Like other topical corticosteroids Clobetasol lotion, 0.05% has antiinflammatory, antipruritic, and vasoconstrictive properties. The mechanism of the anti-inflammatory activity of the topical steroids in general is unclear. However, corticosteroids are thought to act by induction of phospholipase A2 inhibitory proteins, collectively called lipocortins. It is postulated that these proteins control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor, arachidonic acid. Arachidonic acid is released from membrane phospholipids by phospholipase A2.
It is very important that you use Clobetasol only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation.
Clobetasol is for use on the skin only. Do not get it in your eyes, nose, mouth, or vagina. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.
To help clear up your skin or scalp problem completely, it is very important that you keep using Clobetasol for the full time of treatment. Do not miss any doses.
Clobetasol should only be used for skin conditions that your doctor is treating. Check with your doctor before using it for other conditions, especially if you think that a skin infection may be present. Clobetasol should not be used to treat certain kinds of skin infections or conditions, such as severe burns.
Do not use Clobetasol on the face, groin, or underarms, or have skin thinning unless directed to do so by your doctor.
To use the cream, foam, gel, lotion, ointment, or spray:
To use the foam, scalp solution, or shampoo:
Clobetasol comes with a patient information insert. Read and follow the instructions in the insert carefully. Ask your doctor if you have any questions.
The dose of Clobetasol will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of Clobetasol. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of Clobetasol, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Store the foam can at room temperature, away from heat and direct light. Do not keep Clobetasol inside a car where it could be exposed to extreme heat. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.
Store the Temovate® E cream at room temperature, away from heat, moisture, and direct light. Do not refrigerate. Keep from freezing.
Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended.
Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body.
Wash your hands before and after using Clobetasol topical, unless you are using the medication to treat the skin on your hands.
Apply a small amount to the affected area and rub it gently into the skin. Do not use this medication over a large area of skin.
Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with Clobetasol topical can increase the amount of medicine your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.
Contact your doctor if your condition does not improve within 2 weeks of using this medicine, or if you develop signs of a bacterial, fungal, or viral skin infection. It is important to use Clobetasol topical regularly to get the most benefit.
If you use this medication long-term, your blood will need to be tested often. Visit your doctor regularly.
Store at room temperature away from moisture and heat. Keep from freezing.
The corticosteroids are a class of compounds comprising steroid hormones secreted by the adrenal cortex and their synthetic analogs. In pharmacologic doses, corticosteroids are used primarily for their anti-inflammatory and/or immunosuppressive effects.
Topical corticosteroids such as Clobetasol are effective in the treatment of corticosteroid-responsive dermatoses primarily because of their anti-inflammatory, antipruritic, and vasoconstrictive actions. However, while the physiologic, pharmacologic, and clinical effects of the corticosteroids are well known, the exact mechanisms of their actions in each disease are uncertain.
Clobetasol, a corticosteroid, has been shown to have topical (dermatologic) and systemic pharmacologic and metabolic effects characteristic of this class of drugs.
Pharmacokinetics: The extent of percutaneous absorption of topical corticosteroids, including Clobetasol, is determined by many factors, including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings.
As with all topical corticosteroids, Clobetasol can be absorbed from normal intact skin. Inflammation and/or other disease processes in the skin may increase percutaneous absorption. Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids.
Once absorbed through the skin, topical corticosteroids enter pharmacokinetic pathways similarly to systemically administered corticosteroids. Corticosteroids are bound to plasma proteins in varying degrees. Corticosteroids are metabolized primarily in the fiver and are then excreted by the kidneys. Some of the topical corticosteroids, including Clobetasol and its metabolites, are also excreted into the bile.
Following repeated nonocclusive application in the treatment of scalp psoriasis, there is some evidence that Clobetasol (Clobetasol scalp application) Application has the potential to depress plasma Cortisol levels in some patients. However, hypothatamic-pituitary-adrenal (HPA) axis effects produced by systemically absorbed Clobetasol have been shown to be transient and reversible upon completion of a 2-week course of treatment.
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Information checked by Dr. Sachin Kumar, MD Pharmacology