Clobetasone

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Clobetasone
Clinical data
Trade namesEumovate
Other names(8S,9R,10S,13S,14S,16S,17R)-17-(2-Chloroacetyl)-9-fluoro-17-hydroxy-10,13,16-trimethyl-7,8,12,14,15,16-hexahydro-6H-cyclopenta[a]phenanthrene-3,11-dione
AHFS/Drugs.comMicromedex Detailed Consumer Information
Routes of
administration
topical
ATC code
Identifiers
  • (1R,2S,10S,11S,13S,14R,15S)-14-(2-chloroacetyl)-1-fluoro-14-hydroxy-2,13,15-trimethyltetracyclo[8.7.0.02,7.011,15]heptadeca-3,6-diene-5,17-dione
JSmol)
  • ClCC(=O)[C@@]2(O)[C@@H](C)C[C@H]1[C@H]4[C@](F)(C(=O)C[C@@]12C)[C@@]/3(/C(=C\C(=O)\C=C\3)CC4)C
  • InChI=1S/C22H26ClFO4/c1-12-8-16-15-5-4-13-9-14(25)6-7-19(13,2)21(15,24)17(26)10-20(16,3)22(12,28)18(27)11-23/h6-7,9,12,15-16,28H,4-5,8,10-11H2,1-3H3/t12-,15-,16-,19-,20-,21-,22-/m0/s1 checkY
  • Key:XXIFVOHLGBURIG-OZCCCYNHSA-N checkY
  (verify)

Clobetasone (

eczema, psoriasis and other forms of dermatitis, and ophthalmology. Topical clobetasone butyrate has shown minimal suppression of the hypothalamic–pituitary–adrenal axis.[2]

It is available as clobetasone butyrate under the brand names Eumosone or Eumovate

GlaxoSmithKline
.

Trimovate also contains

Uses

In

In ophthalmology, clobetasone butyrate 0.1% eye drops have been shown to be safe and effective in the treatment of dry eyes in Sjögren syndrome. Sjögren syndrome is an autoimmune disorder that affects the moisture producing glands of the body causing many symptoms including dry eyes.[6] When compared to other corticosteroid eye drops; clobetasone butyrate showed only minimal rises in intraocular pressure. Increased pressure within the eye can lead to glaucoma.[7][8][9]

Adverse effects

Side effects associated with clobetasone cream and ointment include: burning, irritation, itching, thinning of the skin, and changes in skin color.[5][10]

Contraindications

The following should not be treated with clobetasone with nystatin and oxytetracycline:

Serious Contraindications

  • Pseudomembranous colitis - C. Diff. Colitis, also called:
    clostridium difficile colitis
    , or Pseudomembranous colitis has been reported with the use of antibiotics and may range in severity from mild to life-threatening.
  • Reversible hypothalamic-pituitary-adrenal (HPA) axis suppression - Manifestations of hypercortisolism (
    adrenals; was previously called Adrenal Fatigue.)[12]

See also

References

  1. ^ "United Nations Statistics Division - Classifications Registry - Alphabetical index for HS 2002 Entries starting with 'C' (page 310 of 422)". Archived from the original on 2011-06-08. Retrieved 2007-12-11.
  2. PMID 1164639
    .
  3. ^ "Eumovate cream/ointment". NetDoctor.co.uk. 2017-07-05.
  4. ^ "Trimovate". Electronic Medicines Compendium (EMC). Datapharm Ltd.
  5. ^ a b "Euvomate Medication Guide". GlaxoSmithKline. Archived from the original on 30 January 2014.
  6. S2CID 20730843
    .
  7. .
  8. .
  9. .
  10. ^ "Clobetason Butyrate". WebMD. Archived from the original on March 2, 2012.
  11. ^
    PMID 31995350
    – via PubMed.
  12. ^ "Overcoming HPA Axis Suppression (Formerly Known as Adrenal Fatigue)". BodyLogicMD. October 23, 2017.