Neosalus Cream 100gm

Manufacturer EXELTIS Active Ingredient Emollient Cream, Emulsion, Gel, Lotion, and Ointment(ee MOL ee ents) Pronunciation Nee-oh-SAL-us
It is used to treat or prevent certain skin problems.It may be given to you for other reasons. Talk with the doctor.
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Drug Class
Emollient, Skin Protectant, Moisturizer
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Pharmacologic Class
Skin Barrier Repair Agent, Humectant, Occlusive
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Pregnancy Category
Not applicable for OTC products; generally considered safe
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FDA Approved
Jan 1970
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DEA Schedule
Not Controlled

Overview

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What is this medicine?

Neosalus Cream is a moisturizing cream that helps to hydrate dry, irritated, or sensitive skin. It works by creating a protective barrier on the skin's surface to lock in moisture and help restore the skin's natural protective barrier.
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How to Use This Medicine

Proper Use of This Medication

To use this medication correctly, follow your doctor's instructions and read all the information provided. It is essential to use this medication only as directed.

Application Instructions

Do not take this medication by mouth. It is for topical use on your skin only.
Avoid getting the medication in your mouth, nose, ears, or eyes, as it may cause burning.
If your medication requires shaking before use, make sure you understand the instructions before applying it.
Wash your hands before and after applying the medication, unless your hand is the treated area. In that case, do not wash your hand after application.
Clean the affected area before applying the medication and dry it thoroughly.
Apply the medication to the affected area as instructed by your doctor. You may need to cover the treated area with a bandage or dressing; consult with your doctor for guidance.

Storage and Disposal

Store the medication at room temperature and do not freeze it.
Check the storage information provided with the medication to determine how long you can store it before discarding. If you have questions, consult with your pharmacist.

Missed Dose

If you miss a dose, apply it as soon as you remember.
Since this medication is often used as needed, do not use it more frequently than instructed by your doctor.
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Lifestyle & Tips

  • Apply liberally to affected areas, especially after bathing or showering, while skin is still damp, to lock in moisture.
  • Use regularly, even when skin appears improved, to maintain skin hydration and barrier function.
  • Avoid harsh soaps, hot water, and prolonged exposure to irritants that can dry out the skin.
  • Wear loose, breathable clothing to minimize skin irritation.
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Available Forms & Alternatives

Dosing & Administration

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Adult Dosing

Standard Dose: Apply liberally to affected areas as needed, typically 2-3 times daily or as directed by a healthcare professional.
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Pediatric Dosing

Neonatal: Apply liberally to affected areas as needed, typically 2-3 times daily or as directed by a healthcare professional.
Infant: Apply liberally to affected areas as needed, typically 2-3 times daily or as directed by a healthcare professional.
Child: Apply liberally to affected areas as needed, typically 2-3 times daily or as directed by a healthcare professional.
Adolescent: Apply liberally to affected areas as needed, typically 2-3 times daily or as directed by a healthcare professional.
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Dose Adjustments

Renal Impairment:

Mild: No adjustment needed
Moderate: No adjustment needed
Severe: No adjustment needed
Dialysis: No specific considerations for topical use

Hepatic Impairment:

Mild: No adjustment needed
Moderate: No adjustment needed
Severe: No adjustment needed

Pharmacology

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Mechanism of Action

Emollients work by forming an occlusive layer on the skin surface, which reduces transepidermal water loss (TEWL) by preventing evaporation. They also fill in the gaps between corneocytes (skin cells) in the stratum corneum, smoothing the skin and restoring its barrier function. Some emollients also contain humectants (e.g., urea, glycerin) that attract water to the skin, and barrier-repairing lipids (e.g., ceramides, fatty acids, cholesterol) that replenish natural skin components.
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Pharmacokinetics

Absorption:

Bioavailability: Minimal systemic absorption
Tmax: Not applicable (local action)
FoodEffect: Not applicable

Distribution:

Vd: Not applicable (local action)
ProteinBinding: Not applicable (local action)
CnssPenetration: No

Elimination:

HalfLife: Not applicable (local action)
Clearance: Not applicable (local action)
ExcretionRoute: Not applicable (local action)
Unchanged: Not applicable (local action)
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Pharmacodynamics

OnsetOfAction: Immediate (skin hydration and softening)
PeakEffect: Hours to days (improved skin barrier function with consistent use)
DurationOfAction: Hours (until washed off or absorbed into stratum corneum)

Safety & Warnings

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Side Effects

Urgent Side Effects: Seek Medical Help Right Away

While rare, some people may experience severe and potentially life-threatening side effects when taking this medication. If you notice any of the following symptoms, contact your doctor immediately or seek emergency medical attention:

Signs of an allergic reaction, such as:
+ Rash
+ Hives
+ Itching
+ Red, swollen, blistered, or peeling skin with or without fever
+ Wheezing
+ Tightness in the chest or throat
+ Trouble breathing, swallowing, or talking
+ Unusual hoarseness
+ Swelling of the mouth, face, lips, tongue, or throat
Signs of skin infection, including:
+ Oozing
+ Heat
+ Swelling
+ Redness
+ Pain
Abnormal bleeding from the affected area
Fever

Other Possible Side Effects

Like all medications, this drug can cause side effects. Although many people may not experience any side effects or only minor ones, it's essential to discuss any concerns with your doctor. If you experience any of the following side effects or any other unusual symptoms that bother you or do not go away, contact your doctor for advice:

* Skin irritation

Reporting Side Effects

This list is not exhaustive, and you may experience other side effects not mentioned here. If you have questions or concerns about side effects, consult your doctor. You can also report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch.
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Seek Immediate Medical Attention If You Experience:

  • Increased redness or irritation at the application site
  • Swelling or blistering
  • Severe itching or rash (signs of allergic reaction)
  • Signs of skin infection (e.g., pus, warmth, fever)
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Before Using This Medicine

Before Taking This Medication: Important Information to Share with Your Doctor

It is essential to inform your doctor about the following:

Any allergies you have, including allergies to this medication, its components, or other substances, such as foods or drugs. Be sure to describe the allergic reaction and its symptoms.
If you have a skin rash caused by an allergic reaction to a food or medication.
* If you have a bleeding wound.

This list is not exhaustive, and it is crucial to discuss all your medications (prescription, over-the-counter, natural products, and vitamins) and health conditions with your doctor and pharmacist. They will help determine if it is safe to take this medication with your other medications and health conditions.

Remember, do not start, stop, or change the dose of any medication without first consulting your doctor.
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Precautions & Cautions

It is essential to inform all your healthcare providers, including doctors, nurses, pharmacists, and dentists, that you are taking this medication.

Before using sunscreen with this drug, consult your doctor for guidance. Additionally, discuss with your doctor the use of other medications or products on your skin, including soaps, to ensure safe and effective treatment.

Certain brands of this medication may not be suitable for application on open sores, broken skin, or severe burns. Be sure to check with your doctor or pharmacist for specific instructions.

Some products containing this drug may include metal, which requires removal before undergoing an MRI, cardioversion, radiation, or other medical procedures. It is crucial to discuss this with your doctor before any scheduled procedures.

If this medication is accidentally swallowed, it can cause harm. In such cases, immediately contact a doctor or a poison control center for assistance.

If you are pregnant, planning to become pregnant, or are breastfeeding, inform your doctor. It is necessary to discuss the potential benefits and risks of this medication to both you and your baby to make an informed decision.
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Overdose Information

Overdose Symptoms:

  • Not applicable for topical application; systemic overdose is highly unlikely.

What to Do:

If accidentally ingested, contact a poison control center (Call 1-800-222-1222) or seek medical attention. For excessive topical application, simply wipe off excess cream.

Drug Interactions

Monitoring

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Baseline Monitoring

Skin condition (dryness, redness, itching, scaling)

Rationale: To assess the severity of symptoms and establish a baseline for treatment efficacy.

Timing: Prior to initiation of therapy

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Routine Monitoring

Improvement in skin hydration and texture

Frequency: Daily to weekly

Target: Reduced dryness, increased suppleness

Action Threshold: If no improvement or worsening of symptoms, reassess treatment or consult healthcare provider.

Absence of skin irritation or allergic reaction

Frequency: Daily

Target: No new redness, itching, burning, or rash

Action Threshold: Discontinue use if irritation or allergic reaction occurs.

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Symptom Monitoring

  • Reduced skin dryness
  • Decreased itching
  • Improved skin texture and smoothness
  • Reduced flaking or scaling
  • Less redness or irritation

Special Patient Groups

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Pregnancy

Generally considered safe for use during pregnancy. Minimal systemic absorption is expected.

Trimester-Specific Risks:

First Trimester: Low risk
Second Trimester: Low risk
Third Trimester: Low risk
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Lactation

Generally considered safe for use during lactation. Minimal systemic absorption is expected. Avoid applying to areas where the infant may ingest the cream directly.

Infant Risk: Low risk
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Pediatric Use

Safe and commonly used in pediatric populations, including infants, for dry skin conditions like eczema. Always follow specific product instructions or healthcare provider's advice for very young children.

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Geriatric Use

Safe and commonly used in geriatric populations, who often experience dry and fragile skin. No specific dose adjustments or precautions are typically needed beyond general skin care.

Clinical Information

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Clinical Pearls

  • For best results, apply emollients within 3 minutes of bathing or showering to damp skin to trap moisture.
  • Different emollient formulations (creams, lotions, ointments) vary in their oil content and occlusiveness. Ointments are generally the most occlusive and moisturizing, followed by creams, then lotions. Choose based on the severity of dryness and patient preference.
  • Regular and liberal application is key to managing chronic dry skin conditions.
  • Emollients can be used as a soap substitute for very sensitive or dry skin to avoid further irritation from harsh cleansers.
  • Store at room temperature and keep the lid tightly closed to prevent contamination and drying out.
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Alternative Therapies

  • Topical corticosteroids (for inflammatory skin conditions like eczema flares, not for primary dryness)
  • Topical calcineurin inhibitors (e.g., tacrolimus, pimecrolimus for eczema)
  • Antihistamines (for severe itching, if associated with systemic allergic reactions)
  • Humidifiers (to increase environmental moisture)
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Cost & Coverage

Average Cost: Varies widely, typically $20-$60 per 100gm tube
Generic Available: Yes
Insurance Coverage: Often OTC, may be covered by some prescription plans with a doctor's order or as a medical device.
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General Drug Facts

If your symptoms or health issues persist or worsen, it's essential to contact your doctor for further guidance. To ensure your safety, never share your medication with others or take someone else's medication. Some medications may come with an additional patient information leaflet, so be sure to check with your pharmacist for more information. If you have any questions or concerns about this medication, don't hesitate to reach out to your doctor, nurse, pharmacist, or other healthcare provider. In the event of a suspected overdose, immediately call your local poison control center or seek emergency medical attention. When seeking help, be prepared to provide details about the overdose, including the medication taken, the amount, and the time it occurred.