Clonate 0.05% (Ointment)

10 gm tube: ৳ 50.14

Medicine Details

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
  • Clobetasol Propionate Ointment
  • Clobetasol Propionate Scalp Application
  • Clobetasol Propionate Shampoo
  • Clobetasol Propionate Lotion
  • Clobetasol Propionate Spray

Pharmacology

  • Anti-inflammatory
  • Antipruritic
  • Vasoconstrictive
  • Inhibition of late phase allergic reactions
  • Reduction of mast cell density
  • Inhibition of cytokine production

Dosage

  • Application twice daily
  • Enhancement with occlusion
  • Super-high potency - limited to 2 consecutive weeks
  • Recommended dosage limited to 50 gm/week

Administration

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

Interaction

  • Inhibition of CYP3A4 metabolism

Contraindications

  • Rosacea, acne vulgaris, and perioral dermatitis
  • Hypersensitivity to the preparation
  • Not indicated for primarily infected skin lesions
  • Dermatoses in children under one year of age

Side Effects

  • Systemic absorption leading to hypercorticism
  • Local atrophic changes in the skin
  • Provocation of pustular form of psoriasis
  • Pigmentation changes and hypertrichosis

Pregnancy & Lactation

  • Limited data from use in pregnant women
  • Unknown excretion in human milk

Precautions & Warnings

  • Avoid long-term continuous therapy, particularly in infants and children
  • Potential atrophic changes on the face
  • Risk of glaucoma or cataract if applied to the eyelids
  • Risk in psoriasis treatment
  • Appropriate anti-microbial therapy for inflammatory lesions

Use in Special Populations

  • Adrenal suppression in children
  • Susceptibility of children to atrophic changes

Overdose Effects

  • Features of hypercortisolism in chronic over-dosage

Therapeutic Class

  • Other Topical corticosteroids

Storage Conditions

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

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