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Capex

Capex (fluocinolone acetonide) is a topical corticosteroid used to treat seborrheic dermatitis of the scalp. It reduces inflammation, itching, and redness by suppressing immune responses in the skin. Capex is typically used when over-the-counter treatments are not effective in controlling symptoms.



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Frequently Asked Questions

How long does it take for Capex to work?
Open FAQClose FAQ

Most patients see improvement in symptoms within 1 to 2 weeks of starting treatment with Capex.

Can Capex be used on the face?
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No, Capex is intended for scalp use only. Using it on the face or other sensitive areas can increase the risk of skin thinning and irritation.

Can I use Capex with other dandruff shampoos?
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It’s best to use Capex as directed by your healthcare provider. Using other shampoos concurrently may reduce its effectiveness or increase irritation.

What should I do if I miss a dose of Capex?
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If you miss a dose, apply it as soon as you remember. If it’s close to your next scheduled dose, skip the missed dose and continue with your regular schedule.

Can Capex be used long-term?
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Capex is typically used short-term to control flare-ups of seborrheic dermatitis. Long-term use should be monitored by a healthcare provider due to the risk of skin thinning.

Comprehensive Drug Guide

How Does Capex Work?

Capex works by inhibiting the inflammatory response, which reduces redness, swelling, and itching associated with seborrheic dermatitis. It decreases the activity of inflammatory cells and mediators that contribute to skin irritation.



Common Dosages

  • Topical shampoo: 0.01% fluocinolone acetonide

Typical Dosing

  • For seborrheic dermatitis: Apply Capex shampoo to the scalp once daily. Massage into the scalp, leave on for 5 minutes, then rinse thoroughly.


Typical Dosing

FDA Approved Indications

  • Seborrheic dermatitis of the scalp


Who Shouldn't Take Capex?

  • Known hypersensitivity to fluocinolone acetonide or any component of the formulation.
  • Untreated bacterial, viral, or fungal infections of the scalp.


Advice From The Pharmacist

  • Use Capex exactly as prescribed. Avoid contact with the eyes, mouth, or other mucous membranes.
  • If you experience severe irritation, redness, or worsening of symptoms, contact your healthcare provider.
  • Do not use Capex for longer than prescribed, as long-term use of topical corticosteroids can lead to skin thinning.


Side Effects of Capex

Common Side Effects

  • Mild scalp irritation
  • Dryness
  • Temporary stinging or burning


Uncommon/Severe Side Effects

  • Skin thinning
  • Adrenal suppression with prolonged use
  • Allergic reactions


Risks and Warnings of Capex

  • Skin Thinning: Long-term use of Capex can cause skin thinning and other skin changes, especially on sensitive areas like the face.
  • Adrenal Suppression: Prolonged use of high-potency corticosteroids can lead to adrenal suppression, where the body reduces its natural production of cortisol.


Interactions with Capex

Common Drug Interactions

  • Other Topical Medications: Using multiple topical treatments on the same area can increase the risk of irritation.
  • Systemic Corticosteroids: Concurrent use of oral or injected corticosteroids may increase the risk of systemic side effects.


Alternatives to Capex

  • Selsun Blue (selenium sulfide): An over-the-counter shampoo used for treating dandruff and seborrheic dermatitis.
  • Nizoral (ketoconazole): An antifungal shampoo used to treat seborrheic dermatitis and scalp fungal infections.
  • T-Gel (coal tar shampoo): An over-the-counter treatment for scalp conditions like psoriasis and seborrheic dermatitis.