Ticas 0.05% (Cream)

10 gm tube: ৳ 90.61

Medicine Details

Indications

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

Pharmacology

  • Fluticasone propionate as glucocorticoid
  • High topical anti-inflammatory potency
  • Low HPA-axis suppressive activity
  • Therapeutic index greater than most commonly available steroids
  • High degree of selectivity for glucocorticoid receptor
  • Agonist activity at human glucocorticoid receptors
  • Weak affinity for progesterone receptor
  • Virtually no affinity for mineralocorticoid, estrogen, or androgen receptors
  • Therapeutic potency related to half-life of glucocorticoid-receptor complex
  • Half-life of Fluticasone propionate glucocorticoid-receptor complex: approximately 10 hours

Dosage & Administration

  • Cream application: once daily
  • Ointment application: twice daily
  • Thin layer application for both cream and ointment

Interaction

  • No available information on interactions

Contraindications

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

Side Effects

  • Local burning
  • Pruritus
  • Hypersensitivity reactions
  • Local atrophic changes in the skin
  • Thinning of the skin
  • Striae
  • Dilatation of superficial blood vessels
  • Hypertrichosis
  • Hypopigmentation
  • Secondary infection risk
  • Allergic contact dermatitis risk
  • Exacerbation of signs and symptoms of dermatoses
  • Features of hypercorticism with prolonged use of large amounts
  • Systemic absorption risk
  • More likely to occur in infants and children
  • Potential occurrence with occlusive dressings
  • Napkin acting as occlusive dressing in infants

Pregnancy & Lactation

  • Consideration of benefits versus risks during pregnancy
  • Excretion into human breast milk has not been investigated
  • Low plasma levels following dermal application at recommended doses
  • Weighing therapeutic benefits against potential hazards during breastfeeding

Precautions & Warnings

  • Low propensity for systemic absorption
  • Prolonged application to large areas may lead to adrenal suppression
  • Infants and small children more susceptible to systemic toxicity
  • Atrophic changes more likely on the face
  • Use on severe eczema should be careful
  • Appropriate antimicrobial therapy for treating inflammatory lesions
  • Spread of infection requires withdrawal of corticosteroid therapy
  • Encouragement of bacterial infection by occlusive dressing
  • Cleansing of skin before applying fresh dressing

Overdose Effects

  • Acute overdosage very unlikely
  • Chronic overdosage or misuse may lead to hypercorticism
  • Discontinuation of application in case of overdose

Therapeutic Class

  • Fluticasone & combined preparations topical

Storage Conditions

  • Store below 30°C
  • Do not freeze

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