Alclometasone cream (Aclovate)

Alclometasone cream is a low to medium-potency topical steroid used in the treatment of steroid-responsive skin disorders.

It possesses anti-inflammatory, antipruritic, and vasoconstrictive properties.

Aclovate (Alclometasone dipropionate) Uses:

  • A topical steroid called alclometasone is used to treat many skin disorders including eczema, psoriasis, and others by reducing swelling, itching, dryness, and pain.
  • It is also used to treat drug-induced skin reactions. However, it should not be used to treat acne and yeast infections.
  • Steroids can worsen acne and infections, especially yeast infections.
  • The application of alclometasone dipropionate, like other topical steroids, should be avoided over the face, genitals, armpits, and breasts.

Alclometasone dipropionate for adult Steroid-responsive dermatoses:

Topical: 1-2 times per day, apply a thin coating to the afflicted region.

Reassessment of the diagnosis may be required if the improvement is not apparent within 2 weeks after control is attained; therapy should be stopped at that point.

Use in children:

Children 1 year of age or older:

  • 2-3 times each day, apply a thin coating to the afflicted region.

Note:

  • If control is attained, stop the therapy. Consider a different diagnosis when reevaluating if progress is not evident.
  • Do not use it for more than three weeks in children. Apply occlusive dressings for refractory and deep-seated skin disorders.

Pregnancy Risk Factor C 

  • Large portions of the body, lengthy periods of time, or excessive dosages of topical medications should not be used.
  • Breastfeeding mothers should be cautious

Renal Dose:

  • No dose adjustment is required.

Dose in Liver disease:

  • No dose adjustment is required.

Alclometasone cream side effects:

Endocrine & metabolic:

  • Cushing's syndrome
  • Diabetes
  • HPA axis suppression
  • osteoporosis
  • growth retardation4
  • hypertension

Dermatologic:

  • Acne
  • hypopigmentation
  • striae
  • miliaria
  • perioral dermatitis
  • skin atrophy
  • facial hair

Local side effects:

  • burning
  • erythema
  • itching
  • Dryness
  • irritation
  • papular rash
  • folliculitis

Miscellaneous:

  • Prolonged use may cause immunosuppression and Secondary infections can occur.

Contraindications to Alclometasone cream

  • Hypersensitivity to any ingredient in the formulation, including alclometasone
  • Apply over the face Apply to infected areas, such as yeast infections. 

Monitor:

  • Long-term steroid use can suppress the hypothalamic-pituitary axis.
  • Cortisol and ACTH stimulation test may be done if it is suspected. 

How to apply alclometasone cream?

  • Exclusively for external usage. To clean, dry skin, apply a thin coating, and then gently massage it in.
  • Keep your distance from the breasts, groyne, underarms, face, and eyes. If there are any open or weeping lesions present, they should not be utilised.
  • Before and after using, wash your hands thoroughly.

Mechanism of Action of alclometasone dipropionate: 

  • suppresses the synthesis of the enzymes required to minimise inflammation, stop mitotic activity, and produceSvasoconstriction.

Absorption

  • Topical: Approximately 3% of topical medications are absorbed into the body after 8 hours.

International brands of alclometasone dipropionate:

  • Acloderm
  • Aclosone
  • Aclovate
  • Almeta
  • Cloderm
  • Delonal
  • Demiderm
  • Legederm
  • Logoderm
  • Lomesone
  • Miloderme
  • Modraderm
  • Modrasone
  • Perderm

Brands in Pakistan:

No brands available in Pakistan.

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