Generic name: desoximetasone topical [ des-ox-i-met-a-sone ]
Drug class: Topical steroids
Availability: Prescription only
Pregnancy & Lactation: Risk data available
Brand names: Topicort, Topicort lp
What is Desoximetasone topical?
Desoximetasone topical (for the skin) is a potent steroid used to treat inflammation and itching caused by plaque psoriasis or skin conditions that respond to steroid medication.
Desoximetasone topical may also be used for purposes not listed in this medication guide.
Warnings
Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.
How should I take Desoximetasone topical
Use exactly as directed on the label, or as prescribed by your doctor.
Do not take by mouth. Topical medicine is for use only on the skin. Rinse with water if this medicine gets in your eyes or mouth.
Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.
Wash your hands before and after using desoximetasone, unless you are using this medicine to treat the skin on your hands.
Apply a thin layer of medicine to the affected skin and rub it in gently. Do not apply this medicine over a large area of skin unless your doctor has told you to.
Do not cover the treated skin area with a bandage or other covering unless your doctor tells you to. Covering treated areas can increase the amount of medicine absorbed through your skin and may cause harmful effects.
If you are treating the diaper area, do not use plastic pants or tight-fitting diapers.
This medicine is for short-term use only (up to 4 weeks for psoriasis). Follow your doctor's dosing instructions very carefully.
If you use desoximetasone to treat plaque psoriasis, you should stop using the medicine once your skin symptoms are controlled.
Call your doctor if your symptoms do not improve after 2 weeks of using this medicine.
You should not stop using desoximetasone suddenly. Follow your doctor's instructions about tapering your dose.
Store at room temperature away from moisture and heat. Keep from freezing.
Desoximetasone spray is flammable. Do not use near high heat or open flame. Do not smoke until the gel has completely dried on your skin.
Throw away any desoximetasone topical spray not used within 30 days after you received it.
Dosing information
Usual Adult Dose for Dermatitis:
Cream, gel, ointment, spray: Apply a thin film to the affected areas twice a day
Comments:
-Treatment for longer than 4 weeks is not recommended.
-This topical drug should not be used if atrophy is present at the treatment site.
-The treated area should not be bandaged, covered, or wrapped unless directed by a healthcare provider.
-Topical spray should be discontinued when control is obtained.
Uses:
-Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
-Treatment of plaque psoriasis
Usual Adult Dose for Eczema:
Cream, gel, ointment, spray: Apply a thin film to the affected areas twice a day
Comments:
-Treatment for longer than 4 weeks is not recommended.
-This topical drug should not be used if atrophy is present at the treatment site.
-The treated area should not be bandaged, covered, or wrapped unless directed by a healthcare provider.
-Topical spray should be discontinued when control is obtained.
Uses:
-Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
-Treatment of plaque psoriasis
Usual Adult Dose for Psoriasis:
Cream, gel, ointment, spray: Apply a thin film to the affected areas twice a day
Comments:
-Treatment for longer than 4 weeks is not recommended.
-This topical drug should not be used if atrophy is present at the treatment site.
-The treated area should not be bandaged, covered, or wrapped unless directed by a healthcare provider.
-Topical spray should be discontinued when control is obtained.
Uses:
-Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
-Treatment of plaque psoriasis
Before Taking
You should not use desoximetasone if you are allergic to it.
Tell your doctor if you have ever had:
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any type of skin infection;
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a skin reaction to any steroid medicine;
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liver disease; or
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an adrenal gland disorder.
Steroid medicines can increase the glucose (sugar) levels in your blood or urine. Tell your doctor if you have diabetes.
It is not known whether desoximetasone topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. If you apply desoximetasone to your chest, avoid areas that may come into contact with the baby's mouth.
Desoximetasone topical is not approved for use by anyone younger than 18 years old. Some brands or forms of this medicine can be used by people younger than 18 years.
Children can absorb larger amounts of this medicine through the skin and may be more likely to have side effects.
What happens if I miss a dose?
Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.
High doses or long-term use of desoximetasone topical can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.
What should I know about storage and disposal of this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I avoid while using Desoximetasone topical?
Avoid applying desoximetasone topical to your face, underarms, or groin area.
Do not use desoximetasone topical to treat any skin condition that has not been checked by your doctor.
Avoid using other topical steroid medications on the areas you treat with desoximetasone unless your doctor tells you to.
Desoximetasone topical side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Desoximetasone topical may cause serious side effects. Call your doctor at once if you have:
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worsening of your skin condition;
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redness, warmth, swelling, oozing, or severe irritation of any treated skin;
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blurred vision, tunnel vision, eye pain, or seeing halos around lights;
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high blood sugar--increased thirst, increased urination, dry mouth, fruity breath odor; or
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possible signs of absorbing desoximetasone topical through your skin--weight gain (especially in your face or your upper back and torso), slow wound healing, thinning or discolored skin, increased body hair, muscle weakness, nausea, diarrhea, tiredness, mood changes, menstrual changes, sexual changes.
Common side effects of desoximetasone topical may include:
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rash, itching, or irritation around your mouth;
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burning, irritation, itching, or dryness of treated skin;
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redness or crusting around your hair follicles;
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increased hair growth;
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blisters, pimples, or crusting of treated skin;
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changes in color of treated skin;
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white or "pruned" appearance of the skin; or
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stretch marks.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See more: Desoximetasone topical Side EffectsWhat other drugs will affect Desoximetasone topical?
Medicine used on the skin is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
What other information should I know?
Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your body's response to desoximetasone.
Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.