Flurandrenolide
Mechanism :
Topical corticosteroids have anti-inflammatory, antipruritic, and vasoconstrictive properties. May depress the formation, release, and activity of endogenous chemical mediators of inflammation (kinins, histamine, liposomal enzymes, prostaglandins) through the induction of phospholipase A2 inhibitory proteins (lipocortins) and sequential inhibition of the release of arachidonic acid.
Flurandrenolide has intermediate range potency.
Indication :
- Corticosteroid-responsive dermatoses
Contraindications :
Hypersensitivity to flurandrenolide or any component of the formulation; lesions exuding serum or in intertriginous areas.
Dosing :
Available as 0.05% lotion, cream, ointment
Apply thin film to affected area 2 to 3 times per day.
Adverse Effect :
Burning sensation, Acne vulgaris, acneiform eruptions, allergic contact dermatitis, atrophic striae, folliculitis, hypopigmentation, hypertrichosis, maceration of the skin, miliaria, perioral dermatitis, pruritus, skin atrophy, xeroderma, Local irritation, Secondary infection.
Interaction :
Aldesleukin: Corticosteroids may diminish the antineoplastic effect of Aldesleukin.
Ceritinib: Corticosteroids may enhance the hyperglycemic effect of Ceritinib.
Corticorelin: Corticosteroids may diminish the therapeutic effect of Corticorelin. Specifically, the plasma ACTH response to corticorelin may be blunted by recent or current corticosteroid therapy.
Deferasirox: Corticosteroids may enhance the adverse/toxic effect of Deferasirox. Specifically, the risk for GI ulceration/irritation or GI bleeding may be increased.
Hyaluronidase: Corticosteroids may diminish the therapeutic effect of Hyaluronidase. Management: Patients receiving corticosteroids (particularly at larger doses) may not experience the desired clinical response to standard doses of hyaluronidase. Larger doses of hyaluronidase may be required.
Ritodrine: Corticosteroids may enhance the adverse/toxic effect of Ritodrine.
Hepatic Dose :
No dosage adjustment is recommended.