Dermacort 0.05% (Ointment)

10 gm tube: ৳ 52.00

Medicine Details

Indications

  • Psoriasis (excluding widespread plaque psoriasis)
  • Recalcitrant dermatoses
  • Lichen planus
  • Discoid lupus erythematosus
  • Other skin conditions which do not respond satisfactorily to less potent steroids

Composition

  • Clobetasol Propionate Cream: 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Ointment: 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Scalp Application: 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Shampoo: 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Lotion: 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Spray: 0.5 mg (0.05% w/w)

Pharmacology

  • Very potent topical corticosteroid
  • Anti-inflammatory
  • Antipruritic
  • Vasoconstrictive
  • Inhibits late phase allergic reactions
  • Decreases mast cell density
  • Reduces cytokine production

Dosage

  • Apply a thin layer of Clobetasol Propionate Cream or Ointment twice daily
  • Maximum weekly dose should not exceed 50 gm/week
  • Apply Clobetasol Propionate scalp solution once or twice daily
  • Therapy should be discontinued if no response is noted after one week

Administration

Route of administration: Cutaneous

Interaction

Co-administered drugs that can inhibit CYP3A4 have been shown to inhibit the metabolism of corticosteroids

Contraindications

  • Rosacea, acne vulgaris, and perioral dermatitis
  • Hypersensitivity to the preparation
  • Not indicated for fungal or bacterial skin infections
  • Dermatoses in children under one year of age

Side Effects

  • Prolonged use can result in systemic absorption
  • Local atrophic changes in the skin
  • Provokes pustular form of psoriasis in rare instances
  • Reports of pigmentation changes and hypertrichosis

Pregnancy & Lactation

Limited data from use in pregnant women. Caution should be exercised during lactation

Precautions & Warnings

  • Long-term continuous topical therapy should be avoided, especially in infants and children
  • Atrophic changes may occur after prolonged treatment on the face
  • Care needed to prevent entry into the eye if applied to the eye lids
  • Appropriate anti-microbial therapy should be used whenever treating inflammatory lesions

Use in Special Populations

Long-term continuous topical corticosteroid therapy should be avoided in infants and children under 12 years of age

Overdose Effects

Acute overdosage is very unlikely to occur

Therapeutic Class

Other Topical corticosteroids

Storage Conditions

Keep below 30°C, protected from light and moisture, do not freeze

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