Category:

• Glucocorticoid (synthetic)

Description:

• Topical, high potency corticosteroid

Indications:

• Psoriasis

• Eczema, contact dermatitis

• Pruritis of corticosteroid responsive dermatoses

Contraindications:

• Fungal infections

• Use on face, groin, or axilla

Precautions:

• Pregnancy category C; unknown if sufficient systemic absorption to produce detectable amounts in breast milk

• Viral infections

• Bacterial infections

• Children  

Adverse Reactions (Side Effects):

• SKIN: acne, allergic contact dermatitis, atrophy, burning, dryness, folliculitis, hypertrichosis, hypopigmentation, irritation, itching, miliaria, perioral dermatitis, secondary infection, striae

• MISC: systemic absorption of topical corticosteroids has produced reversible HPA axis suppression (more likely with occlusive dressings, prolonged administration, application to large surface areas, liver failure, and in children

Dosage:

• Administered topically (cream, ointment, gel, solution)

• Adult and Child: TOP apply to affected area 2-3 times daily, rub completely into skin

Special considerations:

• Avoid contact with eyes

• Do not use on weeping, denuded, or infected areas

• Do not put bandages or dressings over treated area unless absolutely necessary

• Discontinue if local irritaion or fever develops