Nyclobate 0.05% (Shampoo)

60 ml bottle: ৳ 350.00

Medicine Details

Indications

  • 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 BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Ointment: Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Scalp Application: Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Shampoo: Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Lotion: Clobetasol Propionate BP 0.5 mg (0.05% w/w)
  • Clobetasol Propionate Spray: Clobetasol Propionate BP 0.5 mg (0.05% w/w)

Pharmacology

  • Anti-inflammatory
  • Antipruritic
  • Vasoconstrictive
  • Inhibits late phase allergic reactions
  • Decreases mast cell density
  • Inhibits cytokine production

Dosage

  • Cream, Ointment, and Spray: Apply a thin layer twice daily
  • Occlude for enhanced effect in resistant lesions
  • Super-high potency topical corticosteroids
  • Limited to 2 consecutive weeks
  • Maximum weekly dose should not exceed 50 gm
  • Scalp Solution and Shampoo: Apply once daily to affected areas
  • Total dosage should not exceed 50 g per week
  • Discontinue if no response after one week

Administration

Cutaneous. Creams for moist or weeping surfaces, ointments for dry or scaly lesions

Interaction

Co-administered drugs that can inhibit CYP3A4 can increase systemic exposure

Contraindications

  • Rosacea
  • Acne vulgaris
  • Perioral dermatitis
  • Primary cutaneous viral infections
  • Hypersensitivity to the preparation
  • Not indicated for primarily infected skin lesions or dermatoses in children under one year of age

Side Effects

  • Hypercorticism with prolonged use
  • Local atrophic changes in the skin
  • Provocation of pustular form of psoriasis
  • Pigmentation changes
  • Hypertrichosis
  • Hypersensitivity

Pregnancy & Lactation

Limited data on use in pregnant women, caution in lactating women

Precautions & Warnings

  • Avoid long-term continuous therapy, especially in infants and children
  • Risk of atrophic changes on the face
  • Care needed to prevent entry into the eyes
  • Hazardous in psoriasis
  • Use of anti-microbial therapy for infected lesions

Use in Special Populations

Avoid long-term continuous therapy in infants and children under 12 years of age

Overdose Effects

Acute overdosage is unlikely, features of hypercortisolism in chronic over-dosage

Therapeutic Class

Other Topical corticosteroids

Storage Conditions

Below 30°C, protected from light and moisture, do not freeze

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