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DERMATOLOGICALS › CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS › CORTICOSTEROIDS, PLAIN › Corticosteroids, moderately potent (group II)
fluocortin
D07AB04
Adult Dosing
- Apply a thin film to the affected area 2 to 3 times daily
- Reduce frequency as condition improves
- Limit use to continuous periods not exceeding 2-3 weeks
Pediatric Dosing
- Safety and efficacy in pediatric patients are not well established
- Use with caution in children, applying the minimum effective amount for the shortest possible duration
- Avoid use under occlusive dressings
Indications
- Inflammatory and pruritic dermatoses responsive to topical corticosteroids
- Eczema
- Contact dermatitis
Mechanism of Action
- Moderate-potency glucocorticoid
- Binds to cytosolic glucocorticoid receptors, modulating transcription of anti-inflammatory genes
- Inhibits phospholipase A2 via lipocortins, suppressing release of arachidonic acid and subsequent inflammatory mediators
Contraindications
- Hypersensitivity to fluocortin or any component of the formulation
- Tuberculous, fungal, or viral skin lesions (e.g., herpes simplex, varicella)
- Rosacea and perioral dermatitis
- Vaccination reactions in the treatment area
Adverse Reactions
- Local burning, itching, or irritation
- Skin atrophy, striae, and telangiectasia with prolonged use
- Hypopigmentation
- Secondary skin infections
- Systemic absorption leading to hypothalamic-pituitary-adrenal axis suppression with prolonged or occlusive use
Drug Interactions
- No significant systemic drug interactions expected with normal topical application
- Concurrent use of other topical corticosteroids may increase the risk of adverse effects or systemic absorption
- Possible additive skin irritation with keratolytic or abrasive agents
Curated Content: Needs Vetting Before Put to Clinical Use