Indications & Uses
Tcort is indicated for:
Dosage Reference
Reference Information Only
Dosages shown are general references from official sources. Always consult your doctor or pharmacist for personalized dosing.
Adults:
Cream: Apply a thin layer of Fluticasone Propionate cream to the affected area of skin once a day. Ointment: Apply a thin layer of Fluticasone Propionate ointment to the affected area of skin twice a day.
Side Effects
The Fluvate preparations are generally well tolerated, though local burning and itching have been reported. If any sign of hypersensitivity appears, treatment should be stopped straight away. With prolonged, intensive use of potent corticosteroid preparations, local atrophic changes in the skin can develop, such as thinning, stretch marks, widening of the small surface blood vessels, excess hair growth and loss of skin pigment. Secondary infection has also been reported with corticosteroid use, particularly where occlusive dressings are used or skin folds are involved, along with allergic contact dermatitis. Corticosteroid use has likewise been linked to worsening of the underlying skin condition being treated. Prolonged use of large amounts of corticosteroid, or treatment over extensive areas, can lead to enough absorption into the body to produce features of hypercorticism. This is more likely in infants and children, and where occlusive dressings are used; in infants, a napkin (nappy) can itself act as an occlusive dressing.
Cautions & Contraindications
Warnings & Precautions
Fluvate is absorbed into the bloodstream only to a very limited extent. Even so, using high doses over large areas of skin for a long time can suppress adrenal gland function, particularly in infants and young children. Because children may absorb proportionally more of a topical corticosteroid than adults, they can be more prone to these body-wide effects. The face tends to be more susceptible than other areas to thinning of the skin after prolonged use of potent topical corticosteroids, which is worth keeping in mind when treating severe eczema. If the skin lesions being treated become infected, a suitable antimicrobial medicine should be added to the treatment. If the infection spreads, the corticosteroid should be stopped and an antimicrobial given by mouth or injection. Occlusive dressings create warm, moist conditions that can encourage bacterial growth, so the skin should be cleaned each time before a fresh dressing is applied.
Contraindications
Fluticasone propionate should not be used by anyone with rosacea, acne vulgaris, perioral dermatitis, or a known hypersensitivity to any of its ingredients. It is also unsuitable for primary viral skin infections such as herpes simplex or chickenpox, and it should be avoided for pruritus affecting the perianal or genital area, among other conditions. More broadly, this medicine is not meant for treating skin lesions that are primarily infected with fungi or bacteria. It should likewise not be given to children under one year of age for skin conditions, including dermatitis and napkin (diaper) rash.