Generic
Desoximetasone
1 brands available in the market
At a glance
Desoximetasone is a topical corticosteroid used for the treatment of inflammatory and allergic skin conditions such as eczema and atopic dermatitis.
Description
Desoximetasone is a topical corticosteroid that induces phospholipase A2 inhibitory proteins (lipocortins) and sequentially inhibits the release of arachidonic acid hence depresses the formation, release, and activity of endogenous chemical mediators such as kinins, histamine, liposomal enzymes, and prostaglandins. It provides relief from swelling, redness, and itching in the affected area.
Indications
- Corticosteroid-responsive dermatoses
- Eczema
- Atopic dermatitis
Therapeutic class
Other Topical corticosteroids
Pharmacological class
Topical Corticosteroid
Pharmacology
The precise mechanism of the antiinflammatory activity of topical steroids is uncertain. However, corticosteroids are thought to act by the induction of phospholipase A2 inhibitory proteins, collectively called lipocortins. These proteins control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor arachidonic acid.
Mechanism of action
Desoximetasone induces phospholipase A2 inhibitory proteins, reducing arachidonic acid release and decreasing production of inflammatory mediators such as prostaglandins and leukotrienes, thereby reducing skin inflammation and itching.
Dosage
Adults & Children: Apply a thin film of 0.05-0.25% cream/gel/lotion/ointment to affected areas twice daily. Rub in gently.
Administration
For external use only. Clean and dry the affected area and apply a thin layer of cream. Avoid contact with eyes. Wash hands after application.
Missed dose
If you miss a dose, apply it as soon as possible. However, if it is almost time for your next application, skip the missed dose.
Side effects
Common: Burning, itching, irritation, dryness at application site.
Rare (with occlusive dressings): Folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, skin maceration, skin atrophy, striae, miliaria.
Precautions & warnings
For external use only; avoid eye contact; do not use occlusive dressings (unless directed by doctor); discontinue if infection develops; consult doctor if no improvement within 2 weeks; do not stop abruptly.
Contraindications
Hypersensitivity.
Drug interactions
Aldesleukin: May diminish antineoplastic effect.
Ceritinib: May potentiate hyperglycaemic effect.
Corticorelin, hyaluronidase: May diminish therapeutic effect.
Deferasirox: May enhance adverse/toxic effects.
Food interactions
Can be used with or without food.
Use in pregnancy
Pregnancy Category C. Desoximetasone may be unsafe during pregnancy. Animal studies have shown harmful effects on the developing baby. Use only if clearly needed.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Use in lactation
Desoximetasone is probably safe during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Pediatric use
Pediatric patients may use the same dosage as adults.
Geriatric use
No specific dosage adjustment is necessary for elderly patients.
Renal / hepatic impairment
No special precautions are necessary for patients with kidney or liver problems.
Overdose effects
Topically applied Desoximetasone can be absorbed in sufficient amounts to produce systemic effects.
Storage conditions
Do not store above 30°C. Keep away from light and out of reach of children.
Chemical structure
Desoximetasone