Using topical corticosteroids safely and effectively - This Changed My Practice.Elocon cream and ointment (mometasone %)
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Mometasone cream vs ointment. Mometasone Topical
Elocon cream and ointment are prescribed to relieve skin inflammation and itching associated with severe forms of inflammatory skin conditions such as:. Elocon cream and ointment both contain the active ingredient mometasone furoate 0. Mometasone ointment is also available without a brand name, ie as the generic medicine. Mometasone is a potent steroid used to reduce inflammation in the skin. Skin inflammation happens when an allergic reaction or irritation of the skin causes various substances to be released in the skin that make blood vessels widen and result in the irritated area becoming red, swollen, itchy and painful.
Mometasone acts inside the skin cells to stop the release of these inflammatory substances. This reduces the swelling, redness and itching and so helps prevent scratching that can further irritate the skin. Elocon ointment is more greasy than the cream. It is more suitable for very dry, scaly areas of skin, whereas moist or weepy skin is best treated with the cream. Medicines and their possible side effects can affect individual people in different ways.
Potent topical corticosteroids like Elocon have more potential to cause side effects than milder steroids. However, when applied sparingly, no more more than once a day, as directed by your doctor, side effects are still rare. Side effects are more likely if you use Elocon on extensive areas of skin, broken or raw skin, delicate areas of skin like the face, areas of skin that rub together like armpits or skin folds, or if you use it underneath airtight dressings or for long periods of time.
The following side effects are known to be associated with topical corticosteroids. Just because a side effect is stated here doesn't mean that all people using Elocon will experience that or any side effect.
Read the leaflet that comes with the medicine, or talk to your pharmacist or doctor if you want any more information about the possible side effects of Elocon. If you think you have experienced a side effect, did you know you can report this using the yellow card website? Make sure your doctor or pharmacist know if you're already using any other medicines, particularly if you're already using any other corticosteroid medicines including those bought without a prescription like nasal sprays for hay fever before you start using Elocon.
If you need to use other topical medicines on the same area of skin it's recommended that you leave several minutes between applying each product. This is to allow each product time to be absorbed and avoid them mixing on the skin.
If you also use a moisturiser it's best to apply it about 30 minutes before applying Elocon. This will help soften the skin and improve the absorption of the corticosteroid.
If you apply a moisturiser just before or after applying Elocon this can dilute the corticosteroid and potentially make it less effective. Mometasone cream and ointment are also available without a brand name, ie as the generic medicine. As mometasone reduces inflammation it is also found in various other medicines that are used to treat inflammatory conditions in other parts of the body.
These include Asmanex twisthaler for asthma and Nasonex nasal spray for hay fever. Type keyword s to search. What is Elocon used for? Elocon cream and ointment are prescribed to relieve skin inflammation and itching associated with severe forms of inflammatory skin conditions such as: Atopic eczema or dermatitis.
How does Elocon work? How do I use Elocon? Never use Elocon as a moisturiser. Elocon cream or ointment should be applied thinly and evenly to the affected area s of skin once a day. Click here to see how much to use. Don't apply Elocon to broken or infected areas of skin, unless the infection is also being treated.
Don't apply it to the face unless instructed to by your specialist. Don't apply it around your eyes or eyelids. Take care to avoid getting the cream or ointment in your eyes, mouth or nose. Rinse with cold water if accidental contact occurs. Wash your hands thoroughly after applying Elocon, unless the hands are the area being treated.
Don't cover the area being treated with airtight dressings such as bandages or other dressings unless directed by a doctor, as these increase the absorption of the medicine into the body and so increase the risk of side effects.
If your doctor has advised you to use dressings with Elocon, you should cleanse the skin before applying the cream or ointment under a fresh dressing. Be aware that nappies and waterproof pants can act as an airtight dressing and can increase the absorption of the medicine. You should continue using Elocon for as long as your doctor has prescribed. However, if you're using it on a child, it should preferably not be used for more than one to two weeks at a time.
Always follow the instructions given by your doctor. If your skin condition has not improved after two weeks of treatment you should consult your doctor. Don't use Elocon more often or for longer than advised by your doctor. If you think the area of skin you are treating has become infected you should stop using Elocon and consult your doctor. Who shouldn't use Elocon cream or ointment? Elocon cream and ointment are not licensed for children under two years of age.
Don't apply Elocon to broken or ulcerated skin or open wounds, or areas of skin affected by any of the following conditions: Viral skin infections, such as chickenpox , shingles , cold sores , herpes simplex , warts or verrucas. Bacterial skin infections, such as impetigo. Fungal skin infections, such as thrush , ringworm , athlete's foot. Acne rosacea. Inflammatory rash around the mouth perioral dermatitis. Itchy skin where there is no inflammation.
Widespread plaque psoriasis. Genital itching. Nappy rash. Don't use Elocon if you're allergic to any of its ingredients. Check the ingredients listed in the leaflet that comes with the medicine if you know you have specific allergies.
Never use Elocon cream or ointment as a moisturiser. Can I use Elocon while pregnant or breastfeeding? Not unless you've discussed this with your doctor. Studies in animals have shown that corticosteroids applied to the skin of pregnant animals can cause abnormalities in the development of the foetus, such as cleft palate or slowed growth of the baby in the womb.
Studies in animals do not necessarily relate to effects in humans, but there may be a small risk of such effects if enough steroid is absorbed through the skin into the bloodstream of pregnant women. Similarly, if enough steroid is absorbed through the skin of breastfeeding women it could potentially pass into breast milk.
If your doctor says you can use Elocon while pregnant or breastfeeding you should not use it on large areas of skin, underneath airtight dressings, or for prolonged periods of time. This will minimise any absorption of the steroid. If you need to apply Elocon to your breasts don't do this shortly before giving a feed. Ask your doctor or pharmacist for further information.
What are the possible side effects of Elocon? Skin irritation, eg redness, rash, itching or burning on application, or allergic inflammation of the skin contact dermatitis.
Stop using Elocon and consult your doctor if you think you have experienced a reaction or your skin condition appears to be getting worse. Spread or worsening of untreated skin infections. Thinning of the skin. Reduced skin pigmentation. Stretch marks striae.
Groupings of fine blood vessels becoming prominent under the skin telangiectasia. Excessive hair growth hypertrichosis. On rare occasions enough corticosteroid may be absorbed to have side effects on other parts of the body, for example a decrease in the production of natural hormones by the adrenal glands or Cushing's syndrome. You can read more about the possible side effects of topical corticosteroids here. If you experience any changes in your vision while using Elocon, such as blurred vision, you should tell your doctor.
Can I use Elocon with other medicines? What other medicines contain mometasone? Elocon scalp lotion. Last updated Advertisement - Continue Reading Below. More From Skin and Hair.
❿Mometasone cream vs ointment.
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Richard Cohen Dr. Richard Kendall Dr. Roberto Leon Dr. Roey Malleson Dr. This reduces the chance of your symptoms coming back. Using mometasone for a long time without stopping can mean some of the medicine gets into your bloodstream. If you have been using mometasone for a long time, your doctor may tell you to gradually reduce the amount you use, or use a milder steroid, before stopping completely. The skin on your face is delicate.
If a doctor has said you can use it on your face, do not use it for more than 5 days. Steroids like mometasone reduce swelling inflammation in your skin to help manage your symptoms.
They do not cure eczema. If you feel your symptoms are getting worse after using mometasone, it's important to tell a doctor. When you stop using mometasone, skin conditions like eczema and psoriasis can flare up again. You can avoid this by gradually reducing the amount you put on, and how often you use it. Your doctor can tell you how to do this. But tell the doctor or nurse that you're using mometasone skin treatments so they can give the vaccine in an untreated area of your skin.
If you're using steroid medicines such as mometasone, your adrenal glands may not make as much of some of the hormones your body needs such as cortisol known as the stress hormone. This is known as adrenal insufficiency. This card is the size of a credit card and fits in your wallet or purse.
If you need any medical or dental treatment, or are having surgery or an invasive procedure, show your steroid emergency card to your doctor or dentist. This is important so they know you're having steroid treatment and can give you extra steroids as needed. However, speak to a pharmacist or your doctor if you are trying to get pregnant. Mometasone does not affect any type of contraception, including the combined pill and emergency contraception.
Page last reviewed: 14 October Next review due: 14 October Mometasone for skin - Brand name: Elecon On this page About mometasone for skin Key facts Who can and cannot use mometasone for skin How and when to use mometasone for skin Side effects Pregnancy and breastfeeding Cautions with other medicines Common questions about mometasone for skin.
About mometasone for skin Mometasone skin treatments are used to treat itching, swollen and irritated skin. They come as: creams ointments scalp lotions They are stronger than some other treatments. It also comes as an inhaler and a nasal spray.
Read about: mometasone inhalers — for asthma mometasone nasal sprays — for allergic rhinitis, hay fever and nasal polyps. This helps to avoid side effects. Only use a mometasone skin treatment if your doctor prescribes it for you.
Generally mometasone is not recommended for the sensitive skin on your face. Mometasone skin treatments will not help with conditions such as acne or rosacea. If your doctor has prescribed high doses of mometasone to control your symptoms you may need to carry a steroid emergency card. Ask your pharmacist or doctor. How to use mometasone cream or ointment Creams are better for skin that is moist and weepy.
You will usually use mometasone cream or ointment once a day. How to apply cream or ointment Wash and dry your hands and then squeeze out the right amount. Spread the cream or ointment in a thin layer over the area of irritated skin.
Carefully smooth it into your skin in the direction that your hair grows. Use the cream or ointment on all the irritated skin, not just the worst areas. Be careful not to get the cream or ointment on broken skin or cuts. If you also use a moisturiser it's best to apply it about 30 minutes before applying Elocon. This will help soften the skin and improve the absorption of the corticosteroid.
If you apply a moisturiser just before or after applying Elocon this can dilute the corticosteroid and potentially make it less effective. Mometasone cream and ointment are also available without a brand name, ie as the generic medicine. As mometasone reduces inflammation it is also found in various other medicines that are used to treat inflammatory conditions in other parts of the body. These include Asmanex twisthaler for asthma and Nasonex nasal spray for hay fever. Type keyword s to search.
What is Elocon used for? Elocon cream and ointment are prescribed to relieve skin inflammation and itching associated with severe forms of inflammatory skin conditions such as: Atopic eczema or dermatitis. How does Elocon work? How do I use Elocon? Never use Elocon as a moisturiser. Elocon cream or ointment should be applied thinly and evenly to the affected area s of skin once a day. Click here to see how much to use. Don't apply Elocon to broken or infected areas of skin, unless the infection is also being treated.
Don't apply it to the face unless instructed to by your specialist. Don't apply it around your eyes or eyelids. Take care to avoid getting the cream or ointment in your eyes, mouth or nose. Rinse with cold water if accidental contact occurs. Wash your hands thoroughly after applying Elocon, unless the hands are the area being treated. Don't cover the area being treated with airtight dressings such as bandages or other dressings unless directed by a doctor, as these increase the absorption of the medicine into the body and so increase the risk of side effects.
If your doctor has advised you to use dressings with Elocon, you should cleanse the skin before applying the cream or ointment under a fresh dressing. Medium- to high-potency topical corticosteroids are effective for atopic dermatitis and eczema in adults and children, 9 , 10 as well as for phimosis 11 , 12 i. Topical corticosteroids may be effective for other conditions, but the data to support their use are from small, low-level, or uncorroborated studies. Melasma, 15 chronic idiopathic urticaria, 16 infantile acropustulosis, 17 prepubertal labial adhesions, 18 and transdermal testosterone-patch—induced skin irritation 19 fall into this category.
Steroids may differ in potency based on the vehicle in which they are formulated. Some vehicles should be used only on certain parts of the body. Ointments provide more lubrication and occlusion than other preparations, and are the most useful for treating dry or thick, hyperkeratotic lesions.
Their occlusive nature also improves steroid absorption. Ointments should not be used on hairy areas, and may cause maceration and folliculitis if used on intertriginous areas e. Their greasy nature may result in poor patient satisfaction and compliance. Creams are mixes of water suspended in oil. They have good lubricating qualities, and their ability to vanish into the skin makes them cosmetically appealing.
Creams are generally less potent than ointments of the same medication, and they often contain preservatives, which can cause irritation, stinging, and allergic reaction. Acute exudative inflammation responds well to creams because of their drying effects.
Creams are also useful in intertriginous areas where ointments may not be used. However, creams do not provide the occlusive effects that ointments provide. Lotions and gels are the least greasy and occlusive of all topical steroid vehicles. Lotions contain alcohol, which has a drying effect on an oozing lesion.
Lotions are useful for hairy areas because they penetrate easily and leave little residue. Gels have a jelly-like consistency and are beneficial for exudative inflammation, such as poison ivy. Gels dry quickly and can be applied on the scalp or other hairy areas and do not cause matting.
Foams, mousses, and shampoos are also effective vehicles for delivering steroids to the scalp. They are easily applied and spread readily, particularly in hairy areas.
Foams are usually more expensive. Because hydration generally promotes steroid penetration, applying a topical steroid after a shower or bath improves effectiveness.
Simple plastic dressings e. Irritation, folliculitis, and infection can develop rapidly from occlusive dressings, and patients should be counseled to monitor the treatment site closely.
❾-50%}Mometasone Topical: MedlinePlus Drug Information - Article Sections
You can also subscribe without commenting. Using topical corticosteroids safely and effectively By Dr. Eileen Murray on October 16, By Dr. What care gaps or frequently asked questions I have noticed Topical corticosteroids are the most frequently used topical medications for treating skin diseases. There are however some frequent concerns that I see: Patients being treated with a corticosteroid of a potency which is either too weak or too strong one being the most potent and seven the least.
Table 2 Fear of side effects preventing optimal use. Patients treated with a topical corticosteroid in a less effective vehicle. Patients being switched to oral corticosteroids before treating with a more potent topical corticosteroid. Patients with undiagnosed bacterial or fungal infections being treated with topical corticosteroids. Patients given inadequate instructions or not followed up frequently enough.
Data that answers these questions or gaps Possible causes of treatment failure include the following: Ineffective corticosteroid molecule Inappropriate vehicle Noncompliance often from fear of side effects An incorrect diagnosis Check Appendix 1 : Vehicles. No differences were found between the two groups in either efficacy or safety. They need reassurance. Do not alarm your patients unnecessarily, rather explain to them carefully and optimistically how to use the medication. If your patient has not improved or particularly if the rash has spread or become worse, reconsider your diagnosis.
Both fungal and bacterial infections are made worse when treated with topical corticosteroids. A scaly rash on the scalp treated for a month with topical corticosteroids was not psoriasis but impetigo with crusting. A facial rash diagnosed as eczema that spread with a red center and marked scaling at the edges was a tinea infection. Patients who keep using the medication for fear the rash will recur. This is a particular problem for patients with chronic disease.
To reduce the incidence of local side effects, instruct your patients to stop applying the corticosteroid when the skin disease has cleared. However, you have to explain when that is. Be explicit. When the skin is smooth and no longer itchy, they can stop applying the medication.
Explain to patients with chronic disease that the medication loses its efficacy with chronic use. Also explain that the drug works by returning diseased skin to its normal thickness diseased skin is puffy and thick and that if they continue to use it when the disease is gone, the normal skin will become thinner. Minimize topical side effects: Acne and perioral dermatitis: exacerbation of pre-existing acne and the initiation of perioral dermatitis are the most common local side effects.
Warn patients with hand dermatitis not to touch their face after applying their medication. Perioral dermatitis occurs mainly because a more potent corticosteroid then necessary has been used to treat a facial dermatitis.
The patients develop a rebound flare when they stop the medication and therefore continue to use it. Properly timed follow-up visits and a limit on repeats is preventative. Skin atrophy — epidermal thinning, telangiectasia, striae and easy bruising occurs with overuse.
Corticosteroids inhibit both fibroblast collagen formation and epidermal cell division. Easy bruising and telangiectasia result from the loss of the supporting collagen around the vessels.
Overall, the changes induced resemble those of normal aging. Appendix 1 Vehicles: The vehicle makes up 95 to An Ointment water in oil emulsions allows the best penetration of the active ingredient and is best for dry, sensitive skin, and especially for thick plaques.
They are also most effective for disease on thick skin such as the palms and soles. Creams oil in water emulsions are less greasy, spread more easily and are better tolerated. They may sting upon application and do not hydrate the skin as well as ointments Lotions oil or powder in water emulsions are best for treating large areas.
They may cause stinging and dryness. Combinations of anti-itch ingredients along with a corticosteroid in a lotion are helpful for treating widespread itching as can occur with a drug rash. Gels mixtures of water, alcohol or acetone are best for oily or hairy skin.
Pastes powder in an ointment are very useful for wet intertriginous areas. The powder absorbs moisture and the ointment lubricates and soothes the skin. Diaper creams are a good example. Table 1: The site on the body affects percutaneous absorption Site Percutaneous absorption Best vehicle Local factors influencing absorption Palms 0.
Please indicate how this article will change your practice:. Giselle DeVetten October 16, at pm Permalink. Meghan October 19, at pm Permalink. Barry Hagen October 22, at am Permalink. Eileen Murray October 24, at pm Permalink. About 30grams of an ointment or cream will cover the total body surface. Liz October 31, at pm Permalink. Heather Louie December 29, at pm Permalink.
Excellent review of use of topical steroids. Thank you. James Bell June 24, at pm Permalink. This communication reflects the opinion of the author and does not necessarily mirror the perspective and policy of UBC CPD. Comments are moderated according to our guidelines. Visit ubccpd. Previous Next. Click here to print this article. Read Later. Adeera Levin Dr. Alexander Chapman Dr. Alice Chang Dr. Alisa Lipson Dr. Alissa Wright Dr. Amanda Hill Dr. Amin Javer Dr.
Amin Kanani Dr. Andrew Farquhar Dr. Andrew Howard Dr. Never use Elocon cream or ointment as a moisturiser. Can I use Elocon while pregnant or breastfeeding? Not unless you've discussed this with your doctor. Studies in animals have shown that corticosteroids applied to the skin of pregnant animals can cause abnormalities in the development of the foetus, such as cleft palate or slowed growth of the baby in the womb.
Studies in animals do not necessarily relate to effects in humans, but there may be a small risk of such effects if enough steroid is absorbed through the skin into the bloodstream of pregnant women. Similarly, if enough steroid is absorbed through the skin of breastfeeding women it could potentially pass into breast milk. If your doctor says you can use Elocon while pregnant or breastfeeding you should not use it on large areas of skin, underneath airtight dressings, or for prolonged periods of time.
This will minimise any absorption of the steroid. If you need to apply Elocon to your breasts don't do this shortly before giving a feed. Ask your doctor or pharmacist for further information. What are the possible side effects of Elocon? Skin irritation, eg redness, rash, itching or burning on application, or allergic inflammation of the skin contact dermatitis.
Stop using Elocon and consult your doctor if you think you have experienced a reaction or your skin condition appears to be getting worse. Spread or worsening of untreated skin infections. Thinning of the skin. Reduced skin pigmentation. Stretch marks striae. Groupings of fine blood vessels becoming prominent under the skin telangiectasia.
Excessive hair growth hypertrichosis. On rare occasions enough corticosteroid may be absorbed to have side effects on other parts of the body, for example a decrease in the production of natural hormones by the adrenal glands or Cushing's syndrome.
You can read more about the possible side effects of topical corticosteroids here. If you experience any changes in your vision while using Elocon, such as blurred vision, you should tell your doctor. Mometasone skin treatments are not normally recommended if you're pregnant. Only use mometasone if your doctor or dermatologist skin specialist prescribes it and is supervising your treatment. They will be able to explain the benefits and risks of using mometasone.
If you're using mometasone on your breasts, wash off any cream or ointment from your breasts, then wash your hands before feeding your baby. It's usually better to use cream rather than ointment when breastfeeding, as it's easier to wash off. For more information about how mometasone for skin might affect you and your baby during pregnancy, read this leaflet about steroid creams and ointments on the Best Use of Medicines in Pregnancy BUMPs website.
Other medicines are unlikely to affect the way mometasone skin treatments work. There's very little information about taking herbal remedies and supplements while using mometasone. Ask a pharmacist for advice. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements.
Mometasone is a steroid also called a corticosteroid. Steroids help to reduce swelling inflammation in the skin and other parts of the body. Skin gets inflamed when an allergic reaction or irritation causes chemicals to be released in the skin. These make your blood vessels widen and your irritated skin becomes red, swollen, itchy and painful. This reduces any swelling, redness and itching.
Speak to your doctor if there if your skin does not get better after 14 days, or if your skin gets worse at any time. For long-term skin problems, such as eczema and psoriasis, you may need to use mometasone for 1 or 2 weeks, or sometimes for longer.
Do not use mometasone on your face for more than 5 days, unless your doctor tells you this is OK. If your symptoms get worse or if they have not improved after 14 days after 5 days for a child , ask your doctor for further advice. Once your skin is better, you can use an emollient moisturising treatment to keep it from becoming inflamed again.
If you need treatment for a long time, your doctor may decide you need to use a milder cream or ointment. Talk to your doctor before stopping treatment if you've been using mometasone for a long time. They may tell you to gradually use less of it, and use it less often, before you stop completely. This reduces the chance of your symptoms coming back.
Using mometasone for a long time without stopping can mean some of the medicine gets into your bloodstream. If you have been using mometasone for a long time, your doctor may tell you to gradually reduce the amount you use, or use a milder steroid, before stopping completely. The skin on your face is delicate. If a doctor has said you can use it on your face, do not use it for more than 5 days. Steroids like mometasone reduce swelling inflammation in your skin to help manage your symptoms.
They do not cure eczema. If you feel your symptoms are getting worse after using mometasone, it's important to tell a doctor. When you stop using mometasone, skin conditions like eczema and psoriasis can flare up again. You can avoid this by gradually reducing the amount you put on, and how often you use it.
Your doctor can tell you how to do this. But tell the doctor or nurse that you're using mometasone skin treatments so they can give the vaccine in an untreated area of your skin. If you're using steroid medicines such as mometasone, your adrenal glands may not make as much of some of the hormones your body needs such as cortisol known as the stress hormone.
This is known as adrenal insufficiency. This card is the size of a credit card and fits in your wallet or purse. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
Use mometasone exactly as directed. Do not apply more or less of it or apply it more often than prescribed by your doctor. Do not apply it to other areas of your body or use it to treat other skin conditions unless directed to do so by your doctor. Your skin condition should improve during the first 2 weeks of your treatment. Call your doctor if your symptoms do not improve during this time. To use mometasone cream or ointment, apply a small amount of cream or ointment to cover the affected area of skin with a thin film.
To apply the lotion, place a few drops on the affected areas and massage lightly until it disappears. This medication is only for use on the skin. Do not let mometasone topical get into your eyes or mouth and do not swallow it. Avoid use on the face, in the genital and rectal areas, and in skin creases and armpits unless directed by your doctor. Do not wrap or bandage the treated area unless your doctor tells you that you should.
Such use may increase side effects. Do not use on a child's diaper area unless your doctor tells you that you should; do not use tight-fitting diapers or plastic pants. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Mometasone topical is used to relieve the redness, swelling, itching and inflammation and discomfort of various skin conditions, including psoriasis a skin disease in which red, scaly patches form on some areas of the body and eczema a skin disease that causes the skin to be dry and itchy and to sometimes develop red, scaly rashes.
Mometasone is in a class of medications called corticosteroids. It works by activating natural substances in the skin to reduce swelling, redness, and itching. Mometasone comes as a cream, ointment, and lotion for use on the skin. It usually is applied once a day. Apply it at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
Use mometasone exactly as directed. Do not apply more or less of it or apply it more often than prescribed by your doctor. Do not apply it to other areas of your body or use it to treat other skin conditions unless directed to do so by your doctor. Your skin condition should improve during the first 2 weeks of your treatment. Call your doctor if your symptoms do not improve during this time.
To use mometasone cream or ointment, apply a small amount of cream or ointment to cover the affected area of skin with a thin film. To apply the lotion, place a few drops on the affected areas and massage lightly until it disappears. This medication is only for use on the skin. Do not let mometasone topical get into your eyes or mouth and do not swallow it.
Avoid use on the face, in the genital and rectal areas, and in skin creases and armpits unless directed by your doctor. Do not wrap or bandage the treated area unless your doctor tells you that you should. Such use may increase side effects. Do not use on a child's diaper area unless your doctor tells you that you should; do not use tight-fitting diapers or plastic pants. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Apply the missed dose as soon as you remember it, However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double amount to make up for a missed dose. Children who use mometasone topical may have an increased risk of side effects including slowed growth and delayed weight gain.
Talk to your child's doctor about the risks of applying this medication to your child's skin. Mometasone topical may cause other side effects. Call your doctor if you have any unusual problems while using this medication.
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom. Do not freeze it. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.
If someone swallows mometasone topical, call your local poison control center at If the victim has collapsed or is not breathing, call local emergency services at Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.
You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Generic alternatives may be available. Mometasone Topical pronounced as moe met' a sone. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow?
What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names. Do not apply other skin preparations on the treated area without talking with your doctor. Other uses for this medicine. What special precautions should I follow? Before using mometasone, tell your doctor and pharmacist if you are allergic to mometasone, any other medications, or any of the ingredients in mometasone topical products.
Ask your pharmacist for a list of the ingredients. Be sure to mention the following: other corticosteroid medications and other topical medications. If you become pregnant while using mometasone topical, call your doctor. Mometasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: burning, itching, irritation, redness, or dryness of the skin acne skin sores tiny red bumps or rash around the mouth small white or red bumps on the skin bruising or shiny skin changes in skin color If you experience any of the following symptoms, call your doctor immediately: severe skin rash redness, swelling, or other signs of skin infection in the place where you applied mometasone Children who use mometasone topical may have an increased risk of side effects including slowed growth and delayed weight gain.
What other information should I know? Keep all appointments with your doctor. Browse Drugs and Medicines.
MOMETASONE (moe MET a sone) is a corticosteroid. It is used to treat skin problems that may cause itching, redness, and swelling. This medicine may be used for. Although mometasone furoate % demonstrates greater anti‐inflammatory activity and a longer duration of action than betamethasone relative to. Mometasone Furoate %, Cream or lotion, 4, OD bursts of a potent topical corticosteroid versus prolonged use of a mild preparation for. Mometasone Furoate % w/w Ointment should be preferably used to treat very dry, scaly and cracked skin complaints where a topical mometasone preparation is. Mometasone is a strong topical steroid medication that's used to treat certain skin conditions, like swelling, redness, itching, and skin irritation. Can I still have vaccinations? One of the dermatologists who did some resident teaching for us Dr. Once your skin starts getting better, do not stop using mometasone suddenly. Using a more potent topical corticosteroid will reduce the likelihood that the patient will require systemic corticosteroids. Richard Kendall Dr. Topically applied high- and ultra-high-potency corticosteroids can be absorbed well enough to cause systemic side effects.Topical steroids are available in a variety of potencies and preparations. Physicians should become familiar with one or two agents in each category of potency to safely and effectively treat steroid-responsive skin conditions. When prescribing topical steroids, it is important to consider the diagnosis as well as steroid potency, delivery vehicle, frequency of administration, duration of treatment, and side effects. The usefulness and side effects of topical steroids are a direct result of their anti-inflammatory properties, although no single agent has been proven to have the best benefit-to-risk ratio.
An accurate diagnosis is essential when selecting a steroid. A skin scraping and potassium hydroxide test can clarify whether a steroid or an antifungal is an appropriate choice, because steroids can exacerbate a fungal infection. Topical corticosteroids are effective for conditions that are characterized by hyperproliferation, inflammation, and immunologic involvement. They can also provide symptomatic relief for burning and pruritic lesions.
Many skin conditions are treated with topical steroids Table 1 , but evidence of effectiveness has been established only for a small number of conditions. For example, high- or ultra-high-potency topical steroids, alone or in combination with other topical treatments, are the mainstay of therapy for psoriasis.
Medium- to high-potency topical corticosteroids are effective for atopic dermatitis and eczema in adults and children, 9 , 10 as well as for phimosis 11 , 12 i. Topical corticosteroids may be effective for other conditions, but the data to support their use are from small, low-level, or uncorroborated studies. Melasma, 15 chronic idiopathic urticaria, 16 infantile acropustulosis, 17 prepubertal labial adhesions, 18 and transdermal testosterone-patch—induced skin irritation 19 fall into this category.
Steroids may differ in potency based on the vehicle in which they are formulated. Some vehicles should be used only on certain parts of the body. Ointments provide more lubrication and occlusion than other preparations, and are the most useful for treating dry or thick, hyperkeratotic lesions. Their occlusive nature also improves steroid absorption. Ointments should not be used on hairy areas, and may cause maceration and folliculitis if used on intertriginous areas e.
Their greasy nature may result in poor patient satisfaction and compliance. Creams are mixes of water suspended in oil. They have good lubricating qualities, and their ability to vanish into the skin makes them cosmetically appealing. Creams are generally less potent than ointments of the same medication, and they often contain preservatives, which can cause irritation, stinging, and allergic reaction.
Acute exudative inflammation responds well to creams because of their drying effects. Creams are also useful in intertriginous areas where ointments may not be used. However, creams do not provide the occlusive effects that ointments provide. Lotions and gels are the least greasy and occlusive of all topical steroid vehicles. Lotions contain alcohol, which has a drying effect on an oozing lesion. Lotions are useful for hairy areas because they penetrate easily and leave little residue.
Gels have a jelly-like consistency and are beneficial for exudative inflammation, such as poison ivy. Gels dry quickly and can be applied on the scalp or other hairy areas and do not cause matting. Foams, mousses, and shampoos are also effective vehicles for delivering steroids to the scalp. They are easily applied and spread readily, particularly in hairy areas. Foams are usually more expensive. Because hydration generally promotes steroid penetration, applying a topical steroid after a shower or bath improves effectiveness.
Simple plastic dressings e. Irritation, folliculitis, and infection can develop rapidly from occlusive dressings, and patients should be counseled to monitor the treatment site closely. Flurandrenolide Cordran 4 mcg per m 2 impregnated dressing is formulated to provide occlusion. It is beneficial for treating limited areas of inflammation in otherwise difficult-to-treat locations, such as fingertips. This is a useful but imperfect method for predicting the clinical effectiveness of steroids.
There are seven groups of topical steroid potency, ranging from ultra high potency group I to low potency group VII. Table 2 provides a list of topical steroids and available preparations listed by group, formulation, and generic availability.
This should be considered when choosing steroid agents. Physicians should also be aware that some generic formulations have been shown to be less or more potent than their brand-name equivalent. Low-potency steroids are the safest agents for long-term use, on large surface areas, on the face or areas of the body with thinner skin, and on children.
More potent agents are beneficial for severe diseases and for areas of the body where the skin is thicker, such as the palms and bottoms of the feet. High- and ultra-high-potency steroids should not be used on the face, groin, axilla, or under occlusion, except in rare situations and for short durations. Once-or twice-daily application is recommended for most preparations.
Chronic application of topical steroids can induce tolerance and tachyphylaxis. Ultra-high-potency steroids should not be used for more than three weeks continuously.
This intermittent schedule can be repeated chronically or until the condition resolves. Side effects are rare when low- to high-potency steroids are used for three months or less, except in intertriginous areas, on the face and neck, and under occlusion.
The amount of steroid the patient should apply to a particular area can be determined by using the fingertip unit method. Table 3 describes the number of fingertip units needed to cover specific areas of the body. The amount dispensed and applied should be considered carefully because too little steroid can lead to a poor response, and too much can increase side effects.
Prolonged use of topical corticosteroids may cause side effects Table 4 To reduce the risk, the least potent steroid should be used for the shortest time, while still maintaining effectiveness.
The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible.
Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin Retin-A 0. Topical steroids can also induce rosacea, which may include the eruption of erythema, papules, and pustules.
Steroid-induced rosacea occurs when a facial rash is treated with low-potency topical steroids that produce resolution of the lesions. If the symptoms recur and steroid potency is gradually increased, the rosacea may become refractory to further treatment, making it necessary to discontinue the steroid.
This may then induce a severe rebound erythema and pustule outbreak, which may be treated with a day course of tetracycline mg four times daily or erythromycin mg four times daily. For severe rebound symptoms, the slow tapering of low-potency topical steroids and use of cool, wet compresses on the affected area may also help. The normal presentation of superficial infections can be altered when topical corticosteroids are inappropriately used to treat bacterial or fungal infections.
Steroids interfere with the natural course of inflammation, potentially allowing infections to spread more rapidly. The application of high-potency steroids can induce a deep-tissue tinea infection known as a Majocchi granuloma. This tinea folliculitis requires oral antifungal therapy. Combinations of antifungal agents and corticosteroids should be avoided to reduce the risk of severe, persistent, or recurrent tinea infections. Topical applications of corticosteroids can also result in hypopigmentation.
This is more apparent with darker skin tones, but can happen in all skin types. Repigmentation often occurs after discontinuing steroid use. Steroids can induce a contact dermatitis in a minority of patients, but many cases result from the presence of preservatives, lanolin, or other components of the vehicle.
Non-fluorinated steroids e. Topically applied high- and ultra-high-potency corticosteroids can be absorbed well enough to cause systemic side effects. Hypothalamic-pituitary-adrenal suppression, glaucoma, septic necrosis of the femoral head, hyperglycemia, hypertension, and other systemic side effects have been reported.
According to a postmarketing safety review, the most frequently reported side effects were local irritation 66 percent , skin discoloration 15 percent , and striae or skin atrophy 15 percent.
Topical steroids can induce birth defects in animals when used in large amounts, under occlusion, or for long duration. Food and Drug Administration as pregnancy category C.
It is unclear whether topical steroids are excreted in breast milk; as a precaution, application of topical steroids to the breasts should be done immediately following nursing to allow as much time as possible before the next feeding. Children often require a shorter duration of treatment and a lower potency steroid. This content is owned by the AAFP.
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C 1 , 2 , 4 , 9 — 13 Ultra-high-potency topical steroids should not be used continuously for longer than three weeks.
C 21 Low- to high-potency topical steroids should not be used continuously for longer than three months to avoid side effects. C 21 Combinations of topical steroids and antifungal agents generally should be avoided to reduce the risk of tinea infections. Steroid Vehicles. Frequency of Administration and Duration of Treatment. Side Effects. Adverse effects of topical glucocorticosteroids. Special Considerations. At the time the article was written, Dr. He received his doctorate of pharmacy from the Nesbitt College of Pharmacy and Nursing and completed residency training and a faculty development fellowship at the University of Pittsburgh Pa.
Margaret Family Medicine Residency Program. South St. Continue Reading.
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