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INTRODUCTION
MICLOGENTA CREAM is a combination of Clobetasol propionate, Miconazole nitrate, and Gentamicin which belong to the groups of medicines called Topical Corticosteroids, Antifungals, and Aminoglycoside antibiotics, respectively. MICLOGENTA CREAM is used to treat inflammation, redness, and itching caused by skin conditions such as eczema, allergic reactions, dermatitis, rashes, and psoriasis.
It is also used to treat several autoimmune diseases, including vitiligo, alopecia areata, lichen planus, and lichen sclerosis. Inflammation is a process by which our body's white blood cells protect us from infection from outside invaders such as bacteria and viruses. It is characterised by symptoms such as redness, swelling, heat, and pain.
Itching is an uncomfortable, irritating sensation that creates an urge to scratch the involved site, which can involve any part of the body. Autoimmune disease is a condition that occurs when the body's immune system attacks the body's healthy cells. It is generally characterised by symptoms such as weakness, joint pain, swelling, and skin problems.
MICLOGENTA CREAM is not recommended for use in patients with skin problems such as acne, rosacea (severe flushing of the skin on and around your nose), perioral dermatitis (spotty red rash around your mouth), itching around the anus and genitals, infected or itchy skin, and widespread plaque psoriasis.
Before applying MICLOGENTA CREAM, inform your doctor if you have had previous bone symptoms (such as bone pain), a previous allergic reaction with another steroid, broken or damaged skin, a chronic leg ulcer, or psoriasis. MICLOGENTA CREAM should be used with caution during pregnancy and in women who are breastfeeding.
MICLOGENTA CREAM is not recommended for use in children (below 1 year) and should be used with caution in children (over 1 year) and adolescents (below 18 years) after consulting the doctor. The most common side effects of using MICLOGENTA CREAM are burning, pain, irritation, and/or itching at the application site. Consult your doctor if any of these symptoms get worse.
USES OF MICLOGENTA CREAM
- Treats inflammation, redness, and itching caused by skin conditions such as eczema, allergic reactions, dermatitis, rashes, and psoriasis
- Treats several autoimmune diseases including vitiligo, alopecia areata, lichen planus, and lichen sclerosis
HOW MICLOGENTA CREAM WORKS
MICLOGENTA CREAM helps to treat skin conditions and several autoimmune diseases, where Clobetasol propionate prevents inflammation by blocking the production of certain chemical messengers (prostaglandins) that make the skin red, swollen & itchy. Miconazole stops the growth of fungi on the skin by preventing them from forming their protective covering that results in their destruction and gentamicin works by inhibiting the bacterial protein synthesis that results in bacterial cell destruction thereby preventing the occurrence of bacterial infection.
DIRECTIONS FOR USE
Always apply MICLOGENTA CREAM, as directed by your physician. It is for external use only. On the affected area, apply a thin layer of this medicine. Treated areas on the face need not be covered with a plaster or bandage. Do not apply MICLOGENTA CREAM on your face beyond 5 days. Avoid applying MICLOGENTA CREAM around your eyes, including eyelids.
SIDE EFFECTS OF MICLOGENTA CREAM
COMMON
- burning, pain, irritation or itching sensation at the site of application
UNCOMMON
- signs of stretch marks such as skin thinning
- noticeable blood vessels under the surface of the skin
RARE
Stop applying MICLOGENTA CREAM and contact your doctor if you experience any of the following side effects:
- signs of allergic reaction and infection such as generalized rash, red itchy skin, swollen skin, severe irritation, reddening/blistering of the skin
- psoriasis (itchy skin) with raised bumps filled with pus under the skin
- swelling of the face, tongue/throat, difficulty swallowing or difficulty breathing
- irritation
- sensitization/superinfection
HOW TO MANAGE SIDE EFFECTS
Skin Rash Or Itching
Avoid scratching your skin. Cool your skin by holding onto a damp towel. Try to have cool or warm baths. Wear loose clothing and do not wear tight clothes. Try to avoid applying perfumed soaps, deodorants or moisturizers and always use unperfumed moisturizers.
WARNING & PRECAUTIONS
PREGNANCY
Use with CautionMICLOGENTA CREAM should be used with caution during pregnancy and in women planning to become pregnant. Consult your doctor before applying for the medicine.
BREASTFEEDING
Use with CautionMICLOGENTA CREAM should be used with caution in breastfeeding women. It is advised not to be applied on the breast area while feeding the baby. Consult your doctor before applying for the medicine.
DRIVING AND USING MACHINES
Use with CautionMICLOGENTA CREAM is unlikely to affect your ability to drive or operate machines. Consult your doctor before applying for the medicine.
ALLERGY
ContraindicatedMICLOGENTA CREAM is not recommended for use if you are allergic to clobetasol propionate, miconazole nitrate, gentamicin or any other ingredients of this medicine.
USE IN PEDIATRICS
Consult your doctorMICLOGENTA CREAM is not recommended for use in children (below 1 year). It should be used with caution in children (above 1 year) and adolescents (below 18 years). Consult your doctor before applying MICLOGENTA CREAM.
USE IN GERIATRICS
Use with CautionMICLOGENTA CREAM should be applied with caution in elderly patients (aged 65 years or above). Consult your doctor before applying MICLOGENTA CREAM.
OTHERS
MICLOGENTA CREAM is not recommended for use if you:
- have skin problems such as acne (pimples), rosacea (severe flushing of skin on and around your nose), perioral dermatitis (spotty red rash around your mouth), itching around your anus or genitals, infected skin (unless the infection is being treated with an anti-infective medicine at the same time), itchy skin (which is not inflamed), widespread plaque psoriasis (except single lesions)
Before applying MICLOGENTA CREAM, inform your doctor if you:
- had previous bone symptoms such as bone pain, swelling and tenderness near the affected area, weakened bone
- had previously had an allergic reaction to another steroid
- are planning to apply the cream under an airtight dressing including a child’s nappy
- have broken/damaged skin or within skin folds
- have a large surface area to apply for medicine
- have psoriasis (itchy skin)
- have a chronic leg ulcer
INTERACTIONS
A. Drug-Drug Interactions:
Before applying MICLOGENTA CREAM, inform your doctor, if you are applying any of the following medicine:
- ritonavir (a medicine used to treat HIV infection)
- itraconazole (a medicine used to treat fungal infections)
- another corticosteroid (medicines used to treat swelling and inflammation from allergies) such as cortisone, hydrocortisone and prednisone
- anticoagulants (used to prevent blood clots) such as warfarin
Overdosage:
If you or anyone else applies too much of MICLOGENTA CREAM or accidentally swallows it, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS
| Drug | : | Clobetasol propionate, Miconazole nitrate, Gentamicin |
| Pharmacological Category | : | Topical Corticosteroids, Antifungals, Aminoglycoside |
| Therapeutic Indication | : | Inflammation, redness, and itching caused by skin conditions such as eczema, allergic reactions, dermatitis,rashes, and psoriasis, Several autoimmune diseases including vitiligo, alopecia,areata, lichen planus, and lichen sclerosis |
| Dosage Forms | : | Cream |
MORE INFORMATION
- Keep MICLOGENTA CREAM out of reach from children
- Store MICLOGENTA CREAM at room temperature
FAQs ABOUT MICLOGENTA CREAM
Q: What is the function of MICLOGENTA CREAM?
A: MICLOGENTA CREAM is used to treat inflammation, redness, and itching caused by skin conditions such as eczema, allergic reactions, dermatitis, rashes, and psoriasis. It is also used to treat several autoimmune diseases, including vitiligo, alopecia areata, lichen planus, and lichen sclerosis.
Q: Is MICLOGENTA CREAM safe to be used by children?
A: MICLOGENTA CREAM is not recommended for use in children under the age of one year. It should be used with caution in children (above 1 year) and adolescents (below 18 years). Consult your doctor before applying MICLOGENTA CREAM.
Q: Who should avoid applying MICLOGENTA CREAM?
A: MICLOGENTA CREAM is not recommended for use in patients allergic to clobetasol propionate, miconazole nitrate, or gentamicin. It is also not recommended for people who have acne, rosacea (severe flushing of the skin on and around the nose), perioral dermatitis (spotty red rash around your mouth), itching around your anus or genitals, infected and itchy skin, or widespread plaque psoriasis.
Q: Is MICLOGENTA CREAM safe to be used by pregnant and breastfeeding women?
A: MICLOGENTA CREAM should be avoided during pregnancy and in women who are planning to become pregnant. It should be used with caution in breastfeeding women, and it is advised not to be applied on the breast area while feeding the baby. Consult your doctor before applying the medicine.
Q: How does MICLOGENTA CREAM work?
A: MICLOGENTA CREAM helps to treat skin conditions and several autoimmune diseases. Clobetasol propionate prevents inflammation by blocking the production of certain chemical messengers (prostaglandins) that make the skin red, swollen, and itchy. Miconazole stops the growth of fungi on the skin by preventing them from forming their protective covering which results in their destruction.
REFERENCES
1. KD Tripathi. Aminoglycoside Antibiotics, Antifungal, and Drugs Acting on Skin and Mucous Membranes, Antifungal Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 747, 792, 895.
2. Clobetasol propionate. NIH National Library of Medicine. National Center for Biotechnology Information. PubChem. [Revised in July 2022] [Accessed on 16th July 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Clobetasol-propionate#section=Biological-Half-Life
3. Bruno J. Chaves; Prasanna Tadi.Gentamicin. NIH National Library of Medicine. National Center for Biotechnology Information. StatPearls [Internet]. [Revised in May 2022] [Accessed on 16th July 2022] https://www.ncbi.nlm.nih.gov/books/NBK557550/
4. Glaxo Operations UK Limited. Electronic Medicines Compendium (EMC). [Revised in May 2022] [Accessed on 16th July 2022] https://www.medicines.org.uk/emc/files/pil.939.pdf
5. Janssen Pharmaceutica NV. Electronic Medicines Compendium (EMC). [Revised in August 2020] [Accessed on 16th July 2022] https://www.medicines.org.uk/emc/files/pil.1435.pdf
6. GENTAMICIN SULFATE cream. DailyMed. NIH.National Library of Medicine.[Revised in June 2022] [Accessed on 16th July 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9e550dc9-509e-da05-8a97-ecbd0f5dd633
7. ErisOaknet. Cosvate- GM cream 20g. [Accessed on 16th July 2022] https://oaknethealthcare.com/product/cosvate-gm-cream-20g/
8. Nem Laboratories Pvt Ltd. Ultravate-GM cream. [Accessed on 16th July 2022] https://www.nemlabs.in/creams-n-ointments/secondary-skin-infection
USEFUL DIAGNOSTIC TESTS
- Patch test
AUTHOR DETAILS
Written By Dr. Dhivakaran R, BDS
Last updated on 28 Feb 2023 | 03:16 PM(IST)
PRODUCT DETAILS
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