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Betamethasone and clotrimazole (Topical route)

Pronunciation:

kloe-TRIM-a-zole, bay-ta-METH-a-sone dye-PROE-pee-oh-nate

Brand Names:

  • Lotrisone
  • Lotriderm
  • Pms-Clotrimazole And Betamethasone

Dosage Forms:

  • Cream
  • Lotion

Classifications:

Therapeutic—

Anti-Infective/Anti-Inflammatory Combination

Pharmacologic—

Betamethasone

Chemical—

Imidazole

Uses of This Medicine:

Clotrimazole and betamethasone combination is used to treat fungus infections. Clotrimazole works by killing the fungus or preventing its growth. Betamethasone, a corticosteroid (cortisone-like medicine or steroid), is used to help relieve redness, swelling, itching, and other discomfort of fungus infections.

Clotrimazole and betamethasone cream or lotion is applied to the skin to treat:

  • athlete's foot (ringworm of the foot; tinea pedis);
  • jock itch (ringworm of the groin; tinea cruris); and
  • ringworm of the body (tinea corporis) .

This medicine may also be used for other fungus infections of the skin as determined by your doctor.

This medicine is available only with your doctor's prescription.

Before Using This Medicine:

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies—

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Children—

Appropriate studies performed to date have not demonstrated pediatrics-specific problems that would limit the usefulness of clotrimazole and betamethasone combination in teenagers 17 years of age and older. Safety and efficacy have not been established in children and teenagers below 17 years of age .

Older adults—

Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of clotrimazole and betamethasone combination in the elderly. However, elderly patients are more likely to have a thinning skin, which may require caution in patients receiving clotrimazole and betamethasone .

Other medicines—

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Rotavirus Vaccine, Live

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Aldesleukin
  • Bupropion
  • Pixantrone

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Alatrofloxacin
  • Alcuronium
  • Aspirin
  • Atracurium
  • Balofloxacin
  • Cinoxacin
  • Ciprofloxacin
  • Clinafloxacin
  • Desogestrel
  • Dienogest
  • Drospirenone
  • Enoxacin
  • Estradiol Cypionate
  • Estradiol Valerate
  • Ethinyl Estradiol
  • Ethynodiol Diacetate
  • Etonogestrel
  • Fentanyl
  • Fleroxacin
  • Flumequine
  • Fosphenytoin
  • Gallamine
  • Gemifloxacin
  • Grepafloxacin
  • Hexafluorenium
  • Itraconazole
  • Levofloxacin
  • Levonorgestrel
  • Licorice
  • Lomefloxacin
  • Medroxyprogesterone Acetate
  • Mestranol
  • Metocurine
  • Moxifloxacin
  • Norelgestromin
  • Norethindrone
  • Norfloxacin
  • Norgestimate
  • Norgestrel
  • Ofloxacin
  • Pefloxacin
  • Phenobarbital
  • Phenytoin
  • Primidone
  • Prulifloxacin
  • Rifampin
  • Rifapentine
  • Rosoxacin
  • Rufloxacin
  • Saiboku-To
  • Sparfloxacin
  • Tacrolimus
  • Temafloxacin
  • Tosufloxacin
  • Trimetrexate
  • Trovafloxacin Mesylate

Other interactions—

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems—

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Bacteria infections of the skin or
  • Diaper dermatitis (diaper rash) on children and elderly patients or
  • Skin diseases causing impaired circulation, such as stasis dermatitis—Betamethasone may make the condition worse .
  • Herpes or
  • Vaccinia (cowpox) or
  • Varicella (chickenpox) or
  • Other virus infections of the skin—Betamethasone may speed up the spread of virus infections.
  • Tuberculosis (TB) of the skin—Betamethasone may make a TB infection worse.

Proper Use of This Medicine:

Before applying this medicine, wash the affected area with soap and water, and dry thoroughly.

Do not use this medicine in the eyes.

To use:

  • Check with your doctor before using this medicine on any other skin problems. It should not be used on bacterial or virus infections or on diaper rash. Also, it should only be used on certain kinds of fungus infections of the skin.
  • Apply a thin layer of this medicine to the affected area(s) and surrounding skin. Rub in gently and thoroughly.

The use of any kind of occlusive dressing (airtight covering, such as kitchen plastic wrap) over this medicine may increase absorption of the medicine and the chance of irritation and other side effects. Therefore, do not bandage, wrap, or apply any occlusive dressing over this medicine unless directed by your doctor. Also, wear loose-fitting clothing when using this medicine on the groin area. When using this medicine on the diaper area of children, avoid tight-fitting diapers and plastic pants.

To help clear up your skin infection completely, keep using this medicine for the full time of treatment, even if your symptoms have disappeared. Do not miss any doses. However, do not use this medicine more often or for a longer time than your doctor ordered. To do so may increase absorption through your skin and the chance of side effects. In addition, too much use, especially on thin skin areas (for example, face, armpits, genitals [sex organs], between the toes, groin), may result in thinning of the skin and in stretch marks.

Dosing—

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For topical cream or lotion dosage form:
    • For jock itch (ringworm of the groin; tinea cruris) or ringworm of the body (tinea corporis):
      • Adults and teenagers 17 years of age and over—Apply to the affected skin and surrounding area(s) two times a day, morning and evening, for 2 weeks.
      • Children and teenagers up to 16 years of age—Use and dose must be determined by your doctor .
    • For athlete's foot (ringworm of the foot; tinea pedis):
      • Adults and teenagers 17 years of age and over—Apply to the affected skin and surrounding area(s) two times a day, morning and evening, for 4 weeks.
      • Children and teenagers up to 16 years of age—Use and dose must be determined by your doctor .

Missed dose—

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage—

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using This Medicine:

If your skin infection does not improve within 1 week for jock itch or ringworm of the body and 2 weeks for athlete's foot, or if it becomes worse, check with your doctor. Redness and itching should get better within 3 to 5 days of therapy.

To help clear up your skin infection completely and to help make sure it does not return, the following good health habits are important:

  • For patients using this medicine for athlete's foot:
    • Carefully dry the feet, especially between the toes, after bathing.
    • Avoid wearing socks made from wool or synthetic materials (for example, rayon or nylon). Instead, wear clean, cotton socks and change them daily or more often if your feet sweat freely.
    • Wear well-ventilated shoes (for example, shoes with holes) or sandals.
    • Use a bland, absorbent powder (for example, talcum powder) or an antifungal powder freely between the toes, on the feet, and in socks and shoes once or twice a day. Be sure to use the powder after clotrimazole and betamethasone cream has been applied and has disappeared into the skin. Do not use the powder as the only treatment for your fungus infection.
    These measures will help keep the feet cool and dry.
  • For patients using this medicine for jock itch:
    • Carefully dry the groin area after bathing.
    • Avoid wearing underwear that is tight-fitting or made from synthetic materials (for example, rayon or nylon). Instead, wear loose-fitting, cotton underwear.
    • Use a bland, absorbent powder (for example, talcum powder) or an antifungal powder freely once or twice a day. Be sure to use the powder after clotrimazole and betamethasone cream has been applied and has disappeared into the skin. Do not use the powder as the only treatment for your fungus infection.
    These measures will help reduce chafing and irritation and will also help keep the groin area cool and dry.
  • For patients using this medicine for ringworm of the body:
    • Carefully dry yourself after bathing.
    • Avoid too much heat and humidity if possible. Try to keep moisture from building up on affected areas of the body.
    • Wear well-ventilated clothing.
    • Use a bland, absorbent powder (for example, talcum powder) or an antifungal powder freely once or twice a day. Be sure to use the powder after clotrimazole and betamethasone cream has been applied and has disappeared into the skin. Do not use the powder as the only treatment for your fungus infection.
    These measures will help keep the affected areas cool and dry.

If you have any questions about this, check with your health care professional.

For diabetic patients:

  • Rarely, the corticosteroid in this medicine may cause higher blood and urine sugar levels. This is more likely to occur if you have severe diabetes and are using large amounts of this medicine. Check with your doctor before changing your diet or the dosage of your diabetes medicine.

Side Effects of This Medicine:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common
Blistering, burning, itching, peeling, dryness, redness, or other signs of skin irritation not present before use of this medicine
burning, crawling, itching, numbness, prickling, "pins and needles" , or tingling feelings
hives
Rare
Cough or hoarseness
fever or chills
lower back or side pain
painful or difficult urination
rash
stinging
swelling
Incidence not known
Abdominal pain
backache
blurred vision
dry mouth
facial hair growth in females
flushed, dry skin
fractures
fruit-like breath odor
full or round face, neck, or trunk
increased hunger, thirst, or urination
irritability
loss of sexual desire or ability
menstrual irregularities
muscle wasting
nausea
sugar in the urine
sweating
troubled breathing
unexplained weight loss
unusual tiredness or weakness
vomiting

Check with your doctor as soon as possible if any of the following side effects occur:

Incidence not known
Acne or oily skin
increased hair growth, especially on the face and body
increased loss of hair, especially on the scalp
pus in the hair follicles
reddish purple lines on arms, face, legs, trunk, or groin
redness and scaling around the mouth
softening of the skin
thinning of skin with easy bruising
white spots

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.


Last Updated: 4/4/2014

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