Etriam 1%+0.1% (Cream)

10 gm tube: ৳ 40.00

Medicine Details

Indications

  • Eczematous Mycoses
  • Psoriasis
  • Tinea Pedis (Athlete's foot)
  • Tinea Corporis (Ring worm)
  • Tinea Cruris (Jock itch)
  • Inflammatory Intertrigo
  • Diaper Dermatitis
  • Onychomycoses

Description

  • Broad spectrum antimycotic
  • Anti-inflammatory
  • Anti-pruritic
  • Anti-allergic effects
  • Composed of Econazole Nitrate
  • Powerful antifungal
  • Triamcinolone Acetonide
  • Enforces antimicrobial effect
  • Subdues comprehensive inflammations
  • Covers all dermatomycoses caused by various pathogens
  • Has antibacterial effect on gram-positive cocci and bacilli

Dosage & Administration

  • Applied sparingly to the skin lesion
  • No more than 2 times daily
  • Preferably once in the morning and once in the evening
  • Not to be applied with an occlusive dressing
  • Duration of treatment should continue until the inflammatory symptoms subside but not longer than 2 weeks
  • Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing's syndrome

Interaction

  • Econazole metabolized by CYP3A4/2C9
  • Interacts with oral anticoagulants (warfarin & acenocoumarol)
  • Triamcinolone can lower plasma salicylates levels
  • Increased risk of gastrointestinal bleeding and ulceration with NSAIDs
  • Antagonizes blood glucose-lowering effects of the antidiabetics
  • Increased risk of Hyperkalemia with amphotericin B, beta-blockers, potassium-depleting diuretics, theophylline
  • Increased clearance of triamcinolone with ciclosporin, carbamazepine, phenytoin, barbiturate, rifampicin

Contraindications

  • Hypersensitivity to any of its ingredients
  • Contraindicated in specific skin conditions such as tuberculous, varicella, herpes simplex or other viral infections of the skin, or fresh vaccination sites
  • Decubitus ulcers
  • Viral, bacterial or fungal skin infections
  • Rosacea and rosacea-like dermatitis

Side Effects

  • Transient local mild irritation
  • Itching
  • Redness
  • Minimal allergenic effect
  • Well tolerated, even by delicate skin
  • Systemic effects including adrenal suppression

Pregnancy & Lactation

  • Triamcinolone Acetonide crosses the placenta
  • Topical administration of corticosteroids during pregnancy can cause abnormalities of foetal development
  • Topical steroids in large amounts or for prolonged periods should not be used in pregnancy
  • Negligible amount of econazole and to some extent Triamcinolone may be excreted in small amounts in breast milk
  • Should not be prescribed to lactating mothers

Precautions & Warnings

  • For external use only
  • If a reaction suggesting hypersensitivity or chemical irritation should occur, use of the medication should be discontinued
  • Corticosteroids applied to the skin can be absorbed in sufficient amounts to produce systemic effects
  • Increased risk of dermatological superinfection or opportunistic infection
  • Increased caution required when treating children
  • Visual disturbance may be associated with systemic and topical corticosteroid use

Overdose Effects

  • Corticosteroids applied to the skin can be absorbed in sufficient amounts to produce systemic effects
  • In the event of accidental ingestion, treat symptomatically
  • If accidentally applied to the eyes, wash with clean water or saline and seek medical attention

Therapeutic Class

  • Triamcinolone
  • Combined preparations

Storage Conditions

  • Store in a cool (below 30°C) and dry place
  • Away from light
  • Keep out of the reach of children

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