Temovate .05% Emollient Cream 60gm
Overview
What is this medicine?
How to Use This Medicine
To use this medication correctly, follow your doctor's instructions and read all the information provided. It is essential to use this medication as directed, even if your symptoms improve.
Application Instructions
Apply this medication only to your skin, as directed by your doctor. Do not take it by mouth.
Avoid getting the medication in your mouth, nose, or eyes, as it may cause burning.
Wash your hands before and after applying the medication, unless your hand is the treated area. In this case, do not wash your hand after application.
Clean the affected area before applying the medication and dry it thoroughly.
Apply a thin layer of the medication to the affected skin and gently rub it in.
Unless instructed by your doctor, do not apply the medication to your face, underarms, or groin area.
Do not cover the treated area with bandages, dressings, or makeup unless advised to do so by your doctor.
Storage and Disposal
Store this medication at room temperature, avoiding refrigeration or freezing.
Be aware of the medication's expiration date or the length of time you can store it before disposal.
Keep all medications in a safe location, out of the reach of children and pets.
Missed Dose
If you miss a dose, apply it as soon as you remember.
If it is close to the time for your next dose, skip the missed dose and resume your regular schedule.
* Do not apply two doses at the same time or take extra doses.
Lifestyle & Tips
- Apply a very thin layer to the affected skin area only.
- Wash hands before and after application.
- Do not use on the face, groin, or armpits unless specifically instructed by your doctor.
- Do not use for longer than 2 consecutive weeks unless directed by your doctor.
- Do not use more than 50 grams per week.
- Avoid using bandages or occlusive dressings over the treated area unless specifically instructed by your doctor, as this can increase absorption and side effects.
- Avoid contact with eyes.
Available Forms & Alternatives
Available Strengths:
- Temovate 0.05% Cream 15gm
- Temovate 0.05% Cream 45gm
- Temovate 0.05% Ointment 60gm
- Temovate 0.05% Gel 15gm
- Temovate 0.05% Gel 30gm
- Temovate .05% Emollient Cream 15gm
- Temovate .05% Emollient Cream 30gm
- Temovate 0.05% Solution 50ml
- Temovate .05% Emollient Cream 60gm
- Temovate 0.05% Gel 60gm
- Temovate 0.05% Ointment 30gm
- Temovate 0.05% Cream 60gm
- Temovate 0.05% Cream 30gm
Generic Alternatives:
Dosing & Administration
Adult Dosing
Condition-Specific Dosing:
Pediatric Dosing
Dose Adjustments
Renal Impairment:
Hepatic Impairment:
Pharmacology
Mechanism of Action
Pharmacokinetics
Absorption:
Distribution:
Elimination:
Pharmacodynamics
Safety & Warnings
Side Effects
Although rare, some people may experience severe and potentially life-threatening side effects while taking this medication. If you notice any of the following symptoms, contact your doctor or seek immediate 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 high blood sugar, including:
+ Confusion
+ Feeling sleepy
+ Unusual thirst or hunger
+ Passing urine more often
+ Flushing
+ Fast breathing
+ Breath that smells like fruit
Signs of Cushing's syndrome, such as:
+ Weight gain in the upper back or belly
+ Moon face
+ Severe headache
+ Slow healing
Signs of a weak adrenal gland, including:
+ Severe upset stomach or vomiting
+ Severe dizziness or passing out
+ Muscle weakness
+ Feeling very tired
+ Mood changes
+ Decreased appetite
+ Weight loss
Skin changes, such as:
+ Pimples
+ Stretch marks
+ Slow healing
+ Hair growth
Irritation at the site of application
Thinning of the skin
Changes in eyesight, eye pain, or severe eye irritation
Other Possible Side Effects
Like all medications, this drug can cause side effects. While 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, contact your doctor for advice:
Burning or stinging
Dry skin
* Redness
This is not an exhaustive list of possible side effects. If you have questions or concerns, don't hesitate to reach out to your doctor. You can also report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch.
Seek Immediate Medical Attention If You Experience:
- Increased redness, burning, stinging, or itching at the application site
- Signs of skin infection (e.g., pus, spreading redness, fever)
- Skin thinning, easy bruising, or stretch marks (striae) in the treated area
- Worsening of your skin condition
- Unusual hair growth
- Acne-like breakouts
Before Using This Medicine
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 you experienced, including any symptoms that occurred.
If you have thinning skin at the site where you will be applying this medication.
* If there is an active infection at the site where this medication will be used.
This list is not exhaustive, and it is crucial to discuss all your medications, including prescription and over-the-counter drugs, natural products, and vitamins, with your doctor and pharmacist. Additionally, share any health problems you have to ensure safe use of this medication.
To guarantee your safety, do not start, stop, or adjust the dosage of any medication without first consulting your doctor. It is vital to verify that it is safe to take this medication with all your other medications and health conditions.
Precautions & Cautions
This medication is not intended to treat diaper rash, acne, rosacea, or rashes around the mouth. When applying it to a large area of skin or near open wounds, exercise caution and consult your doctor.
Before using any other medications or products on your skin, including soaps, discuss them with your doctor. Avoid applying this medication to cuts, scrapes, or damaged skin. Do not use this medication for an extended period beyond what your doctor has prescribed.
If this medication is accidentally swallowed, it can be harmful, so immediately contact a doctor or a poison control center. Long-term use of this medication may increase the risk of developing cataracts or glaucoma; therefore, consult your doctor about this potential risk.
This medication may not be suitable for children of all ages, so it is crucial to consult your doctor before administering it to a child. When using this medication in children, caution is advised, as they may have a higher risk of experiencing certain side effects. In some cases, this medication can affect growth in children and teenagers, making regular growth checks necessary. Discuss this with your doctor.
If you are breastfeeding, avoid applying this medication directly to the nipple or the surrounding area. If you are pregnant, plan to become pregnant, or are breastfeeding, inform your doctor, as you will need to discuss the potential benefits and risks to both you and your baby.
Overdose Information
Overdose Symptoms:
- While rare with appropriate topical use, excessive or prolonged use, especially over large areas or under occlusion, can lead to systemic effects such as Cushing's syndrome (e.g., weight gain, moon face, fatigue, muscle weakness, high blood pressure, mood changes) and adrenal suppression (fatigue, weakness, nausea, vomiting, low blood pressure).
What to Do:
If you suspect an overdose or experience systemic symptoms, contact your doctor or a poison control center immediately. In the US, call 1-800-222-1222. Treatment is supportive and may involve gradual withdrawal of the medication.
Drug Interactions
Monitoring
Baseline Monitoring
Rationale: To establish baseline severity and extent of dermatosis.
Timing: Prior to initiation of therapy.
Routine Monitoring
Frequency: Weekly or bi-weekly during treatment.
Target: Improvement in symptoms and skin appearance.
Action Threshold: Lack of improvement or worsening of condition may require re-evaluation of diagnosis or treatment.
Frequency: At each follow-up visit.
Target: Absence of or minimal adverse effects.
Action Threshold: Presence of significant or worsening adverse effects may require discontinuation or change in therapy.
Frequency: Consider before treatment and after 1-2 weeks of treatment, especially with extensive use, occlusion, or in pediatric patients.
Target: Normal cortisol levels.
Action Threshold: Low cortisol levels may indicate HPA axis suppression, requiring gradual withdrawal or alternative therapy.
Symptom Monitoring
- Worsening of skin condition
- Signs of skin infection (e.g., pus, increased redness, warmth)
- Severe burning, stinging, or itching at application site
- Skin thinning, easy bruising, stretch marks (striae)
- Unusual hair growth
- Acne-like eruptions
- Signs of systemic absorption (e.g., weight gain, moon face, fatigue, weakness, mood changes - rare with appropriate topical use)
Special Patient Groups
Pregnancy
Category C. Use during pregnancy only if the potential benefit justifies the potential risk to the fetus. Avoid large areas, prolonged use, or occlusive dressings.
Trimester-Specific Risks:
Lactation
Use with caution. It is not known whether topical clobetasol is excreted in human milk. Systemic absorption is minimal, but caution is advised. Avoid applying to areas that may come into contact with the infant's mouth (e.g., breast).
Pediatric Use
Not recommended for children under 12 years of age due to a higher risk of systemic absorption and HPA axis suppression (Cushing's syndrome, growth retardation). If use is unavoidable, limit to the smallest amount for the shortest duration possible and monitor closely for adverse effects.
Geriatric Use
No specific dose adjustments are required. However, elderly patients may have thinner, more fragile skin, increasing the risk of local adverse effects such as skin atrophy, purpura, and telangiectasias. Monitor closely.
Clinical Information
Clinical Pearls
- Clobetasol propionate is one of the most potent topical corticosteroids available. Its use should be reserved for severe, recalcitrant dermatoses.
- Strictly adhere to the recommended treatment duration (typically 2 weeks) and maximum weekly dosage (50g) to minimize the risk of HPA axis suppression and local skin adverse effects.
- Avoid use on the face, groin, axillae, or under occlusive dressings unless specifically directed by a dermatologist, due to increased risk of skin atrophy, striae, and systemic absorption.
- Patients should be educated on proper application technique (thin layer, gentle rubbing) and the importance of not exceeding prescribed amounts or duration.
- Consider tapering the frequency of application or switching to a lower-potency corticosteroid for maintenance therapy or if prolonged treatment is necessary to prevent rebound flares.
Alternative Therapies
- Other topical corticosteroids of lower potency (e.g., fluocinonide, betamethasone, triamcinolone, hydrocortisone)
- Topical calcineurin inhibitors (e.g., tacrolimus, pimecrolimus) for steroid-sparing effect, especially on sensitive areas like the face.
- Vitamin D analogs (e.g., calcipotriene) for psoriasis.
- Topical retinoids (e.g., tazarotene) for psoriasis.
- Emollients and moisturizers for barrier repair and symptom relief.
- Systemic therapies (e.g., methotrexate, cyclosporine, biologics) for severe, widespread, or refractory dermatoses.