GlaxoSmithKline

Trimovate® Cream

clobetasone 17-butyrate, calcium oxytetracycline and nystatin

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. 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.

What is in this leaflet

1    What Trimovate is and what it is used for

2    What you need to know before you use Trimovate

3    How to use Trimovate

4    Possible side effects

5    How to store Trimovate

6    Contents of the pack and other information

1 What Trimovate is and what it is used for

Trimovate contains three different active substances called clobetasone butyrate, calcium oxytetracycline and nystatin.

•    Clobetasone butyrate belongs to a group of medicines called corticosteroids. It helps to reduce redness, swelling and irritation of the skin.

•    Calcium oxytetracycline (an antibiotic) and nystatin (an antifungal) are medicines used to fight infections. They fight certain bacterial and fungal infections of the skin.

Trimovate is used in adults, the elderly, children and infants to help reduce the redness and itchiness of certain skin problems, such as eczema, nappy rash and dermatitis where infection may be a problem.

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• If your condition does not improve after 7 days of treatment, speak to your doctor.

Other medicines and Trimovate

Some medicines may affect how Trimovate works or make it more likely that you'll have side effects. Examples of these medicines include:

•    ritonavir (used to treat HIV infection)

•    itraconazole (used to treat fungal infections)

Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.

Pregnancy and breast-feeding

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 using this medicine. If you do use Trimovate when breast-feeding, do not use it near your nipple to ensure that the baby does not accidentally get it in their mouth.

Trimovate contains cetostearyl alcohol and chlorocresol

Cetostearyl alcohol may cause local skin reactions (e.g. contact dermatitis). Chlorocresol may cause allergic reactions.

3 How to use Trimovate

Always use Trimovate exactly as your

doctor has told you. Check with your doctor

or pharmacist if you are not sure.

Using this medicine

•    You usually apply Trimovate once or twice a day.

•    This cream is for use on your skin only.

•    Do not use more than the amount prescribed for you.

•    Do not use on large areas of the body for a long time (such as every day for many weeks or months) - unless your doctor tells you to.

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

2 What you need to know before you use Trimovate cream

Do not use Trimovate:

•    if you are allergic (hypersensitive) to clobetasone butyrate, calcium oxytetracycline or oxytetracycline, nystatin or any of the other ingredients in Trimovate (listed in section 6)

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

-    acne

-    fungal or bacterial infections such as ringworm, athlete's foot, thrush, or impetigo

-    viral infections, such as cold sores, herpes or chicken pox

-    rosacea (a facial skin condition where the nose, cheeks, chin, forehead or entire face are unusually red, with or without tiny visible blood vessels, bumps (papules) or pus-filled bumps (pustules))

-    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 Trimovate. Some bacterial infections may not fully respond to treatment with Trimovate.

If your infection worsens at any time, speak to your doctor straight away.

Warnings and precautions

Talk to your doctor or pharmacist before using Trimovate.

•    Check with your doctor or pharmacist if you are applying the cream under a child's nappy or an airtight dressing. Nappies and airtight dressings make it easier for the active ingredient to pass through the skin and it is possible to accidentally end up using too much cream

•    Antibiotics may cause a condition that can result in severe diarrhoea and stomach cramps. Although this is unlikely to happen with antibiotics applied to the skin, if you develop stomach cramps or diarrhoea that does not improve or is severe, stop using Trimovate and contact your doctor immediately

•    Trimovate may cause slight staining of hair, skin or fabric, but this can be removed by washing. The application may be covered with a non-airtight dressing e.g. cotton bandage or clean cloth to protect clothing

•    Trimovate can cause increased sensitivity to sunlight. Avoid using sunlamps and spending a long time in the sun while using Trimovate and use a sunscreen product and protective clothing to prevent sunburn

•    Take care when applying Trimovate to the eyelids to make sure it does not get into your eye

•    If you accidently get Trimovate in your eyes wash them well with water

•    Take care when applying Trimovate to the face over a long period of time as it may cause skin thinning

•    If you have eczema around a leg ulcer, using Trimovate may increase the risk of an allergic reaction or an infection around the ulcer

•    Only use an airtight dressing over this medicine if your doctor has told you to.

If you are applying Trimovate under an airtight dressing, including a child's nappy, make sure that the skin is cleansed before a fresh dressing is applied, to prevent infections

•    Trimovate contains chlorocresol which may cause allergic reactions and cetostearyl alcohol which may cause local skin reactions (e.g. contact dermatitis)

•    Only use Trimovate for as long as your doctor recommends

Wash your hands.

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 Trimovate 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.

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

For an adult

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

For a child

Number of fingertip units needed
Childs age	Face and neck	Arm and hand	Leg and foot	Front	Back including buttocks
3-6 months	1	1	1.5	1	1.5
1-2 years	1 /	1 /	2	2	3
3-5 years	1 /	2	3	3	3 /
6-10 years	2	2 /	4 /	3 /	5

If you apply Trimovate to your face

You should only apply the cream to your face if your doctor tells you to. The cream should not be used for too long as the skin on your face thins easily. Do not let the cream get into your eyes.

If you use more Trimovate than you should

If, by mistake on a few occasions you use more than you should, do not worry. If you apply a lot or if a lot is accidentally swallowed, it could make you ill.

Talk to your doctor or go to the hospital as soon as possible.

If you forget to use Trimovate

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 Trimovate

If you use Trimovate regularly make sure you talk to your doctor before you stop using it.

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 Trimovate and tell your doctor immediately if:

•    you notice swelling of the face, lips, tongue or other parts of the body, or you have difficulty breathing.

•    you find your skin condition gets worse or your skin becomes swollen during treatment. You may be allergic to the cream or need other treatment.

Side effects with frequencies that cannot be estimated from the available data include:

Use of over a long period of time, or use under an airtight dressing, may cause the following symptoms:

•    increased weight

•    obesity, especially around the centre of the body

•    moon face / rounding of the face

•    skin thinning

•    changes to the colour of your skin

•    increased body hair

Other skin reactions that may occur are:

•    allergic reaction at the site of application

•    sensitivity to sunlight

•    itching

•    local skin burning, or pain

•    redness

•    rash or hives

•    worsening of condition

•    skin infection

The following side effects may also occur in children:

•    delayed weight gain

•    slow growth

Side effects that may show up in blood tests or when your doctor gives you a medical examination:

•    a decrease in the level of the hormone cortisol in your blood

•    increased levels of sugar in your blood

Other formats

To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:

0800 198 5000 (UK Only)

Please be ready to give the following information:

Product Name:    Trimovate Cream

Reference Number    10949/0040

This is a service provided by the Royal National Institute of Blind People.

Trimovate is a registered trade mark of the GSK group of companies © 2016 GSK group of companies. All rights reserved.

GlaxoSmithKline

• weakening of the bones through gradual loss of mineral (osteoporosis) -additional tests may be needed after your medical examination to confirm if you have this condition Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any 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 Trimovate

•    Keep this medicine out of the sight and reach of children.

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

•    Do not store above 25°C.

•    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 protect the environment.

6 Contents of the pack and other information

What Trimovate contains

•    The active substances are clobetasone 17-butyrate, calcium oxytetracycline and nystatin. Each 1 g contains 0.5 mg of clobetasone butyrate (0.05 % w/w),

30 mg oxytetracycline (3 % w/w) as calcium oxytetracycline and 100,000 units of nystatin.

•    The other ingredients are titanium dioxide, glyceryl monostearate, cetostearyl alcohol, soft paraffin white, polyoxyl 40 stearate, dimeticone 20, glycerol, chlorocresol, sodium metabisulphite, sodium acid phosphate, disodium hydrogen phosphate and purified water.

What Trimovate looks like and contents of the pack

Within each carton is a tube with a plastic screw cap, which contains 30 g of cream.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder:

Glaxo Wellcome UK Ltd, Stockley Park West, Uxbridge, Middlesex, UB11 1BT Manufacturer:

Glaxo Wellcome Operations, Harmire Road, Barnard Castle, Co. Durham, DL12 8DT This leaflet was last revised in April 2016

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