Package Leaflet: Information for the User

Dermovate® 0.05% Ointment

(clobetasol propionate)

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

The name of your medicine is Dermovate 0.05% Ointment but will be referred to as Dermovate throughout this leaflet.

What is in this leaflet:

1.    What Dermovate is and what it is used for

2.    What you need to know before you use Dermovate

3.    How to use Dermovate

4.    Possible side effects

5.    How to store Dermovate

6.    Contents of the pack and other information

1. What Dermovate is and what it is used for

Dermovate contains a medicine called clobetasol propionate. It belongs to a group of medicines called steroids. It helps to reduce swelling and irritation.

Dermovate is used to help reduce the redness and itchiness of certain skin problems. These skin problems include eczema, psoriasis, lichen planus, discoid lupus, dermatitis and other skin conditions that have not responded to milder steroid creams or ointments.

2. What you need to know before you use Dermovate

Do not use Dermovate:

•    if you are allergic to clobetasol propionate or any of the other ingredients of this medicine (listed in Section 6)

•    on a child under 1 year old

•    to treat any of the following skin problems, it could make them

worse:

-    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 (unless the infection is being treated with an anti-infective medicine at the same time)

-    itchy skin which is not inflamed

Do not use if any of the above apply to you. If you are not sure, talk

to your doctor or pharmacist before using Dermovate.

Warnings and precautions

Talk to your doctor or pharmacist before using Dermovate if:

•    you have previously had an allergic reaction with another steroid.

•    you are applying the ointment under an airtight dressing, including a child's nappy. These dressings make it easier for the active ingredient to pass through the skin. It is possible to accidentally end up using too much ointment.

•    you have psoriasis, your doctor will want to see you more    often.

•    you are    applying    the ointment on broken skin or within the    skin

folds.

•    using for a chronic leg ulcer as you may be at increased risk of local allergic reaction or infection.

•    you are    applying    to a large surface area or within the skin    folds.

•    you are    applying    near eyes or on eyelids, as cataracts or

glaucoma may result if the ointment repeatedly enters the eye.

•    you are applying to thin skin such as the face or on children as their skin is thinner than adults and as a result may absorb larger amounts. Use on children should be limited to 5 days and reviewed weekly. Use on the face should be limited to 5 days.

• dressing or bandages should not be used on children or on the face where the ointment is applied.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using this medicine.

Other medicines and Dermovate

T ell your doctor or pharmacist if you are taking, have recently taken or might take any other medicine, especially if you are taking ritonavir and itraconazole medications.

Pregnancy, breast-feeding and fertility

If you are pregnant or breast-feeding, think you may be pregnant or planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Dermovate contains propylene glycol

Propylene glycol may cause skin irritation.

3. How to use Dermovate

Always use this medicine exactly as your doctor has told you.

Check with your doctor or pharmacist if you are not sure.

Using this medicine

•    You usually apply a thin layer of Dermovate 1 or 2 times a day. This may be reduced as your skin begins to get better, or stopped when it is better.

•    This ointment is for use on your skin only.

•    Do not use on large areas of the body for a long time (such as every day for many weeks or months). If you need treatment for a long time, your doctor may decide you need to use a milder cream or ointment.

•    The germs that cause infections like warm and moist conditions under dressings so always clean the skin before a fresh dressing is put on.

•    If you are applying the ointment on someone else make sure you wash your hands after use or wear disposable plastic gloves.

•    If your skin problem does not improve in 2 to 4 weeks, talk to your doctor.

Guidance on how to apply the ointment

1.    Wash your hands.

2.    Apply a thin layer to the affected area(s) and gently rub into the skin until it has all disappeared. You can measure how much Dermovate to use with your fingertip. For children you will need to use less ointment but still use an adult finger to measure out the fingertip unit. This picture shows one fingertip unit.

3. Unless you are meant to apply the ointment to your hands as a part of the treatment, wash them again after using the ointment.

For an adult

Do not worry if you find you need a little more or less than this. It is only a rough guide.

•    Do not use it on children under 1 year of age.

•    It is especially important in children not to exceed the prescribed amount.

•    A course of treatment for a child should not normally last more than 5 days unless your doctor has told you to use it for longer. The doctor may want to see the child every week, whilst using the ointment.

If you have psoriasis

If you have thick patches of psoriasis on your elbows or knees, your doctor may suggest applying the ointment under an airtight dressing. It will only be at night to help the ointment to start working. After a short period of time you will then apply the ointment as normal.

If you apply Dermovate to your face

You should only apply the ointment to your face if your doctor tells you to. It should be limited to 5 days, as the skin on your face thins easily. Do not let the ointment get into your eyes. If it does, wash it out with plenty of water.

If you use more Dermovate than you should

If you apply too much or if accidentally swallowed, it could make you ill. Talk to your doctor or go to hospital as soon as possible.

If you forget to use Dermovate

If you forget to apply your ointment, apply it as soon as you remember. If it is close to the time you are next meant to apply it, wait until this time.

If you stop using Dermovate

If you use Dermovate regularly make sure you talk to your doctor before you stop using it as your condition may get worse if stopped suddenly.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although

not everybody gets them.

Stop using Dermovate and tell your doctor immediately if:

•    you find that your skin problem gets worse, you develop a generalised rash or your skin becomes swollen during treatment. You may be allergic to the ointment, have an infection or need other treatment.

•    you have psoriasis and get raised bumps with pus under the skin. This can happen during or after the treatment and is known as pustular psoriasis.

Other side effects you may notice when using Dermovate

include:

Common (may affect up to 1 in 10 people)

•    A feeling of burning, pain, irritation or itching where the ointment is applied.

Uncommon (may affect up to 1 in 100 people)

•    Stretch marks may develop.

•    Veins under the surface of your skin may become more noticeable.

Rare (may affect up to 1 in 1,000 people)

•    An increased risk of infection

•    An allergic skin reaction where the ointment is applied

•    Rash, itchy bumpy skin or redness of the skin

•    Thinning and dryness of your skin and it may also damage or wrinkle more easily

•    An increase or reduction in hair growth or hair loss and changes in skin colour.

•    Thinning of your skin that may also damage more easily.

•    Weight gain, rounding of the face.

•    Delayed weight gain or slowing of growth in children

•    Bones can become thin, weak and break easily

•    Cloudy lens in the eye (cataract) or increased pressure in the eye (glaucoma)

•    Increased blood sugar levels or sugar in the urine

•    High blood pressure

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Dermovate

•    Keep out of the sight and reach of children.

•    Do not use Dermovate after the expiry date on the tube or carton label after 'Exp'. The expiry date refers to the last day of that month.

•    Do not store above 30°C.

•    Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Further information

What Dermovate contains

•    The ointment contains: the active ingredient - clobetasol propionate 0 05%w/w

•    in a base containing propylene glycol, arlacel 83 and white soft paraffin.

What Dermovate looks like and contents of the pack

The ointment is a smooth white translucent ointment packaged in a collapsible tube with a white screw cap. The ointment is available in 25g tubes.

Manufactured by: Glaxo Operations U.K. Ltd, England.

Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK.

Dermovate^® 0.05% Ointment PL 18799/1452

Leaflet date: 24.03.2015

Dermovate is a registered trademark of GlaxoSmithKline group of companies.

More Information

If you have any questions or are not sure about anything, ask your doctor or pharmacist who will advise you. You may be able to find out more information from books in public libraries.