Names and pronunciation
(kloe-bay′ta-sol) Clobex, Clodan, Dermovate, Impoyz, Olux, Olux-E, Temovate, Temovate-E
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Drug reference
(kloe-bay′ta-sol) Clobex, Clodan, Dermovate, Impoyz, Olux, Olux-E, Temovate, Temovate-E
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Func. class.: Corticosteroid, topical
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ACTION: Crosses cell membrane to attach to receptors to decrease inflam- mation, itching
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USES: Inflammation/itching in corti- costeroid-responsive dermatoses on the skin/scalp
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CONTRAINDICATIONS: Hyper- sensitivity, use of some preparations on face, axilla, groin; monotherapy for pri- mary bacterial infections Precautions: Pregnancy, breastfeeding, children <12 yr
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SIDE EFFECTS GU: Glycosuria INTEG: Burning, folliculitis, pruritus, dermatitis, irritation, erythema, hypertri- chosis, acne MISC: Hyperglycemia, HPA axis suppression
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DOSAGE AND ROUTES • Adult: TOPICAL Apply to affected areas bid (shampoo: daily up to 4×/wk)
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Available forms: Gel, lotion, ointment, cream, shampoo, solution, spray, foam 0.05%
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Administer: Topical route C • Do not use with occlusive dressings • Treatment should be limited to 2 wk • Cream/ointment/lotion: using gloves, apply sparingly in a thin film and rub gently into the cleansed, slightly moist affected area • Gel: using gloves, apply sparingly in a thin film and rub gently into the cleansed, slightly moist affected area • Scalp foam: invert can and dispense foam onto a saucer or other cool surface; do not dispense directly onto hands; pick up small amounts of foam with fingers and gently massage into affected area until foam disappears; repeat until entire affected scalp area is treated • Shampoo: apply onto dry scalp in thin film, leave lather on scalp for 15 min, rinse off
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Assess: • Skin reactions: burning, pruritus, fol- liculitis, dermatitis • Beers: avoid in older adults with de- lirium or with high risk for delirium; may induce or worsen delirium
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Evaluate: • Therapeutic response: decrease in itching, inflammation on the skin, scalp
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CLINICAL CONSIDERATIONS
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Patient and caregiver information: Topical route • Not to use with occlusive dressings • That treatment should be limited to 2 wk • Cream/ointment/lotion: to apply spar- ingly in a thin film and rub gently into the cleansed affected area • Gel: to apply sparingly in a thin film and rub gently into the cleansed, slightly moist affected area • Scalp foam: to invert can and dis- pense a small amount of foam onto a saucer or other cool surface; not to dis- pense onto hands; to pick up small amounts and gently massage into affected area until foam disappears; repeat until affected scalp area is treated
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• Adult: TOPICAL Apply to affected areas bid (shampoo: daily up to 4×/wk)
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