Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Fluticasone, cutaneous

Generic name
Fluticasone, cutaneous
Brand name
ATC Code
D07AC17

Pharmacokinetics in children

No information

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Inflammatory dermatoses
  • Cutaneous
    • 3 months up to 18 years
      [1] [2] [4] [6]
      • Apply to the affected skin once daily according to finger-tip-unit method.

        Maximum dose:
        < 2 years: short term only for severe eczema
        ≥ 2 yrs: 50 g/week;
        Adults: 100 g/week.

        At the start of the treatment, twice daily application for a short period can be considered.
        If there is an improvement, reduce to once daily on 2-4 days a week.

         

         

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Renal impaiment in children > 3 months

No information available on dose adjustment in renal impairment.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Reported are: growth hormone insufficiency and delayed weight gain in children.

The risk of systemic effects with the use of dermatocorticosteroids is greatest with: use under occlusion, use on large areas of skin or skin folds and concomitant use of penetration enhancing drugs.
[SmPC Cutivate)

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

In infants, the nappy can act as the enclosing dressing and thus increase the absorption. In children, inhibition of the adrenal cortex can occur fairly quickly. In addition, the secretion of growth hormone can be suppressed in them. It is therefore recommended that the height and weight should be checked regularly if prolonged use is required. Careful consideration is needed when applied to the eyelids because of the possibility of contaminating the conjunctiva (and the risk of glaucoma simplex or subcapsular cataracts occurring) on the one hand, and the risk of corneal damage due to the continuous rubbing/scratching of untreated eczema on the other.

In infants and children, the skin barrier, which is not yet completely mature, and a larger body surface in relation to body weight can lead to a correspondingly larger amount of topical corticosteroids being absorbed compared to adults. Therefore, systemic toxicity is more likely to occur in infants and children. Fluticasone propionate should be used with caution, i.e. at the lowest possible effective dose.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Krakowski AC, et al, Management of Atopic Dermatitis in the Pediatric Population, Pediatrics, 2008, Vol. 122 No. 4, 812-824
  2. CBO, Richtlijn Constitutioneel Eczeem, www.cbo.nl, Maart 2015
  3. NHG, Standaard constitutioneel exceem (M37), www.nhg.nl, augustus 2006
  4. Dirven-Meijer PC et al, NHG standaard Eczeem, Huisarts Wet , 2014, 57(5), 240-52
  5. NDVD, Richtlijn Anogenitale Lichen Sclerosus, www.ndvd.nl, 2012
  6. GlaxoSmithKline BV, SmPC Cutivate creme 0,5 mg/g (RVG 16648) 16-04-202, www.geneesmiddeleninformatiebank.nl

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Changes

Changes