Fluticasone (Topical)

Fluticasone topical cream is used to help relieve any redness, swelling, uncomfortable itching and other discomforts caused by dry skin conditions (for example atopic dermatitis). This medication is a corticosteroid (a medication which is like cortisone or steroids).

Overview

This medication is used in the treatment of a variety of skin conditions such as eczema, psoriasis or rashes. Fluticasone reduces swelling, redness, inflammation, and itching. It is a mid-strength corticosteroid and it is available in a number of forms, including ointments, creams, and lotions. Your health care provider will choose the right type of product to suit you based on your particular skin condition and which area of your body is to be treated.

This medication is available only with your health care provider's prescription. Fluticasone is not recommended to be used by children as there is a risk of serious side effects.

Conditions Treated?

  • Dry skin conditions such as atopic dermatitis, eczema, psoriasis or more general rashes

Type Of Medication?

  • Medium-strength corticosteroid

Side Effects

It is very important that your health care provider checks the progress of you or your child regularly for any undesirable effects which can be caused by this medication.

If you or your child's symptoms have not improved within two weeks, or if they start to worsen, contact your health care provider.

You may experience burning, stinging, itching or dryness when you apply this medication, but it usually does not last long. If any of these side effects persist or become worse, tell your health care provider or pharmacist immediately.

Your health care provider will have prescribed this medication because they have decided that the benefits outweigh the risk of side effects. Most people using this medication will not experience any serious or acute side effects.

Be sure to tell your health care provider immediately if you have any of the following alarming side effects: thinning of the skin or discoloration, stretch marks, hair bumps, acne or excessive hair growth.

In more rare cases, it is possible for this medication to be absorbed into the bloodstream through the skin. This can lead to side effects, usually seen more in children and people who use this medication for a long period of time or over large surface areas of the skin. Contact your health care provider immediately if any of the following side effects start to occur: headache, weight loss, unusual/extreme tiredness, increased thirst/urination, swelling of the ankles/feet or vision problems.

An extremely serious or acute allergic reaction to this drug is unusual, however, seek emergency medical help if you have any of the following symptoms: itching/swelling to the face, mouth, lips, tongue or throat; rashes, severe dizziness, or trouble breathing.

Overuse of this medication or using it for long periods of time can increase your risk of adrenal gland issues. Contact your health care provider immediately if you or your child have more than one of the following symptoms: dizziness or fainting, blurred vision, a fast or irregular heartbeat, irritability, increased thirst or need to urinate, or any unusual tiredness or sudden weaknesses.

Check with your health care provider immediately if you or your child experience a skin rash or any burning, stinging or swelling of the skin. Do not use other cosmetics or skin care products on medicated areas.

This is an incomplete list of possible side effects, if you notice other side effects not listed contact your health care provider or pharmacist.

Dosage

The dosage of this medication will be different for each patient. Be sure to follow your health care provider's advice or adhere to the directions on the label. The following information is the average doses of this medication. If your dosage is different, do not alter it unless your health care provider advises you to do so.

Topical dosage from (Cream)

For atopic dermatitis:

Adults and children of 3 months and older: Apply directly to the affected area once or twice daily.

Children younger than 3 months: Use and dosage should be determined by your health care provider.

For other corticosteroid-responsive dermatoses:

Adults and children of 3 months and older: Apply directly to the affected area once or twice daily.

Children younger than 3 months: Use and dosage should be determined by your health care provider.

For topical dosage form (lotion):

For atopic dermatitis:

Adults and children of 3 months and older: Apply directly to the affected area once daily.

Children younger than 3 months: Use and dosage should be determined by your health care provider.

For topical dosage form (ointment):

For corticosteroid-responsive dermatoses:

Adults: Apply directly to the affected area of the skin twice daily.

Children: Not recommended.

Missed Dose

If you miss a dosage of this medication, apply it whenever possible. However, if it is almost time for the next dosage you should skip the previous dose and return to your regular dosage schedule.

It is extremely important that you use this medication only as prescribed by your health care provider. Do not use excessive amounts of this medication or use it more often than is necessary or for a longer time than your health care provider prescribed you to use it. Failure to adhere to this may cause undesired side effects or increased skin irritation.

This medication is for external use on skin only. Do not put near your eyes. Do not use on broken skin for example on cuts, scratches, or burns. In the event this medication is applied to broken skin, wash it off immediately with water.

You should not use this medication to treat skin infection or severe burns. Fluticasone can make skin infections worse and much more difficult to treat. Tell your health care provider if you think you have an infection.

This medication comes with a patient information insert which you should read and make sure to follow the instructions carefully. Ask your health care provider if you have any further questions regarding this medication.

Do not use this medication on your groin, face or underarms unless expressly directed to do so by your health care provider.

To use:

1. Wash your hands with soapy water before and after using this medication.
2. Apply this medication in thin layers to the affected area and rub in gently.
3. Until the medication has dried make sure to protect the area from water and clothing to avoid rubbing off the medication. Do not bandage or attempt to wrap up the skin that is being treated unless expressly directed to do so by your health care provider.

If the medication is applied to the child's diaper area, it is important to use loose fitting diapers and avoid tighter fit diapers or pants made from plastic unless you are directed to do so by your health care provider.

If your health care provider ordered an occlusive like dressing or an airtight covering to be applied over the medication, ensure that you know how to apply it properly. Occlusive dressings increase the quantity of medication absorbed via the skin, so they must be used only as directed. If you have any further questions regarding this, speak with your health care provider.

Interactions

Although certain medications should not be used in conjunction with each other at all, in some cases, two different medications can be used simultaneously even if an interaction is likely to occur. In these cases, your doctor may want to adjust your dose, or other precautions may need to be taken. Tell your doctor if you are taking any other non-prescription or prescription medication.

Other Interactions

Use of some medications should be avoided at or around the time of eating food or eating particular kinds of food. The use of tobacco or the consumption of alcohol with certain medications could also cause unwanted interactions. Discuss these issues with your healthcare provider.

Other Medical Problems

The presence of other medical issues could affect the use of this medication. Make sure you tell your health care provider if you have any other medical problems, but especially:

Cushing's syndrome (adrenal gland disorder)

Diabetes

Glucosuria (sugar in the urine)

Hyperglycemia (high blood sugar)

Intracranial hypertension (increased pressure in the head): Use the medication with caution, it may make this condition worse.

Formaldehyde allergy or a history of: Do not use this medication in patients with this allergy.

Any infected skin on or near the area of application

Large sores, severe skin injury or broken skin on or near the area of application: The chances of experiencing side effects may increase.

Perioral dermatitis

Rosacea

Skin atrophy: Do not use this medication in patients with this condition.

Warnings

The use of this medication is not recommended for children.

Children can absorb large amounts of the medication through their skin, which may cause more serious side effects. If your child is prescribed this medication, be sure to follow your health care provider's instructions extremely carefully.

Tell your health care provider if you have ever experienced unusual or allergic reactions to this medication or any other medications. Make sure to discuss with your health care professional about all other types of allergies, to any foods, preservatives, dyes or animals.

Before you begin treatment with fluticasone, make sure to let your health care provider or pharmacist know if it causes any allergic reactions, or if you have allergies to any other product or substance. It is possible that this medication may contain some inactive ingredients, like formaldehyde, which could cause an allergic reaction or some other issues. Speak to your health care provider for more details.

Before using this medication, be sure to let your health care provider or pharmacist know of your medical history, especially if you suffer from poor blood circulation, immune system problems or diabetes.

Fluticasone can make skin infections worse and much more difficult to treat. Tell your health care provider if you think you have an infection.

While it is unlikely to happen, this medication could cause your child's growth to slow down if it is used over a long period of time. The impact this has on a child's final adult height is still unknown. Visit your health care provider at regular intervals so your child's height can be monitored.

This medication should only be used when clearly needed during pregnancy. You should discuss any risks and benefits with your health care provider.

It is still unknown if this medication can pass into your breast milk through the skin. Make sure to discuss this with your health care provider before breastfeeding.

Storage

Keep out of the reach of children.

Make sure to throw away any medication that is no longer in date or needed.

It is important to speak to your healthcare provider about how to dispose of any unwanted or unnecessary medications.

Store the medication in a closed or sealed container at room temperature, away from all heat, direct light, and moisture. Do not freeze. Do not store in your bathroom.

Fluticasone cream may also be stored inside the refrigerator.

Summary

This medication is used in the treatment of a variety of skin conditions such as eczema, psoriasis or rashes. Fluticasone reduces swelling, redness, inflammation, and itching. It is a mid-strength corticosteroid and it is available in a number of forms, including ointments, creams, and lotions. Your health care provider will choose the right type of product to suit you based on your particular skin condition and which area of your body is to be treated.

This medication is available only with your health care provider's prescription. Fluticasone is not recommended to be used by children as there is a risk of serious side effects.

It is very important that your health care provider checks the progress of you or your child regularly for any undesirable effects which can be caused by this medication.

If you or your child's symptoms have not improved within two weeks, or if they start to worsen, contact your health care provider.

You may experience burning, stinging, itching or dryness when you apply this medication, but it usually does not last long. If any of these side effects persist or become worse, tell your health care provider or pharmacist immediately.

Be sure to tell your health care provider immediately if you have any of the following serious side effects: skin thinning or discoloration, stretch marks, acne, hair bumps or excessive hair growth.

This medication is for external use on skin only. Do not put it near your eyes. Do not use on broken skin for example on cuts, scratches, or burns. In the event this medication is applied to broken skin, wash it off immediately with water.

Do not use this medication to treat skin infection or severe burns. Fluticasone can make skin infections worse and much more difficult to treat. Tell your health care provider if you think you have an infection.