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Fluocinonide

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VOL: 101, ISSUE: 01, PAGE NO: 47

Generic/proprietary names

 

Generic/proprietary names
- Fluocinonide, Metosyn.

 

 

Action
- Suppresses the inflammatory reaction. There is no curative effect so when discontinued rebound can occur.

 

 

Classification
- Potent topical corticosteroid.

 

 

Indications
- Severe inflammatory skin disorders, which have been unresponsive to less potent corticosteroids.

 

 

Contraindications
- Infants under one year old.

 

 

- Acne and rosacea.

 

 

- Untreated infections.

 

 

- Perioral dermatitis.

 

 

- Widespread plaque psoriasis.

 

 

Cautions
- Avoid prolonged use in infants and children.

 

 

- Avoid prolonged use on the face.

 

 

side-effects
- Cushing’s syndrome can result from steroid absorption through the skin. The risk depends on length of treatment and area of skin being treated, as absorption is greatest from areas of thin skin and raw surfaces. Absorption is also increased by occlusion.

 

 

- Exacerbation of infections.

 

 

- Thinning of the skin can occur with prolonged use.

 

 

- Contact dermatitis.

 

 

- Striae atrophicae and telangiectasia.

 

 

- Mild depigmentation.

 

 

Administration
- Cream is most suitable for moist or weepy lesions.

 

 

- Ointment is most suitable for dry, scaly lesions.

 

 

- Apply thinly once or twice daily and rub in well.

 

 

Nursing considerations
- Avoid prolonged use on the face, in the genital and rectal areas, and in skin creases.

 

 

- Avoid use around the eyes.

 

 

- Do not discontinue treatment abruptly.

 

 

- Do not use on broken or infected skin.

 

 

- Do not use for long periods to treat eczema in children.

 

 

- Evaluate response.

 

 

Patient teaching
- Store in a cool, dry place, away from direct light and heat and out of the reach of children.

 

 

- Discard the cream or ointment after course is completed or take them to your local pharmacist for safe disposal.

 

 

- If your symptoms do not begin to improve or if they get worse, return to see the health care professional who prescribed the medication.

 

 

- Avoid contact with the eyes, if any of this preparation accidentally gets into the eyes rinse thoroughly with warm water.

 

 

- Unless directed, do not apply a bandage or dressing to the area being treated.

 

 

- If you miss an application apply the missed dose as soon as you remember it. If it is almost time for the next dose, skip the missed dose and continue your regular schedule.

 

 

- Do not apply a double dose to make up for a missed one.

 

 

- Continue medication for the prescribed course and do not stop treatment abruptly.

 

 

- Continue the medication for a few days after skin has cleared.

 

 

- Nurses should refer to manufacturer’s summary of product characteristics and to appropriate local guidelines.

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