Dermovate Cream

Document: leaflet MAH BRAND_PLPI 33902-0618 change

Face and neck:

2% fingertip units.

Back: 7 fingertip units. Front: 7 fingertip units,

One arm (not including the hand):

3 fingertip units.

Both sides of one hand:

1 fingertip unit.

One leg (not including the foot):

6 fingertip units.

Ore foot:

2 fingertip units.

For a child aged 1-10

Number of fingertip units needed
Child's age	Face and neck	Arm and hand	Leg and foot	Front	Back including buttocks
1-2 years	114	1’4	2	2	3
3-5 years	114	1	3	3	3 'h
6-10 years	2	214	4 Vi	314	5

PATIENT INFORMATION LEAFLET

Dermovate® Cream (clobetasol propionate)

Your medicine is known by the above name but will be referred to as Dermovate throughout this leaflet.

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 of the side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

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 Dermovate. 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 (hypersensitive) to Dermovate 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 antiinfective 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 cream 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 cream.

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

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

Tell 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 are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Dermovate Cream contains propylene glycol, cetostearyl alcohol and chlorocresol

Propylene glycol may cause skin irritation. Cetostearyl alcohol may cause local skin reactions (eg. contact dermatitis). Chlorocresol may cause allergic reactions.

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 better.

• This cream 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 cream 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 cream

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 cream 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 cream to your hands as a part of the treatment, wash them again after using the cream.

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 cream.

S0618-RM-PIL-22.09.2016

If you have psoriasis

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

If you apply Dermovate to your face

You should only apply the cream to your face if your doctor tells you to. It should be limited to only 5 days as the skin on your face thins easily. Do not let the cream 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 cream, 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 cream, 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 cream 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 cream 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.

• 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 this medicine after the expiry date which is stated on the tube or carton after (Exp). The expiry date refers to the last day of that month.

• Do not store above 30°C. Store in the original package.

• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

• If the cream becomes discoloured or show any signs of deterioration, you should seek the advice of your pharmacist.

6. Contents of the pack and other information What Dermovate contains

• The active ingredient is clobetasol propionate.

• Each gram contains 0.5mg of clobetasol propionate (0.05% w/w).

The other ingredients are glyceryl monostearate 40-55, arlacel 165, beeswax substitute 6621, cetostearyl alcohol, propylene glycol, chlorocresol, sodium citrate, citric acid monohydrate and purified water.

What Dermovate looks like and contents of the pack

Within each carton is a tube with a plastic screw cap. Each 25g tube contains white cream. Each carton contains either 25g or 4 x 25g tubes of cream.

Manufacturer:

GlaxoSmithKline Pharmaceuticals SA, ul. Grunwaldzka 189, 60-322 Poznan, Poland

Procured from within the EU and repackaged by: Amimed Direct Ltd, Hendon, London, NW9 6AQ.

Product Licence holder: Sam Pharma Ltd, Unit 20 Garrick Industrial Estate, Irving Way, Hendon, London, NW9 6AQ.

I ^POM I PL 33902/0618

This leaflet was last approved: 22/09/2016

Dermovate® is a registered of the GlaxoSmithKline group of companies.

S0618-RM-PIL-22.09.2016

Face and neck:

I'h fingertip units.

Back: 7 fingertip units. Front: 7 fingertip units,

One arm (not including the hand):

3 fingertip units.

Both sides of one hand:

1 fingertip unit.

One leg (not including the foot):

6 fingertip units.

One foot

2 fingertip units.

For a child aged 1-10

Number of fingertip units needed
Childs age	Face and neck	Arm and hand	Leg and foot	Front	Back including buttocks
1-2 years	1¹4	1 'h	2	2	3
3-5 years	114	2	3	3	3 14
6-10 years	2	214	A'h	314	5

PATIENT INFORMATION LEAFLET Clobesatol propionate 0.05% w/w Cream

Your medicine is known by the above name but will be referred to as Clobetasol propionate throughout this leaflet.

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 of the side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1. What Clobetasol propionate is and what it is used for

2. What you need to know before you use Clobetasol propionate

3. How to use Clobetasol propionate

4. Possible side effects

5. How to store Clobetasol propionate

6. Contents of the pack and other information

1. What Clobetasol propionate is and what it is used for

Clobetasol propionate contains a medicine called clobetasol propionate.

It belongs to a group of medicines called steroids. It helps to reduce swelling and irritation.

Clobetasol propionate 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 Clobetasol propionate

Do not use Clobetasol propionate:

• if you are allergic (hypersensitive) 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 antiinfective 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 Clobetasol propionate.

Warnings and precautions

Talk to your doctor or pharmacist before using Clobetasol propionate if:

• you have previously had an allergic reaction with another steroid

• you are applying the cream 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 cream.

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

• you are applying the cream on broken skin or within 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 cream repeatedly enters the eye.

• dressing or bandages should not be used on children or on the face where the cream 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 Clobetasol propionate

Tell 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 are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

S0618-RM-PIL-22.09.2016 C

Clobetasol propionate Cream contains propylene glycol, cetostearyl alcohol and chlorocresol

Propylene glycol may cause skin irritation. Cetostearyl alcohol may cause local skin reactions (eg. contact dermatitis). Chlorocresol may cause allergic reactions.

3. How to use Clobetasol propionate

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 Clobetasol propionate 1 or 2 times a day. This may be reduced as your skin begins to get better, or stopped when better.

• This cream is for use on your skin only.

• 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 cream 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 cream

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 Clobetasol propionate to use with your fingertip. For children you will need to use less cream 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 cream to your hands as a part of the treatment, wash them again after using the cream.

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.

If you have psoriasis

If you have thick patches of psoriasis on your elbows or knees, your doctor may suggest applying the cream under an airtight dressing.

It will only be at night to help the cream to start working. After a short period of time you will then apply the cream as normal.

If you apply Clobetasol propionate to your face

If you use more Clobetasol propionate 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 Clobetasol propionate

If you forget to apply your cream, 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 Clobetasol propionate

If you use Clobetasol propionate 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 Clobetasol propionate and tell your doctor immediately if:

• 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 Clobetasol propionate include:

Common (may affect up to 1 in 10 people)

• A feeling of burning, pain, irritation or itching where the cream 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 cream 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.

• 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

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

5. How to store Clobetasol propionate

• Keep out of the sight and reach of children.

• Do not use this medicine after the expiry date which is stated on the tube or carton after (Exp). The expiry date refers to the last day of that month.

• Do not store above 30°C. Store in the original package.

• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

• If the cream becomes discoloured or show any signs of deterioration, you should seek the advice of your pharmacist.

6. Contents of the pack and other information What Clobetasol propionate contains

• The active ingredient is clobetasol propionate.

• Each gram contains 0.5mg of clobetasol propionate (0.05% w/w).

What Clobetasol propionate looks like and contents of the pack

Within each carton is a tube with a plastic screw cap. Each 25g tube contains white cream. Each carton contains either 25g or 4 x 25g tubes of cream.

Manufacturer:

GlaxoSmithKline Pharmaceuticals SA, ul. Grunwaldzka 189, 60-322 Poznan, Poland

Procured from within the EU and repackaged by: Amimed Direct Ltd, Hendon, London, NW9 6AQ.

Product Licence holder: Sam Pharma Ltd, Unit 20 Garrick Industrial Estate, Irving Way, Hendon, London, NW9 6AQ.

I ^POM I PL 33902/0618

This leaflet was last approved: 22/09/2016

S0618-RM-PIL-22.09.2016 C