INTRODUCTION
FLAT CREAM contains Fluticasone Furoate which belongs to the group of medicines called Corticosteroids (glucocorticoids). It is used to treat inflamed skin, redness and itching in several skin problems not caused by germs and responsive to corticosteroids such as eczema, dermatitis, or insect bites.
FLAT CREAM is not recommended for use in patients having other skin problems such as acne, severe flushing of skin on and around your nose (rosacea), spotty red rash around your mouth (perioral dermatitis), itching around your back passage or private parts, infected skin, which is not being treated, and itchy skin which is not inflamed.
Before using FLAT CREAM inform your doctor if you have broken or damaged skin, chronic leg ulcer, psoriasis, or you need to use FLAT CREAM on face. FLAT CREAM should be used with caution in pregnant and breastfeeding women.
FLAT CREAM is not recommended for use in infants below 3 months of age and should be used with caution in children below 12 years of age. Ask for the advice of your child’s doctor before using FLAT CREAM for your child.
Avoid smoking or going near a naked flame while using FLAT CREAM as this poses a risk of severe burns. The most common side effects of using FLAT CREAM include irritation or itching. Contact your doctor if any of these side effects worsen or doesn’t improve.
USES OF FLAT CREAM
- it is used to treat inflamed skin, redness and itching in several skin problems not caused by germs and responsive to corticosteroids such as eczema, dermatitis, or insect bites
HOW FLAT CREAM WORKS
FLAT CREAM causes vasoconstriction (constriction of blood vessels) and has an anti-inflammatory activity. It directly decreases the cells that cause inflammation such as eosinophils, monocytes, mast cells, macrophages, and dendritic cells. Therefore, helping in reducing the inflammation and redness.
DIRECTIONS FOR USE
Always use FLAT CREAM as directed by your physician. It is for external use only. Dry the infected part of the skin before using FLAT CREAM. Wash your hands before and after using this medicine. Do not let FLAT CREAM go into your eye and do not apply on mucous membranes. Your doctor will decide the correct dose, duration, and frequency of the medicine for you depending on your existing conditions, weight and age.
SIDE EFFECTS OF FLAT CREAM
COMMON
- irritation
- itching
UNCOMMON
- burning sensation at the application site
RARE
Stop using FLAT CREAM and contact your doctor immediately if you experience any of the following side effects:
- worsening of skin problems or swelling
HOW TO MANAGE SIDE EFFECTS
Itchy skin:
Hot water makes your skin irritated, so avoid taking hot showers. Do not scratch the affected area. Use sunscreen and protective clothing when outdoors. To soothe and hydrate the irritated skin, apply moisturizers. Contact your doctor if itching worsens.
WARNING & PRECAUTIONS
PREGNANCY
FLAT CREAM should be used with caution in pregnant women only if the expected benefit to the mother is greater than any possible risk to the foetus. Contact your doctor before using.
BREASTFEEDING
FLAT CREAM should be used with caution in breastfeeding women only if the expected benefit to the mother is greater than any possible risk to the child. Contact your doctor before using.
DRIVING AND USING MACHINES
FLAT CREAM is unlikely to affect your ability to drive and use machines.
ALLERGY
Do not use FLAT CREAM if you are allergic to Fluticasone or any of the other ingredients of this medicine.
OTHERS
FLAT CREAM is not recommended for use if you have:
- skin problems such as acne, rosacea, perioral dermatitis, itching around your back or private parts, or itchy skin that is not inflamed
- infected skin (which requires treatment)
Before using FLAT CREAM tell your doctor if you have:
- broken or damaged skin
- to apply to a large surface area.
- psoriasis, your doctor will carry regular check up
- chronic leg ulcer as the risk of local reaction or infection may increase
- to apply near eyes or on eyelids
- to apply to thin skin such as the face
Use in Paediatrics:
FLAT CREAM is not recommended for use in infants below 3 months of age and should be used with caution in children below 12 years of age. Ask for the advice of your child’s doctor before using it for your child.
Use in Geriatrics:
FLAT CREAM can be used in elderly patients. Consult with your doctor before using.
INTERACTIONS
A. Drug-Drug Interactions:
Before using FLAT CREAM, tell your doctor if you are taking, or have recently taken any of the following medicines:
- medicines used to treat HIV (Ex. ritonavir, cobicistat)
Overdosage:
If you or anyone else apply too much or have accidental ingestion and systemic exposure of FLAT CREAM, consult your doctor immediately or visit the nearby hospital as it can make you ill.
SYNOPSIS
| Drug | : | Fluticasone |
| Pharmacological Category | : | Corticosteroid |
| Therapeutic Indication | : | Inflammatory skin conditions |
| Dosage Forms | : | Capsule, Cream, Inhaler, Innospray, Lotion, Nasal Spray, Nasal Drops, Ointment, Respules, Rotacaps, Spray |
MORE INFORMATION
- Keep FLAT CREAM out of sight and reach of children.
- Store FLAT CREAM at room temperature below 30°C
FAQs ABOUT FLAT CREAM
What is FLAT CREAM and why is it prescribed?
FLAT CREAM contains Fluticasone Furoate which belongs to the group of medicines called Corticosteroids (glucocorticoids). It is used to treat inflamed skin, redness and itching in several skin problems not caused by germs and responsive to corticosteroids such as eczema, dermatitis, or insect bites.
Is FLAT CREAM a steroid?
Yes, FLAT CREAM is corticosteroid which vasoconstriction (constriction of blood vessels) and has an anti-inflammatory activity. It directly decreases the cells that cause inflammation such as eosinophils, monocytes, mast cells, macrophages, and dendritic cells. Therefore, helping in reducing the inflammation and redness.
What other precautions should be taken while using FLAT CREAM?
Before applying FLAT CREAM tell your doctor if you have previously had an allergic reaction with another steroid, been applying the ointment under an airtight dressing, including a child’s nappy, been applying the ointment on broken or damaged skin or within skin folds, been applying to a large surface area. Contact your doctor before using FLAT CREAM.
Can FLAT CREAM be applied on face?
You should only apply FLAT CREAM to your face if your doctor tells you to. FLAT CREAM should not be used for too long as the skin on your face thins easily. Do not let the ointment get into your eyes as cataracts or glaucoma may be caused if the ointment repeatedly enters the eye. Contact your doctor before using FLAT CREAM.
Can I stop using FLAT CREAM on my own if I start to feel better?
Do not stop using FLAT CREAM until and unless your doctor asks you to. It is important that FLAT CREAM is not stopped suddenly as this may relapse your present condition or make it worse. Ask for your doctor’s advice if you wish to discontinue using FLAT CREAM.
REFERENCES
1. K.D. Tripathi. Respiratory System Drugs. Essentials of Medical Pharmacology. Eighth Edition. 2019. Page 250.
2. Sheila fallon Friedlander, Adelaide A Hebert, D.B. Allen. Safety of fluticasone propionate cream 0.05% for the treatment of severe and extensive atopic dermatitis in children as young as 3 months. Journal of the American Academy of Dermatology. Research Gate. March 2022. [Accessed on 2nd November 2022] https://www.researchgate.net/publication/11500199_Safety_of_fluticasone_propionate_cream_005_for_the_treatment_of_severe_and_extensive_atopic_dermatitis_in_children_as_young_as_3_months
3. Kailey Remien, Andy Bowman. Fluticasone. NIH National Library of Medicine, National center for biotechnology information. StatPearls. June 2022. [Accessed on 2nd November 2022] https://www.ncbi.nlm.nih.gov/books/NBK542161/
4. Glaxo Operations UK Ltd. Electronic Medicines Compendium (EMC). [Revised in Mar 2022] [Accessed on 2nd Nov 2022] https://www.medicines.org.uk/emc/files/pil.937.pdf
5. Salvat Laboratorios. Electronic Medicines Compendium (EMC). [Revised in Aug 2021] [Accessed on 2nd Nov 2022] https://www.medicines.org.uk/emc/files/pil.9364.pdf
6. Cosette Pharmaceuticals, Inc. Dailymed. [Revised in Apr 2022] [Accessed on 2nd Nov 2022] https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=a9a168b2-42de-48aa-9970-23b0a63ad3f8&type=display
USEFUL DIAGNOSTIC TESTS
- Percutaneous skin test
- Allergen-specific immunoglobulin E (IgE) antibody test
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