Generic Name: Fluocinolone Brand Name(s): Fluocinolone.

Uses

What is Fluocinolone used for?

Fluocinolone is commonly used to treat a variety of skin conditions (e.g., eczema, dermatitis, allergies, rash). Fluocinolone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium-strength corticosteroid.

How should I take Fluocinolone?

Use this medication on the skin only. However, do not use it on the face, groin, or underarms unless directed to do so by your doctor.

Wash and dry your hands before using. Clean and dry the affected area. Apply a thin film of medication to the affected area and gently rub in, usually 3-4 times daily or as directed by your doctor. Do not bandage, cover, or wrap the area unless directed to do so by your doctor. If used in the diaper area on an infant, do not use tight-fitting diapers or plastic pants.

After applying the medication, wash your hands unless you are using this medication to treat the hands. When applying this medication near the eyes, avoid getting it in the eyes because this may worsen or cause glaucoma. Also, avoid getting this medication in the nose or mouth. If you get the medication in these areas, rinse with plenty of water.

Use this medication only for the condition for which it was prescribed. Do not use it for longer than prescribed.

Inform your doctor if your condition persists or worsens after 2 weeks.

How do I store Fluocinolone?

Fluocinolone is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Fluocinolone in the bathroom or the freezer. There may be different brands of Fluocinolone that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Fluocinolone down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Fluocinolone?

Before using fluocinolone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (e.g., hydrocortisone, prednisone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: poor blood circulation, diabetes, immune system problems.

Do not use if there is an infection or sore in the area to be treated.

Rarely, using corticosteroid medications for a long time or over large areas of skin can make it more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.

Though it is unlikely, this medication may slow down a child’s growth if used for a long time. The effect on final adult height is unknown. See the doctor regularly so your child’s height can be checked.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk when applied to the skin. Similar medications pass into breast milk when taken by mouth. Consult your doctor before breast-feeding.

Is it safe during pregnancy or breast-feeding?

There are no adequate studies in women for determining risk when using this Fluocinolone during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Fluocinolone. Fluocinolone is pregnancy risk category C according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk,
  • B=No risk in some studies,
  • C=There may be some risk,
  • D=Positive evidence of risk,
  • X=Contraindicated,
  • N=Unknown

Side effects

What side effects can occur from Fluocinolone?

Stinging, burning, itching, irritation, dryness, or redness at the application site may occur when this medication is first applied to the skin. These effects should disappear in a few days as your body adjusts to the medication. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Fluocinolone?

Before using this medication, tell your doctor or pharmacist of all prescription or nonprescription/herbal products you may use, especially of: corticosteroids taken by mouth (e.g., prednisone), other corticosteroids applied to the skin (e.g., hydrocortisone), drugs that lower the immune system (e.g., cyclosporine).

Fluocinolone may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Fluocinolone?

Fluocinolone may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Fluocinolone?

Fluocinolone may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this Fluocinolone.

What is the dose of Fluocinolone for an adult?

Usual Adult Dose for Seborrheic Dermatitis

No more than one ounce of the shampoo should be applied to the scalp area once a day, worked into a lather and allowed to remain on the scalp for approximately 5 minutes

Comments:

-Hair and scalp should be rinsed thoroughly with water.

Use: Treatment of seborrheic dermatitis of the scalp

Usual Adult Dose for Psoriasis

Apply a thin film on the scalp, massage well and cover scalp with the supplied shower cap.

Comments:

-Wet or dampen hair and scalp thoroughly

-Leave the oil on overnight or for a minimum of 4 hours before washing it off

-Wash hair with regular shampoo and rinse thoroughly

Use: Treatment of psoriasis of the scalp

Usual Adult Dose for Dermatitis

Apply a thin film to the affected area two to four times a day

Comments:

-Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.

-If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses

Usual Adult Dose for Eczema

Apply a thin film to the affected area two to four times a day

Comments:

-Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.

-If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses

Usual Adult Dose for Atopic Dermatitis

Topical (body) oil: Apply a thin film to the affected areas three times a day

Comments:

-Use should be discontinued when control of disease is achieved.

-If no improvement is seen within 2 weeks, a healthcare provider should be contacted.

Use: Treatment of atopic dermatitis

Other Comments

Administration advice:

-This drug should not be used on the face, groin, or axillae, unless directed by a healthcare professional.

-The treated area should not be bandaged, covered, or wrapped, as to be occlusive, unless directed by a healthcare provider.

-Parents of pediatric patients should be advised not to use tight-fitting diapers or plastic pants on a child being treated in the diaper area.

Storage requirements:

-Excessive heat and freezing should be avoided.

Monitoring:

-Endocrine: HPA-axis suppression (Urinary free-cortisol test, ACTH-stimulation test)

Patient advice:

-Patients should report any signs of local adverse reactions, especially those that develop under occlusive dressings.

-This medication is to be used as directed by the physician. It is for external use only. Contact with the eyes should be avoided.

-Patients should be advised not to use this medication for any condition other than for which it was prescribed.

What is the dose of Fluocinolone for a child?

Usual Pediatric Dose for Atopic Dermatitis

3 months and older:

Topical (scalp and body) oil: Apply to affected area twice a day for up to 4 weeks

Comments:

-The oil should not be applied to the diaper area.

-Intertriginous areas should be avoided.

-Safety and effectiveness in pediatric patients younger than 3 months of age have not been established.

Use: Treatment of moderate to severe atopic dermatitis

Usual Pediatric Dose for Seborrheic Dermatitis

No more than one ounce of the shampoo should be applied to the scalp area once a day, worked into a lather and allowed to remain on the scalp for approximately 5 minutes

Comments:

-Safety and effectiveness in children and infants have not been established.

-Hair and scalp should be rinsed thoroughly with water.

Use: Treatment of seborrheic dermatitis of the scalp

Usual Pediatric Dose for Dermatitis

Apply a thin film to the affected area two to four times a day

Comments:

-Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing’s syndrome than mature patients because of a larger skin surface area to body weight ratio.

-Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.

-If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses

Usual Pediatric Dose for Eczema

Apply a thin film to the affected area two to four times a day

Comments:

-Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing’s syndrome than mature patients because of a larger skin surface area to body weight ratio.

-Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions.

-If an infection occurs, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses

Precautions

Safety and efficacy in pediatric patients younger than 3 months of age have not been established.

How is Fluocinolone available?

Fluocinolone is available in the following dosage forms and strengths:

  • Topical solution
  • Topical cream
  • Topical ointment
  • Topical shampoo
  • Topical lotion
  • Topical oil
  • Topical kit
  • Compounding powder

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Fluocinolone, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: February 1, 2018 | Last Modified: February 1, 2018

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