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

Uses

What is Fluocinonide used for?

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

How should I take Fluocinonide?

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 applying the medication, clean and dry the affected area. Apply a thin film of the medication to the affected area and gently rub in, usually 2-4 times daily or as directed by your doctor. Do not cover, bandage, 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 as this may worsen or cause glaucoma. Also, avoid getting this medication in the eyes, 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 Fluocinonide?

Fluocinonide is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Fluocinonide in the bathroom or the freezer. There may be different brands of Fluocinonide 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 Fluocinonide 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 Fluocinonide?

Before using fluocinonide, 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, immune system problems.

Do not use if there is an infection or sore present 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.

Is it safe during pregnancy or breast-feeding?

There are no adequate studies in women for determining risk when using this Fluocinonide during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Fluocinonide. Fluocinonide 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 Fluocinonide?

Burning, itching, irritation, or dryness may occur when this medication is first applied to the skin. This 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.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor promptly if any of these unlikely but seriousstretch marks, skin thinning/discoloration, acne, extreme/unwanted hair growth, “hair bumps” (folliculitis).

Skin infections can become worse when this medication is used. Notify your doctor if redness, swelling, or irritation does not improve.

Rarely, it is possible this medication will be absorbed from the skin into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children, and in people who use this medication for a long time or over large areas of the skin. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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 Fluocinonide?

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

Fluocinonide 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 Fluocinonide?

Fluocinonide 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 Fluocinonide?

Fluocinonide 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 Fluocinonide.

What is the dose of Fluocinonide for an adult?

Usual Adult Dose for Dermatitis

0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day

0.1% cream: Apply a thin layer to affected area once or twice a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Uses: Relief of the inflammatory and pruritic manifestations of corticosteroid responsive dermatoses

Usual Adult Dose for Eczema

0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day

0.1% cream: Apply a thin layer to affected area once or twice a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Uses: Relief of the inflammatory and pruritic manifestations of corticosteroid responsive dermatoses

Usual Adult Dose for Atopic Dermatitis

0.1% cream: Apply a thin layer to affected area once a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Use: Relief of the inflammatory and pruritic manifestations of atopic dermatitis

Usual Adult Dose for Psoriasis

0.1% cream: Apply a thin layer to affected area once or twice a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Use: Relief of the inflammatory and pruritic manifestations of psoriasis

Other Comments

Administration advice:

-This drug should not be used on the face, groin, or axillae.

-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 should be avoided.

General:

-This drug should not be used in the treatment of rosacea or perioral dermatitis.

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.

What is the dose of Fluocinonide for a child?

Usual Pediatric Dose for Dermatitis

12 years or older:

0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day

0.1% cream: Apply a thin layer to affected area once or twice a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Uses: Relief of the inflammatory and pruritic manifestations of corticosteroid responsive dermatoses

Usual Pediatric Dose for Eczema

12 years or older:

0.05% cream, gel, ointment: Apply a thin layer to affected area two to four times a day

0.1% cream: Apply a thin layer to affected area once or twice a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Uses: Relief of the inflammatory and pruritic manifestations of corticosteroid responsive dermatoses

Usual Pediatric Dose for Psoriasis

12 years or older:

0.1% cream: Apply a thin layer to affected area once or twice a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Use: Relief of the inflammatory and pruritic manifestations of psoriasis

Usual Pediatric Dose for Atopic Dermatitis

12 years or older:

0.1% cream: Apply a thin layer to affected area once a day

Comments:

-Occlusive dressings may be used; however, if an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.

-Treatment should be limited to 2 consecutive weeks and no more than 60 g per week should be used.

Use: Relief of the inflammatory and pruritic manifestations of atopic dermatitis

Precautions

Safety and efficacy have not been established in patients younger than 12 years.

How is Fluocinonide available?

Fluocinonide is available in the following dosage forms and strengths:

  • Topical gel
  • Topical cream
  • Topical ointment
  • Topical solution
  • 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 Fluocinonide, 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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