Generic
Fluocinolone 0.025% + Neomycin Sulphate 0.5% Topical
2 brands available in the market
At a glance
Fluocinolone 0.025% + Neomycin Sulphate 0.5% Topical is a combination medicine that effectively treats skin infections by reducing inflammation and killing bacteria.
Description
Fluocinolone 0.025% + Neomycin Sulphate 0.5% Topical is a combination of two medicines that effectively treats skin infections. It minimizes symptoms of inflammation such as redness, swelling, and itching. It also kills infection-causing microorganisms.
This combination contains two medicines: Fluocinolone acetonide and Neomycin which treat skin infections. Fluocinolone acetonide is a steroid which blocks the production of chemical messengers that make the skin red, swollen and itchy. Neomycin is an antibiotic that stops bacterial growth by preventing protein synthesis.
Indications
- Skin Infections: Used for inflammatory skin conditions such as eczema, dermatitis, or psoriasis that are infected or likely to become infected.
Therapeutic class
Fluocinolone & Combined Preparations, Topical Antifungal preparations
Pharmacological class
Corticosteroid + Aminoglycoside Antibiotic
Pharmacology
Fluocinolone acetonide is a corticosteroid primarily used in dermatology to reduce skin inflammation and relieve itching. It is a synthetic hydrocortisone derivative. Neomycin Sulfate is actively transported across the bacterial cell membrane, binds to the 30S ribosomal subunit of bacterial ribosomes, and interferes with an initiation complex between mRNA and the 30S subunit, inhibiting protein synthesis.
Mechanism of action
Fluocinolone reduces inflammation and itching; Neomycin inhibits bacterial protein synthesis to stop bacterial growth.
Dosage
Adult Dose (Topical):
- Apply a small quantity of cream lightly up to two or three times a day, and massage gently and thoroughly into the skin.
- These recommendations apply to both children and adults, including the elderly.
Administration
For external use only. Use in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the cream. Wash your hands after applying, unless hands are the affected area. Avoid contact with eyes, nose, or mouth.
Missed dose
If you miss a dose of this combination, apply it as soon as possible; however, if it is almost time for your next application, skip the missed dose.
Side effects
Common Side Effects:
- Burning at application site
- Irritation
- Itching
- Redness
- Thinning of skin (with prolonged use)
Precautions & warnings
Precautions:
- Appropriate anti-infective cover should be given in the presence of viral or fungal infection.
- Prolonged use should be avoided in conditions where absorption of neomycin is possible.
- Do not apply to the external auditory canal of patients with perforated eardrums.
- Long-term continuous topical steroid therapy can produce atrophic skin changes.
- Do not apply to the face for prolonged periods.
- Prolonged use or treatment of extensive areas can produce adrenal suppression, especially in infants and children.
Contraindications
Contraindications:
- Primary infections of the skin
- Rosacea, acne, perioral dermatitis
- Anogenital pruritis and napkin eruption
- Known hypersensitivity to neomycin
Drug interactions
Drug Interactions: No significant interactions known (minimal systemic absorption due to topical use).
Food interactions
Food Interactions: No interaction found/established.
Use in pregnancy
Use in Pregnancy: May be unsafe; animal studies have shown harmful effects; minimize amount and length of treatment if necessary.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Use in lactation
Use in Lactation: Probably safe; limited data suggests no significant risk to the baby.
Pediatric use
Pediatric Use: Same as adult dose; prolonged use may cause adrenal suppression, especially in infants and children.
Geriatric use
Geriatric Use: Same as adult dose.
Renal / hepatic impairment
Renal Impairment: No interaction found/established (minimal systemic absorption due to topical use).
Hepatic Impairment: No interaction found/established (minimal systemic absorption due to topical use).
Overdose effects
Overdose: Limited information on topical overdose; excessive use may cause skin irritation.
Storage conditions
Storage: Keep below 30 degree C, away from light and moisture. Keep out of reach of children.
Chemical structure
Fluocinolone 0.025% + Neomycin Sulphate 0.5% Topical