Drug Detail:Fluocinolone cream and other topical products (Fluocinolone topical [ floo-oh-sin-oh-lone-top-i-kal ])
Drug Class: Topical steroids
Usual Adult Dose for Seborrheic Dermatitis
No more than one ounce of the shampoo should be applied to the scalp area once a day, worked into a lather and allowed to remain on the scalp for approximately 5 minutes
Comments:
- Hair and scalp should be rinsed thoroughly with water.
Use: Treatment of seborrheic dermatitis of the scalp
Usual Adult Dose for Psoriasis
Apply a thin film on the scalp, massage well and cover scalp with the supplied shower cap.
Comments:
- Wet or dampen hair and scalp thoroughly
- Leave the oil on overnight or for a minimum of 4 hours before washing it off
- Wash hair with regular shampoo and rinse thoroughly
Use: Treatment of psoriasis of the scalp
Usual Adult Dose for Dermatitis
Apply a thin film to the affected area two to four times a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.
- If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Adult Dose for Eczema
Apply a thin film to the affected area two to four times a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.
- If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Adult Dose for Atopic Dermatitis
Topical (body) oil: Apply a thin film to the affected areas three times a day
Comments:
- Use should be discontinued when control of disease is achieved.
- If no improvement is seen within 2 weeks, a healthcare provider should be contacted.
Use: Treatment of atopic dermatitis
Usual Pediatric Dose for Atopic Dermatitis
3 months and older:
Topical (scalp and body) oil: Apply to affected area twice a day for up to 4 weeks
Comments:
- The oil should not be applied to the diaper area.
- Intertriginous areas should be avoided.
- Safety and effectiveness in pediatric patients younger than 3 months of age have not been established.
Use: Treatment of moderate to severe atopic dermatitis
Usual Pediatric Dose for Seborrheic Dermatitis
No more than one ounce of the shampoo should be applied to the scalp area once a day, worked into a lather and allowed to remain on the scalp for approximately 5 minutes
Comments:
- Safety and effectiveness in children and infants have not been established.
- Hair and scalp should be rinsed thoroughly with water.
Use: Treatment of seborrheic dermatitis of the scalp
Usual Pediatric Dose for Dermatitis
Apply a thin film to the affected area two to four times a day
Comments:
- Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing's syndrome than mature patients because of a larger skin surface area to body weight ratio.
- Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.
- If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Pediatric Dose for Eczema
Apply a thin film to the affected area two to four times a day
Comments:
- Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing's syndrome than mature patients because of a larger skin surface area to body weight ratio.
- Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.
- If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
Safety and efficacy in pediatric patients younger than 3 months of age have not been established.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- This drug should not be used on the face, groin, or axillae, unless directed by a healthcare professional.
- The treated area should not be bandaged, covered, or wrapped, as to be occlusive, unless directed by a healthcare provider.
- Parents of pediatric patients should be advised not to use tight-fitting diapers or plastic pants on a child being treated in the diaper area.
Storage requirements:
- Excessive heat and freezing should be avoided.
Monitoring:
- Endocrine: HPA-axis suppression (Urinary free-cortisol test, ACTH-stimulation test)
Patient advice:
- Patients should report any signs of local adverse reactions, especially those that develop under occlusive dressings.
- This medication is to be used as directed by the physician. It is for external use only. Contact with the eyes should be avoided.
- Patients should be advised not to use this medication for any condition other than for which it was prescribed.