Protasol 0.05% (Cream)

10 gm tube: ৳ 45.00

Medicine Details

Category Details
Generic Clobetasol propionate
Company Asiatic laboratories ltd
Also available as

Indications

  • Psoriasis (excluding widespread plaque psoriasis)
  • Recalcitrant dermatoses
  • Lichen planus
  • Discoid lupus erythematosus
  • Dermatoses not responding to less potent steroids
  • For adults, elderly, and children over 1 year

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

Very potent topical corticosteroid with anti-inflammatory, antipruritic and vasoconstrictive properties. Inhibits late phase allergic reactions, reduces cytokine production, and inhibits arachidonic acid metabolism.

Dosage

  • Apply thin layer of cream or ointment twice daily for adults, elderly, and children over 1 year
  • Use spray once or twice daily on scalp, maximum weekly dose not to exceed 50 ml
  • Apply shampoo to dry scalp once a day, limited to 4 consecutive weeks
  • Scalp solution applied once or twice daily, total dose not to exceed 50 ml weekly

Administration

Route of administration: Cutaneous. Creams suitable for moist or weeping surfaces. Ointments suitable for dry, lichenified, or scaly lesions.

Interaction

Co-administered drugs inhibiting CYP3A4 can lead to increased systemic exposure of corticosteroids.

Contraindications

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

Side Effects

  • Prolonged use or treatment of extensive areas may result in systemic absorption
  • May cause local atrophic changes in the skin
  • Rare instances of provoking the pustular form of psoriasis
  • Reports of pigmentation changes and hypertrichosis

Pregnancy & Lactation

Limited data in pregnant women, caution in lactating women.

Precautions & Warnings

  • Avoid long-term continuous therapy, particularly in infants and children
  • Prolonged treatment on face may cause atrophic changes in the skin
  • Care needed to prevent entry into the eyes
  • Hazardous in psoriasis for a number of reasons

Use in Special Populations

  • Avoid long-term continuous therapy in infants and children under 12 years
  • Children more susceptible to atrophic changes

Overdose Effects

Acute overdosage unlikely, features of hypercortisolism may occur in chronic over-dosage.

Therapeutic Class

Other Topical corticosteroids

Storage Conditions

Keep below 30°C, protected from light and moisture, do not freeze, keep out of reach of children

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