Xderm 0.05% (Cream)

10 gm tube: ৳ 45.17

Medicine Details

Category Details
Generic Clobetasol propionate
Company Biopharma limited
Also available as

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: Each gram cream contains Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Ointment: Each gram ointment contains Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Scalp Application: Each gram lotion contains Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Shampoo: Each gram shampoo contains Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Lotion: Each gram lotion contains Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Spray: Each gram spray contains Clobetasol Propionate BP 0.5 mg (0.05% w/w)

Pharmacology

  • Very potent topical corticosteroid
  • Anti-inflammatory, antipruritic and vasoconstrictive properties
  • Inhibition of late phase allergic reactions
  • Reduction of cytokine production

Dosage

  • Adults, elderly and children over 1 year
  • Twice daily application for affected skin areas
  • Super-high potency topical corticosteroids
  • Limited to 2 consecutive weeks
  • Maximum weekly dose should not exceed 50 gm/week

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 can inhibit the metabolism of corticosteroids

Contraindications

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

Side Effects

  • Prolonged use can result in sufficient systemic absorption to produce the features of hypercorticism
  • Local atrophic changes in the skin such as thinning, striae and dilatation of the superficial blood vessels
  • Exacerbation of symptoms may occur

Pregnancy & Lactation

  • Limited data from the use in pregnant women
  • Topical administration of corticosteroids to pregnant animals can cause abnormalities of foetal development

Precautions & Warnings

  • Long-term continuous topical therapy should be avoided, particularly in infants and children
  • Atrophic changes may occur after prolonged treatment with potent topical corticosteroids

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
  • Features of hypercortisolism may occur in case of chronic over-dosage

Therapeutic Class

  • Other Topical corticosteroids

Storage Conditions

  • Keep below 30°C temperature
  • Protected from light and moisture
  • Do not freeze

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