Nyclobate 0.05% (Lotion)

60 ml bottle: ৳ 200.00

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: 0.05% w/w
  • Clobetasol Propionate Ointment: 0.05% w/w
  • Clobetasol Propionate Scalp Application: 0.05% w/w
  • Clobetasol Propionate Shampoo: 0.05% w/w
  • Clobetasol Propionate Lotion: 0.05% w/w
  • Clobetasol Propionate Spray: 0.05% w/w

Pharmacology

Anti-inflammatory, antipruritic, vasoconstrictive properties

Dosage

  • Cream, Ointment:
    • Apply a thin layer twice daily
    • Limit treatment to 2 consecutive weeks
    • Maximum weekly dose: 50 gm/week for adults
    • Limited use in children
  • Spray: Apply once or twice daily; max weekly dose: 50 ml
  • Shampoo: Apply once a day; max consecutive use: 4 weeks; total dosage not to exceed 50 g per week
  • Scalp Solution: Apply once or twice daily; max weekly dose: 50 ml

Administration

Cutaneous; creams for moist or weeping surfaces, ointments for dry, lichenified, or scaly lesions

Interaction

CYP3A4 inhibition can lead to increased systemic exposure

Contraindications

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

Side Effects

  • Hypercorticism with prolonged use
  • Local atrophic changes with intensive treatment
  • Possible provocation of pustular form of psoriasis
  • Pigmentation changes and hypertrichosis
  • Signs of hypersensitivity may occur

Pregnancy & Lactation

  • Limited data in pregnant women
  • Potential risks; benefit should outweigh risks
  • Caution during nursing

Precautions & Warnings

  • Avoid long-term continuous therapy, particularly in infants and children
  • Atrophic changes on the face after prolonged treatment
  • Careful application to eye lids to prevent eye entry
  • Hazardous in psoriasis with risk of relapses, tolerance, toxicity
  • Appropriate anti-microbial therapy for infected lesions

Use in Special Populations

Avoid long-term continuous therapy in infants and children

Overdose Effects

Chronic overdosage may lead to hypercortisolism

Therapeutic Class

Other Topical corticosteroids

Storage Conditions

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

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