Usual Adult Dose for Dermatitis

Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day

Comments:

• Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
• If an infection develops, 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

Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day

Comments:

• Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
• If an infection develops, 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 Psoriasis

Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day

Comments:

• Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
• If an infection develops, 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 Stomatitis

Paste: Press a small dab (about 1/4 inch) to the lesion until a thin film develops.

Comments:

• The paste should be applied at bedtime to permit steroid contact with the lesion throughout the night.
• It may be necessary to apply the paste two or three times a day, depending on the severity of symptoms.
• If regeneration has not occurred in seven days, additional investigation is recommended.

Use: Temporary relief of symptoms associated with oral inflammatory lesions and ulcerative lesions resulting from trauma

Usual Pediatric Dose for Dermatitis

Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day

Comments:

• Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
• If an infection develops, 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

Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day

Comments:

• Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
• If an infection develops, 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 Psoriasis

Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day

Comments:

• Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
• If an infection develops, 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 Stomatitis

Paste: Press a small dab (about 1/4 inch) to the lesion until a thin film develops.

Comments:

• The paste should be applied at bedtime to permit steroid contact with the lesion throughout the night.
• It may be necessary to apply the paste two or three times a day, depending on the severity of symptoms.
• If regeneration has not occurred in seven days, additional investigation is recommended.

Use: Temporary relief of symptoms associated with oral inflammatory lesions and ulcerative lesions resulting from trauma

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Data not available

Precautions

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.

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.
• Long term therapy in infants should be avoided as adrenal suppression may occur.
• Patients on long term therapy should not be given any live attenuated vaccines if there is a risk of immunosuppression.

Storage requirements:

• Avoid freezing

Lotion: Shake well before using
Spray: Avoid excessive heat; do not puncture or incinerate

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.