Dermoset 0.05% (Cream)

10 gm tube: ৳ 50.00

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

Pharmacology

  • Very potent topical corticosteroid
  • Anti-inflammatory
  • Antipruritic
  • Vasoconstrictive properties
  • Inhibition of late phase allergic reactions
  • Reduction of mast cell density
  • Reduction of cytokine production

Dosage

  • Application of a thin layer twice daily for adults, elderly and children over 1 year
  • Enhancement of effect by occluding treatment area with polythene film
  • Super-high potency topical corticosteroid
  • Maximum weekly dose of 50 gm/week
  • Limited treatment to 2 consecutive weeks
  • Application to dry scalp once a day
  • Treatment should be limited to 4 consecutive weeks for shampoo
  • Total dosage of shampoo should not exceed 50 g per week
  • Total dose applied should not exceed 50 ml weekly for scalp solution
  • Therapy should be discontinued if no response is noted after one week

Administration

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

Interaction

  • Inhibition of CYP3A4 by co-administered drugs like ritonavir, itraconazole

Contraindications

  • Rosacea, acne vulgaris and perioral dermatitis
  • Hypersensitivity to the preparation
  • Primary cutaneous viral infections
  • Dermatoses in children under one year of age
  • Not indicated in the treatment of primarily infected skin lesions caused by fungi or bacteria

Side Effects

  • Features of hypercorticism with prolonged use of large amounts
  • Local atrophic changes in the skin with prolonged and intensive treatment
  • Reports of pigmentation changes and hypertrichosis
  • Hypersensitivity signs leading to application cessation

Pregnancy & Lactation

  • Limited data from the use in pregnant women
  • Caution in administration to nursing women

Precautions & Warnings

  • Avoid long-term continuous topical therapy, particularly in infants and children
  • Risk of atrophic changes after prolonged treatment on the face
  • Care needed to prevent entry of preparation into the eye
  • Hazardous use in psoriasis
  • Use of appropriate anti-microbial therapy for infected lesions

Use in Special Populations

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

Overdose Effects

  • Chronic over-dosage may lead to hypercortisolism

Therapeutic Class

  • Other Topical corticosteroids

Storage Conditions

  • Keep below 30°C temperature
  • Protected from light and moisture
  • Do not freeze
  • Keep out of the reach of children

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