for conditions involving increased discomfort related to skin rigidity and chronic symptoms.
Patient benefit Contributes to easing distress related to structural skin changes and supports comfort.

Regulatory References

  1. DailyMed Urea Cream 40% Indications

Eligibility and Restrictions for Use

Eligibility for Topical Keratolytic Use

Official regulatory guidelines define specific populations for whom Уродерм (a Carbamide peroxide/Urea keratolytic agent) may or may not be used. The medicine is authorized for the adult population in the symptomatic management of hyperkeratotic conditions, including severe roughness, psoriasis, calluses, and ichthyosis.

Absolute Non-Eligibility

Individuals who have a known or suspected hypersensitivity to urea, the active ingredient, or any of the product's excipients are absolutely contraindicated from using the medicine.

Conditional Use and Restrictions

Population/Condition Regulatory Status Constraint
Skin Integrity Temporarily Ineligible Must not be applied to broken, irritated, cut, or infected skin or open wounds.
Pregnancy Conditional Use Classified in Pregnancy Category B/C; should be used only if clearly needed.
Lactation Caution Advised Caution should be exercised as it is not known if the drug is excreted in human milk.
Pediatric Use Special Care Use in children is generally directed by a physician.

Use must be immediately discontinued if redness or significant local irritation develops at the application site, as this indicates restricted eligibility.

What should I know about interactions with other medicines?

The official regulatory profile for topical Carbamide peroxide (Urea hydrogen peroxide), the active ingredient in Уродерм, is characterized by a negligible risk of systemic drug-drug interactions, with regulatory focus placed on localized constraints.

Interaction Scope Summary Official Regulatory Position
Systemic PK Interactions (e.g., CYP Enzymes) None documented. Minimal systemic absorption means no clinically relevant systemic metabolic or transporter interactions are officially listed.
Localized Restrictions Co-administration prohibited with other topical preparations intended for application to the same site.
Food, Alcohol, Supplements None documented. Official labels contain no information on interactions with food, alcohol, or herbal products.

The absence of documented systemic pharmacokinetic interactions means the medicine is not officially listed to alter the systemic exposure (AUC/Cmax) of other systemically administered drugs. Accordingly, official government labels list no specific interacting systemic medicines. The one official constraint is a localized pharmacodynamic restriction, explicitly stated in regulatory prescribing information, which mandates that Уродерм must not be co-administered with other topical preparations in the identical area of application. The medicine's overall regulatory interaction structure is thus defined by its localized use and the absence of systemic risk.

Mechanism of Action

Уродерм's active component, urea, acts primarily within the epidermis, specifically the stratum corneum and underlying keratinocytes. Urea is a small, hygroscopic molecule that functions as a powerful humectant, drawing in and retaining water within the corneocyte-containing layers. This interaction increases the water content of the stratum corneum, which alters the physical properties of the skin barrier.

At a cellular level, urea is transported via specific membrane channels, including aquaporin-3 (AQP3), and modulates gene expression within keratinocytes. It induces the upregulation of genes encoding key structural proteins essential for keratinocyte differentiation and the formation of the cornified envelope, such as filaggrin and loricrin. This genetic modulation enhances the integrity of the epidermal barrier. Additionally, at high concentrations, urea exhibits a keratolytic mechanism. It denatures and dissolves keratin and other proteins by breaking non-covalent hydrogen bonds, disrupting the intercellular matrix of corneocytes and promoting desquamation of the thickened, outermost layer of the skin. This dual action facilitates physiological changes in epidermal structure and hydration state.

Dosage and Administration Information

The high-level usage of Уродерм, a topical preparation containing a keratolytic agent, involves specific conditions for its administration. The approved route for this medication is strictly topical application, meaning it is for external use only on the designated area of concern. The preparation is not intended for use in the eyes and must be kept away from the lips and other mucous membranes.

Administration involves applying the ointment or cream to the affected skin area(s) or to diseased or damaged nails. The standard dosing frequency is twice per day, though the schedule remains subject to professional adjustment. A critical step in the administration procedure is the application technique: the product must be thoroughly rubbed into the application site until it is completely absorbed. This action ensures proper adherence to the usage protocol, which requires careful placement of the medication.

The overall use protocol establishes a model of localized, controlled application. The duration is not fixed; the course of use is determined by the clinician and may form part of a longer-term plan. Furthermore, standard documentation does not typically specify dose modifications for specific groups, such as older adults or those with renal impairment, concentrating instead on the singular, standardized method of topical delivery. This establishes a clear administrative structure independent of systemic variables, focusing solely on the conditions of external application.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Уродерм

The evidence base for this medicine is closely tied to the ingredient's established pharmacological properties as a keratolytic agent and moisturizer. Research primarily utilizes Randomized Controlled Trials (RCTs) and Systematic Reviews to investigate the role of this pharmacological class for conditions characterized by chronic scaling, roughness, and skin thickening, such as Ichthyosis, Psoriasis, and severe Xerosis. Studies were conducted during periods of increased symptom activity and applied in research exploring how symptoms change over defined time intervals.

Researchers applied the formulations to adult populations and studied outcomes related to physical discomfort. The trials monitored objective clinical metrics, including instrumental measurements of skin water content and the assessment of skin barrier function. Reports described patterns observed in the studies, highlighting changes measured during the study period. The patterns described in these findings contribute to the existing body of knowledge regarding this class of ingredients in topical dermatological treatment.


Evidence for Use in Localized Thickening

For localized skin changes, such as calluses, corns, or dystrophic nails, research has explored the use of high-concentration formulations. The evidence is often derived from Observational Studies and detailed Case Series, with fewer large-scale placebo-controlled trials available. In these localized research contexts, studies monitored outcomes related to physical discomfort. The research examined variables related to their keratolytic activity and studied changes in localized lesion size or thickness.


Key Limitations and Uncertainties in the Research

Key limitations exist in the evidence base. A central point is the limited information for long-term outcomes or the durability of symptomatic changes. Furthermore, there is heterogeneity in the study designs, and some key research focuses on the core component (urea) rather than the specific, fixed Carbamide peroxide formulation. The evidence is derived primarily from studies conducted in adult patients with chronic dermatological conditions, and data for other groups, such as pediatric populations, remain insufficient. Comparative evidence against all other existing treatments is also often lacking, meaning the research highlights what is known—and what is still uncertain.

Key Studies & References

  1. Urea Cream 40% Indications - DailyMed (National Library of Medicine)

Frequently Asked Questions (FAQ)

Common questions about Уродерм (FAQ)

Q: Can Uroderm be used on the face?

Official product information indicates that this topical product is strictly for external use. Contact with the eyes, lips, and other mucous membranes should be avoided. Furthermore, some official labels indicate that application to tender skin areas such as the face is not recommended.

Q: Is a prescription needed to buy Uroderm?

According to regulatory documentation, the active ingredient urea is manufactured in various concentrations. These formulations are available as both Prescription (Rx Only) and Over-the-Counter (OTC) products, depending on the concentration and packaging of the specific item.

Q: Are there analogues of Uroderm with the same active substance?

Official product lists indicate that the active component, urea, is available in the marketplace under several different brand names and generic topical formulations that share the same main ingredient.

Q: What happens if Uroderm is used too often?

Official guidance indicates that the product is administered based on professional adjustment, typically up to twice per day. Using the product outside of the prescribed frequency is associated with potential localized reactions such as irritation or redness. Official safety constraints define that use should be discontinued if persistent irritation develops.

Q: Why do doctors often prescribe Uroderm?

The product is officially indicated for the treatment of hyperkeratotic conditions, which are characterized by an excessive buildup of thickened skin. These conditions include dry, rough skin, psoriasis, xerosis, corns, calluses, and damaged nails.

Q: Can Uroderm be used on broken skin?

Regulatory safety cautions for some formulations explicitly advise against application to broken skin. Official safety documentation requires that use of the product be discontinued if persistent irritation or a rash develops in the treated area.

Q: What is the strength (percentage content) of the active substance in Uroderm?

The active ingredient in this topical medication is urea, which is available in various concentrations. Common formulations listed in regulatory documents include products containing 40% urea and those containing 20% urea.

Q: What is the risk if Uroderm gets into the mouth?

This product is strictly for external, topical use and is not intended for ingestion. Regulatory documentation emphasizes that all topical drugs should be kept out of the reach of children to prevent accidental oral exposure.

Q: What is the shelf life of Uroderm?

Official product labeling requires that the expiration date be clearly printed on the container or carton. According to regulatory instructions, any unused medication should be discarded after this printed date.

Q: Can Uroderm be used in intimate areas?

As a strictly external product, Uroderm should be kept away from all mucous membranes. Since intimate areas contain mucous membranes, careful application is required to avoid contact with these sensitive tissues.

How should Уродерм be stored and disposed of?

Official Storage and Disposal Requirements

Storage of Urea Cream (Уродерм) must adhere strictly to the conditions specified in regulatory labeling to maintain product stability.

Storage Condition Requirement
Temperature Store at Controlled Room Temperature, 20 C to 25 C (68 F to 77 F).
Protection Must be Protected from freezing and excessive heat.
Container Rule The container must be kept tightly closed.
Child Safety KEEP OUT OF REACH OF CHILDREN is mandatory.

The official labeling provides no drug-specific instructions for the disposal of unused or expired cream. Therefore, disposal should be conducted in compliance with all applicable federal, state, and local regulations for non-hazardous medicinal products.

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

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