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Fluocinonide
Fluocinonide is a potent corticosteroid that helps to reduce inflammation, itching, and redness caused by certain skin conditions. It?s typically used for skin problems like eczema, psoriasis, and allergies. Although effective, it has potential side effects like dryness, irritation, and a burning sensation at the application site. As always, your healthcare provider will examine these aspects before recommending it.
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Frequently Asked Questions
Can Fluocinonide be used to treat an athlete's foot?
No. An athlete's foot is a fungal infection, and fluocinonide, a corticosteroid, may worsen the condition. Antifungal medication is needed for athletes' feet.
Can I use Fluocinonide for acne?
Not typically. Corticosteroids like fluocinonide can sometimes exacerbate acne. Please consult your doctor for appropriate acne treatment.
Does Fluocinonide aid in hair growth?
It has been used offlabel to treat certain hair loss conditions, but it?s not FDAapproved for that use. Talk to your healthcare provider about treatment options for hair loss.
Is Fluocinonide safe for use in children?
Yes, but it should be used with caution. It should not be used on children under two years old, and for children under twelve, the treated area should not be bandaged or covered unless directed by a doctor. Pediatric patients may absorb proportionally larger amounts of the drug and thus are at higher risk of systemic toxicity.
What should I do if I experience severe itching and burning after applying Fluocinonide?
Discontinue use and consult with your healthcare provider. They may recommend an alternative treatment or make adjustments to your dosage or frequency of use.
Comprehensive Drug Guide
How Does Fluocinonide Work?
Fluocinonide is a synthetic corticosteroid that relieves symptoms of various skin disorders by reducing inflammation, relieving itching, and dealing effectively with allergic reactions.
What is Fluocinonide Used For?
FDA indications: Fluocinonide is used to treat a variety of skin conditions (like eczema, dermatitis, allergies, and rash). It reduces itching, redness, and swelling that these conditions might cause.
Offlabel uses: The cream has also been used for offlabel treatment of chronic idiopathic urticaria, lichen sclerosus, and vitiligo.
Common Dosages
Topical cream: 0.05%
Topical solution: 0.05%
Topical ointment: 0.05%
Typical Dosing
FDA Approved Indications
- For FDAapproved indications:
- Eczema and dermatitis: Apply a thin layer of cream/solution/ointment to the affected area 2 to 4 times per day
- Allergies and rash: Application frequency depends on the severity of the symptoms and will be determined by the healthcare provider.
Off-Label Uses
- For offlabel uses:
- Chronic idiopathic urticaria, lichen sclerosus, and Vitiligo: The dosing for these conditions is individualized and determined by the healthcare provider based on the disease severity and the patient's response to the treatment.
Who Shouldn't Take Fluocinonide?
- Those allergic to fluocinonide or any of its components.
- Individuals with a viral skin infection, such as herpes, chickenpox, or shingles.
- Anyone with skin tuberculosis or syphilis.
- Those with fungal or bacterial skin infections, unless used with an appropriate antiinfective therapy.
- Pregnant women and breastfeeding mothers should use it only when needed.
- Individuals with rosacea or perioral dermatitis.
Advice From The Pharmacist
- It is a potent medication, so use it sparingly. A thin layer over the affected area is usually sufficient.
- Do not use it more often than prescribed. Unnecessary or excessive use can lead to side effects.
- It's not advisable to use fluocinonide on the face, underarms, or groin unless directed by your healthcare provider.
- Do not bandage, cover, or wrap the treated area unless advised by your doctor as this might increase the absorption of the drug.
- Inform your doctor if your condition worsens or if no improvement is seen after 2 weeks of treatment.
- Avoid any contact with the eyes. If the medication gets in your eyes accidentally, rinse thoroughly with water.
- Do not use it on children under the age of 2 or for more than 2 weeks, unless specifically told to do so by the doctor.
- Avoid other corticosteroids while using this medication. This medicine might react and cause undesirable side effects.
Side Effects of Fluocinonide
Common Side Effects
- You might experience a burning or stinging sensation right after applying the cream.
- Prolonged usage might lead to thinning, softening, or discoloration of the skin.
Uncommon/Severe Side Effects
- Rare side effects:
- Some may experience skin infection or folliculitis (inflammation of hair follicles).
- Severe effects:
- Symptoms like weight loss, tiredness, headache, swelling ankles/feet, increased thirst/urination, and vision problems might occur due to the absorption of this drug into the bloodstream.
Risks and Warnings of Fluocinonide
- Remember, despite its benefits, Fluocinonide is not suitable for everyone. It could lead to unwanted effects in some circumstances and should not be used if you have an active skin infection such as herpes, tuberculosis, or syphilis.
- If you have skin conditions like rosacea or perioral dermatitis, consult your doctor before using it.
- Pregnant or breastfeeding women should only use this medication when necessary, as it's unknown whether the medicine could harm the baby.
- If you have an allergic reaction to any corticosteroid, inform your doctor. Likewise, if you notice any adverse effects or skin problems, stop using the cream and consult your healthcare provider immediately.
Interactions with Fluocinonide
Common Drug Interactions
- Data not available. Generally, topical medications are less likely to interact with other drugs. However, using more than one corticosteroid can increase the risk of side effects.
Alternatives to Fluocinonide
- Clobetasol
- Hydrocortisone
- Triamcinolone
- Betamethasone
- Desoximetasone