BNF for Children 2011-2012

BNFC 2011–2012 13.4 Topical corticosteroids 563Indication and doseShort-term treatment only of severe resistantinflammatory skin disorders such as recalcitranteczemas unresponsive to less potentcorticosteroids, psoriasis see notes aboveApply thinly 1–2 times daily for up to 4 weeksDermovate c (GSK) ACream, clobetasol propionate 0.05%, net price 30 g =£2.69, 100 g = £7.90. Label: 28, counselling, application,see p. 559. Potency: very potentExcipients include beeswax (or beeswax substitute), cetostearylalcohol, chlorocresol, propylene glycolOintment, clobetasol propionate 0.05%, net price 30 g= £2.69, 100 g = £7.90. Label: 28, counselling, application,see p. 559. Potency: very potentExcipients include propylene glycolScalp application, clobetasol propionate 0.05%, in athickened alcoholic basis, net price 30 mL = £3.07,100 mL = £10.42. Label: 15, 28, counselling, application,see p. 559. Potency: very potentExcipients none as listed in section 13.1.3With antimicrobialsSee notes above for comment on compound preparationsDermovate-NN c (Chemidex) ACream, clobetasol propionate 0.05%, neomycin sulphate0.5%, nystatin 100 000 units/g, net price 30 g =£3.91. Label: 28, counselling, application, see p. 559.Potency: very potentExcipients include arachis (peanut) oil, beeswax or beeswax substituteOintment, clobetasol propionate 0.05%, neomycinsulphate 0.5%, nystatin 100 000 units/g, in a paraffinbasis, net price 30 g = £3.91. Label: 28, counselling,application, see p. 559. Potency: very potentExcipients none as listed in section 13.1.3CLOBETASONE BUTYRATECautions see notes aboveContra-indications see notes aboveSide-effects see notes aboveLicensed use licensed for use in children (age rangenot specified by manufacturer)Indication and doseEczemas and dermatitis of all types; maintenancebetween courses of more potent corticosteroidsApply thinly 1–2 times daily1Eumovate c (GSK) ACream, clobetasone butyrate 0.05%, net price 30 g =£1.86, 100 g = £5.44. Label: 28, counselling, application,see p. 559. Potency: moderateExcipients include beeswax substitute, cetostearyl alcohol, chlorocresolOintment, clobetasone butyrate 0.05%, net price 30 g= £1.86, 100 g = £5.44. Label: 28, counselling, application,see p. 559. Potency: moderateExcipients none as listed in section 13.1.31. Cream can be sold to the public for short-term symptomatictreatment and control of patches of eczema and dermatitis(but not seborrhoeic dermatitis) in children over 12 yearsprovided pack does not contain more than 15 gWith antimicrobialsSee notes above for comment on compound preparationsTrimovate c (GSK) ACream, clobetasone butyrate 0.05%, oxytetracycline3% (as calcium salt), nystatin 100 000 units/g, netprice 30 g = £3.29. Label: 28, counselling, application,see p. 559. Potency: moderateExcipients include cetostearyl alcohol, chlorocresol, sodium metabisulphiteNote Stains clothingDIFLUCORTOLONE VALERATECautions see notes aboveContra-indications see notes aboveSide-effects see notes aboveLicensed use Nerisone c licensed for use in children(age range not specified by manufacturer); NerisoneForte c not licensed for use in children under 4 yearsIndication and doseSevere inflammatory skin disorders such aseczemas unresponsive to less potent corticosteroids;high strength (0.3%), short-termtreatment of severe exacerbations, psoriasissee notes aboveApply thinly 1–2 times daily for up to 4 weeks(0.1% preparations) or 2 weeks (0.3% preparations),reducing strength as condition respondsNerisone c (Meadow) ACream, diflucortolone valerate 0.1%, net price 30 g =£1.59. Label: 28, counselling, application, see p. 559.Potency: potentExcipients include disodium edetate, hydroxybenzoates (parabens),stearyl alcoholOily cream, diflucortolone valerate 0.1%, net price30 g = £2.56. Label: 28, counselling, application, seep. 559. Potency: potentExcipients include beeswaxOintment, diflucortolone valerate 0.1%, net price 30 g= £1.59. Label: 28, counselling, application, see p. 559.Potency: potentExcipients none as listed in section 13.1.3Nerisone Forte c (Meadow) AOily cream, diflucortolone valerate 0.3%, net price15 g = £2.09. Label: 28, counselling, application, seep. 559. Potency: very potentExcipients include beeswaxOintment, diflucortolone valerate 0.3%, net price 15 g= £2.09. Label: 28, counselling, application, see p. 559.Potency: very potentExcipients none as listed in section 13.1.3FLUDROXYCORTIDE(Flurandrenolone)Cautions see notes aboveContra-indications see notes aboveSide-effects see notes aboveLicensed use licensed for use in children (age rangenot specified by manufacturer)Indication and doseInflammatory skin disorders such as eczemasApply thinly 1–2 times dailyHaelan c (Typharm) ACream, fludroxycortide 0.0125%, net price 60 g =£3.26. Label: 28, counselling, application, see p. 559.Potency: moderateExcipients include cetyl alcohol, propylene glycolOintment, fludroxycortide 0.0125%, net price 60 g =£3.26. Label: 28, counselling, application, see p. 559.Potency: moderateExcipients include beeswax, cetyl alcohol, polysorbate13 Skin