Xenovate 0.05% (Scalp Solution)

30 ml bottle: ৳ 250.00

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
  • Suitable for adults, elderly, and children over 1 year

Composition

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

Pharmacology

  • Very potent topical corticosteroid with anti-inflammatory, antipruritic and vasoconstrictive properties
  • Shows anti-inflammatory activity via multiple mechanisms to inhibit late phase allergic reactions
  • Reduces cytokine production and inhibits the metabolism of arachidonic acid

Dosage

  • Cream and Ointment: Apply a thin layer to affected skin areas twice daily
  • Super-high potency topical corticosteroids - treatment should be limited to 2 consecutive weeks
  • Maximum weekly dose should not exceed 50 gm/week
  • Spray: Apply once or twice daily to affected areas of the scalp
  • Total dose applied should not exceed 50 ml weekly
  • Shampoo: Applied to dry scalp once a day for 4 consecutive weeks

Administration

Route of administration: Cutaneous. Creams are especially appropriate for moist or weeping surfaces. Ointments are especially appropriate for dry, lichenified or scaly lesions

Interaction

Co-administered drugs that can inhibit CYP3A4 may inhibit the metabolism of corticosteroids

Contraindications

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

Side Effects

  • Prolonged use of large amounts can result in systemic absorption
  • Local atrophic changes in the skin
  • Reports of pigmentation changes and hypertrichosis
  • Well tolerated, but signs of hypersensitivity may occur

Pregnancy & Lactation

  • Limited data in pregnant women
  • Caution should be exercised when administered to a nursing woman

Precautions & Warnings

  • Long-term continuous therapy should be avoided, particularly in infants and children
  • Atrophic changes may occur after prolonged treatment on the face
  • Care is needed to ensure that the preparation does not enter the eye if applied to the eyelids
  • Hazardous in psoriasis for a number of reasons

Use in Special Populations

Long-term continuous therapy should be avoided in infants and children under 12 years of age

Overdose Effects

Acute overdose is unlikely, chronic over-dosage 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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