Exovate 0.05% (Cream)

10 gm tube: ৳ 45.00

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: 0.05% w/w
  • Clobetasol Propionate Ointment: 0.05% w/w
  • Clobetasol Propionate Scalp Application: 0.05% w/w
  • Clobetasol Propionate Shampoo: 0.05% w/w
  • Clobetasol Propionate Lotion: 0.05% w/w
  • Clobetasol Propionate Spray: 0.05% w/w

Pharmacology

  • Anti-inflammatory
  • Antipruritic
  • Vasoconstrictive properties
  • Inhibits late phase allergic reactions
  • Reduces cytokine production

Dosage

  • Cream and Ointment: Apply a thin layer twice daily
  • Spray: Apply once or twice daily to affected areas
  • Shampoo: Applied to dry scalp once a day
  • Scalp Solution: Apply once or twice daily to affected areas of the scalp

Administration

  • Route of administration: Cutaneous
  • Creams are especially appropriate for moist or weeping surfaces
  • Ointments are especially appropriate for dry, lichenified or scaly lesions

Interaction

  • Co-administered drugs that can inhibit CYP3A4 may increase systemic exposure

Contraindications

  • Rosacea, acne vulgaris and perioral dermatitis
  • Hypersensitivity to the preparation
  • Not indicated for primarily infected skin lesions caused by fungi or bacteria
  • Dermatoses in children under one year of age

Side Effects

  • Prolonged use may result in systemic absorption
  • Local atrophic changes in the skin
  • Pustular form of psoriasis may be provoked
  • Pigmentation changes and hypertrichosis
  • Hypersensitivity reactions

Pregnancy & Lactation

  • Limited data in pregnant women
  • Topical administration to pregnant animals can cause foetal abnormalities
  • Caution during lactation

Precautions & Warnings

  • Avoid long-term continuous therapy, particularly in infants and children
  • Atrophic changes may occur on the face after prolonged treatment
  • Avoid application to eye lids to prevent entry into the eye
  • Risk of generalised pustular psoriasis and local or systemic toxicity
  • Proper anti-microbial therapy for infected lesions

Use in Special Populations

  • Adrenal suppression can occur in infants and children under 12 years of age

Overdose Effects

  • Acute overdosage is very unlikely to occur
  • Chronic over-dosage can lead to hypercortisolism

Therapeutic Class

  • Other Topical corticosteroids

Storage Conditions

  • Keep below 30°C
  • Protected from light and moisture
  • Do not freeze
  • Keep out of the reach of children

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