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

Interactions
PK
Renal impairment
References

Clobetason

Generic name
Clobetason
Brand name
ATC Code
D07AB01

Pharmacokinetics in children

No information

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

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Available formulations

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Dosages

Atopic dermatitis
  • Cutaneous
    • 1 month up to 18 years
      •  Clobetasonbutyraat: Apply  to the affected skin once daily according to fingert-tip-unit method.

        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.

        Maximum:
        < 2 years: 30 g/week;
        > 2 years: 60 g/week;
        Adults: 100 g/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

Children are more likely to experience systemic effects.
Delayed weight gain; growth retardation.

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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

Children are more likely to experience local and systemic side effects from the use of corticosteroids on the skin due to their larger body surface area relative to weight and generally require shorter treatment.

In infants, the diaper can act as an occlusive dressing and thus increase absorption. In children, inhibition of adrenal cortex function can occur quite quickly. In addition, the secretion of growth hormones can be suppressed in them. It is therefore recommended, if long-term application is necessary, to regularly monitor height and weight. When applied to the eyelids, careful consideration should be given to the possibility of contamination of the conjunctiva with the risk of developing glaucoma simplex or subcapsular cataract on the one hand and the risk of corneal damage from continued rubbing of untreated eczema on the other.

 

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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. CBO, Richtlijn Constitutioneel eczeem, www.cbo.nl, Maart 2015
  2. NHG, Standaard Constitutioneel eczeem (M37), www.nhg.nl, augustus 2006
  3. Krakowski AC, et al, Management of Atopic Dermatitis in the Pediatric Population, Pediatrics, 2008, Vol. 122 No. 4, 812-824
  4. Dirven-Meijer PC et al, NHG standaard Eczeem, Huisarts Wet, 2014, 57(5), 240-52

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Changes

Changes