Buy Scarend Silicone Gel
Scarend Silicone Gel

51.5
A second-line antibiotic used primarily to treat tuberculosis when primary treatments are not suitable, and occasionally for specific urinary infections.


Ingredient
Category
Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Alternative/Local Brand
Scarend
Active Ingredient(s)
Cycloserine
Primary Category
Antibiotic
Therapeutic Class
Anti-infectives for systemic use, Antimycobacterials, Drugs for treatment of tuberculosis
Pharmacological Class
Other antibiotics, D-alanine analogues
Indications
Active tuberculosis, Urinary tract infections
Contraindications
Hypersensitivity to cycloserine, Epilepsy, Depression, Severe anxiety, Psychotic states, Severe renal insufficiency, Excessive alcohol consumption
Minor Side Effects
Drowsiness, Dizziness, Headache
Moderate Side Effects
Tremor, Dysarthria, Confusion, Disorientation
Serious Side Effects
Convulsions, Psychosis, Suicidal thoughts, Congestive heart failure
Dosage Forms
Capsule
Administration Route
Oral
Mechanism of Action
Cycloserine is a broad-spectrum antibiotic that works by inhibiting bacterial cell wall synthesis. It acts as an analogue of D-alanine, interfering with the enzymes responsible for incorporating the amino acid into the bacterial cell wall, thereby preventing the bacteria from growing and multiplying.
Prescription Status
Rx
Patient Summary
A second-line antibiotic used primarily to treat tuberculosis when primary treatments are not suitable, and occasionally for specific urinary infections.
Onset Time
4-8 hours for peak plasma levels
Duration
12 hours
Storage Instructions
Store at room temperature below 25°C in a dry place, protected from moisture.
Drug Interactions
Ethionamide, Isoniazid, Alcohol, Anticonvulsants
Age Restrictions
Dosage is weight-dependent; use with caution in children.
Pregnancy Use
Use during pregnancy only if the potential benefit justifies the potential risk to the foetus.
Alternative Drugs
Ethionamide, Capreomycin, Para-aminosalicylic acid

What Is Scarend Silicone Gel?

Scarend Silicone Gel is a topical skin-care product marketed in Hong Kong as a silicone-based gel that comes in a 15 g tube. According to the product label, the active ingredient is cycloserine. Silicone gels are widely used to improve the appearance of hypertrophic and keloid scars, while cycloserine is an antibacterial agent traditionally used for tuberculosis treatment. This article combines the known properties of both silicone gels and cycloserine to give a balanced, evidence-based overview of the product.

How Scarend Silicone Gel Works in the Body

Silicone Component

Silicone (polydimethylsiloxane) forms a flexible, breathable film on the skin. This film:

  • Hydrates the scar tissue by reducing transepidermal water loss.
  • Creates a semi-occlusive environment that can flatten and soften raised scars over time.
  • Acts as a protective barrier against external irritants.

These mechanisms are well documented for silicone-based scar therapies and are the primary reason silicone gels are recommended by many dermatology societies.

Cycloserine Component

Cycloserine belongs to the class of antibiotics that inhibit bacterial cell-wall synthesis. Its established clinical use is in multidrug-resistant tuberculosis. Evidence for cycloserine’s activity on skin tissue is limited, and the product’s label does not provide specific mechanistic data for topical use. If cycloserine reaches the skin surface, it may exert:

  • Mild antibacterial activity against skin-resident bacteria, potentially reducing secondary infection of an open scar.
  • Modulation of inflammatory pathways, although this effect has not been demonstrated in clinical trials for scar management.

Because the topical pharmacokinetics of cycloserine are not publicly available, the contribution of this ingredient to scar remodeling remains uncertain. The silicone matrix is the component with the most established efficacy for scar improvement.

Approved Medical Uses

In Hong Kong, Scarend Silicone Gel is classified as a cosmetic/medical-device product rather than a prescription drug. The Department of Health (DH) regulates silicone scar-care gels under the Cosmetics Ordinance and the Medical Device Regulations. The product is approved for external use to:

  • Improve the appearance of mature hypertrophic scars
  • Assist in the management of keloid scars

No formal indication for treating skin infections, acne, or other dermatologic conditions has been granted by the Hong Kong DH.

Off-Label and Investigational Applications

There are no peer-reviewed studies that support off-label uses of Scarend Silicone Gel for conditions such as wound healing, acne, or eczema. Any investigation into alternative applications would be experimental and must be conducted under clinical supervision.

Off-label use requires medical supervision and individualized risk assessment.

Patient Suitability and Contraindications

Who May Benefit

  • Individuals with mature hypertrophic or keloid scars that are at least 3 months old.
  • Patients who prefer a non-invasive, over-the-counter option for scar appearance improvement.

Absolute Contraindications

  • Known hypersensitivity to silicone, cycloserine, or any excipients listed on the product label.
  • Open, infected wounds where the barrier function of silicone could trap bacteria.

Relative Contraindications

  • Pregnant or breastfeeding persons - limited data exist on topical cycloserine safety.
  • Severe skin diseases (e.g., eczema, psoriasis) at the application site, where barrier disruption might worsen symptoms.

Special Populations

  • Children: No pediatric safety data are available; use only if advised by a qualified health professional.
  • Elderly: No specific dosage adjustment needed, but skin integrity should be assessed before use.

If you fall into any of the categories above, consult a pharmacist or dermatologist before starting the gel.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Mild skin irritation (redness, itching) - often resolves with continued use or after discontinuation.
  • Transient tightness due to the occlusive silicone film.

Serious Adverse Events

  • Allergic contact dermatitis presenting as widespread rash, swelling, or blistering. Discontinue use immediately and seek medical attention.
  • Systemic absorption of cycloserine is unlikely at the 15 g tube dosage, but if systemic toxicity occurs (e.g., nausea, dizziness, seizures), treat as an emergency and contact poison control.

Drug Interactions

No specific drug-drug interaction studies have been published for topical cycloserine. As a precaution:

  • Inform your healthcare provider about all concomitant medications, especially oral antibiotics or neuroactive drugs, before using the gel.

Food and Lifestyle Interactions

  • Alcohol: No known interaction; however, excessive alcohol consumption can impair wound healing generally.
  • Sun exposure: Silicone does not increase photosensitivity, but apply sunscreen if the treated area will be exposed for prolonged periods.

Dosing and Administration Guidelines

  • Apply a thin, even layer of Scarend Silicone Gel to the cleansed scar surface.
  • Frequency: Follow the product label-most silicone gels recommend twice daily (morning and evening).
  • Duration: Clinical experience with silicone gels suggests continuous use for at least 3 months to see measurable improvement.
  • Missed dose: Apply the missed dose at the next scheduled time; do not double the amount.
  • Overdose: Excessive topical application is unlikely to cause systemic toxicity, but large amounts may increase local irritation. If systemic symptoms appear, seek urgent medical care.
  • Discontinuation: The gel can be stopped at any time, though scar appearance may gradually revert to baseline over several weeks.

Always read the accompanying patient information leaflet for product-specific instructions.

Monitoring and Follow-Up

  • Visual assessment of scar thickness, color, and texture every 4-6 weeks.
  • If significant irritation or allergic reaction occurs, discontinue and seek professional advice.
  • No routine laboratory monitoring is required for topical silicone gel use.

Storage and Handling

  • Store the tube at room temperature (15 °C-30 °C), away from direct sunlight and moisture.
  • Keep the container tightly closed to prevent contamination.
  • Discard the product after the expiry date printed on the label.
  • For safe disposal, follow Hong Kong’s Household Waste (Chemical) Disposal guidelines.

Medication-Specific Glossary

Silicone Gel
A polymeric, semi-occlusive layer used topically to hydrate scar tissue and improve scar aesthetics.
Cycloserine
An antibiotic that inhibits bacterial cell-wall synthesis; traditionally administered orally for tuberculosis.
Hypertrophic Scar
A raised, red scar that remains within the boundaries of the original wound and may regress over time.
Keloid
An overgrown scar that extends beyond the original injury site and seldom regresses without intervention.

Medical Disclaimer

This article provides educational information about Scarend Silicone Gel and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Scarend Silicone Gel FAQ

Can I use Scarend Silicone Gel on a fresh wound?

Fresh, open wounds lack the protective epidermis required for silicone gel application. Applying the gel may trap bacteria and impede healing. It is best to wait until the wound has fully epithelialized before using the product.

How long does it take to see improvement in scar appearance?

Clinical observations with silicone gels suggest visible improvements after 8-12 weeks of consistent twice-daily use, although individual results vary.

Is the silicone film water-proof?

Silicone creates a semi-occlusive barrier that repels water but is not completely waterproof. Normal bathing or showering does not usually remove the gel, but vigorous scrubbing should be avoided.

What does the imprint on the tube look like?

The tube typically bears the brand name “Scarend” printed in black, along with the dosage strength “15 g” and a batch number. No universal imprint code exists for this product.

Can I apply makeup over the gel?

Yes, once the gel has fully dried (typically 5-10 minutes), a light layer of non-comedogenic makeup can be applied. Avoid heavy or oil-based cosmetics that could disrupt the silicone film.

Is a prescription required to buy Scarend Silicone Gel in Hong Kong?

No. The product is sold over the counter as a cosmetic/medical-device item. However, a pharmacist may provide usage guidance.

Does the gel contain any allergens such as parabens or fragrance?

According to the ingredient list, the formulation is fragrance-free and does not contain parabens. Always review the full label for other potential allergens.

Will the gel interact with other topical scar treatments like corticosteroid creams?

No direct interaction has been documented. However, applying multiple layers may affect absorption. If you use a corticosteroid, apply it first, allow it to dry, then apply the silicone gel.

Can I travel with the 15 g tube in my carry-on luggage?

Yes. The product complies with Hong Kong’s aviation liquid allowances (containers ≤100 ml). Keep the tube in a clear, resealable plastic bag for security screening.

Is Scarend Silicone Gel more effective than silicone sheets?

Both silicone sheets and gels work by the same hydrating mechanism. Preference often depends on convenience, scar location, and patient comfort. No head-to-head clinical trial directly comparing this specific gel to sheets has been published.

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