Cutisone 0.005% (Ointment)

10 gm tube: ৳ 50.35

Medicine Details

Indications

  • Relief of inflammatory manifestations
  • Relief of pruritic manifestations
  • Treatment of corticosteroid responsive eczema/dermatitis

Pharmacology

  • High topical anti-inflammatory potency
  • Low HPA-axis suppressive activity
  • Therapeutic index greater than most commonly available steroids
  • Selective for glucocorticoid receptor
  • Minimal affinity for progesterone receptor
  • Negligible affinity for mineralocorticoid, estrogen, or androgen receptors
  • Half-life of approximately 10 hours

Dosage & Administration

  • Cream: Once daily application
  • Ointment: Twice daily application
  • Apply a thin layer to affected skin areas

Interaction

  • No available information

Contraindications

  • Rosacea
  • Acne vulgaris
  • Perioral dermatitis
  • Primary cutaneous viral infections
  • Hypersensitivity to any ingredients
  • Perianal and genital pruritus
  • Not indicated for primarily infected skin lesions caused by fungi or bacteria
  • Not indicated for dermatoses in children under one year of age

Side Effects

  • Local burning
  • Local pruritus
  • Signs of hypersensitivity
  • Local atrophic changes in the skin
  • Secondary infection
  • Allergic contact dermatitis
  • Exacerbation of dermatoses
  • Possible systemic absorption effects
  • Hypocorticism features
  • Potential hypercorticism
  • More likely in infants and children

Pregnancy & Lactation

  • Consideration during pregnancy based on benefit-risk assessment
  • Excretion into human breast milk not investigated
  • Low plasma levels in patients following dermal application
  • Therapeutic benefits vs. potential hazards

Precautions & Warnings

  • Low systemic absorption propensity
  • Prolonged application to large areas may lead to adrenal suppression
  • Children more susceptible to systemic toxicity
  • Potential atrophic changes on the face
  • Use of antimicrobial therapy for infected lesions
  • Withdrawal of corticosteroid therapy for spread of infection
  • Cleansing before applying a fresh dressing

Overdose Effects

  • Acute overdosage unlikely
  • Features of hypercorticism with chronic overdosage
  • Discontinue in case of overdose
  • Extremely low oral bioavailability

Therapeutic Class

  • Fluticasone & combined preparations topical

Storage Conditions

  • Store below 30°C
  • Do not freeze

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