Aclobet-N (0.5 mg+5 mg+1 Lac IU)/gm (Cream)
30 gm tube: ৳ 150.00
Medicine Details
Category | Details |
---|---|
Generic | Clobetasol propionate neomycin sulphate nystatin |
Company | Acme laboratories ltd |
Also available as |
Indications
- Short courses treatment of recalcitrant eczemas
- Neurodermatoses
- Psoriasis (excluding widespread plaque psoriasis) where secondary bacterial infection or fungal infection is present, suspected or likely to occur
- Other inflammatory conditions which do not respond satisfactorily to less active steroids
Pharmacology
- Clobetasol Propionate as a very potent corticosteroid
- Neomycin Sulphate as an antibiotic of the aminoglycoside type
- Nystatin as an antifungal
Dosage & Administration
- Apply sparingly to the affected area once or twice daily until improvement occurs
- In very resistant lesion, especially where there is hyperkeratosis, the anti-inflammatory effect of this preparation can be enhanced (if necessary) by occluding the treatment area with polythene
- Treatment should not be continued for more than 7 days without medical supervision
- If a longer course is necessary, it is recommended that treatment should not be continued for more than 4 weeks without the patient's condition being reviewed
Interaction
- Neomycin Sulphate can intensify and prolong the respiratory depressant effects of neuromuscular blocking agents following significant systemic absorption
- No hazardous interactions have been reported with use of Clobetasol Propionate or Nystatin
Contraindications
- Rosacea
- Acne vulgaris
- Perioral dermatitis
- Primary cutaneous viral infection (eg-Herpes simplex, chicken pox)
- Hypersensitivity to the preparation
Side Effects
- Prolonged use of large amount or treatment of extensive areas can result in sufficient systemic absorption to produce the features of hypercortisolism
- Prolonged and intensive treatment with highly active corticosteroid preparations may cause local atrophic changes in the skin such as thinning, striae, and dilatation of the superficial blood vessels
- Reports of pigmentation changes and hypertrichosis with topical steroids
Pregnancy & Lactation
- Neomycin present in the maternal blood can cross the placenta and may give rise to a theoretical risk of foetal toxicity
- The safety of Clobetasol Propionate has not been established in lactating mothers
Precautions & Warnings
- Long-term continuous topical therapy should be avoided where possible, particularly in infants and children, as adrenal suppression can occur readily even without occlusion
- If applied to the eyelids, care is needed to ensure that the preparation does not enter the eye, as glaucoma might result
Overdose Effects
- Acute overdosage is very unlikely to occur
- In the case of chronic overdosage or misuse, the features of hypercortisolism may appear and in this situation, topical steroids should be discontinued gradually
Therapeutic Class
- Clobetasol / Clobetasone & Combined Preparations
Storage Conditions
- Store below 25°C temperature
- Do not freeze
- Keep out of reach of children
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