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Pronunciation |
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(DES
oh
nide) |
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U.S. Brand
Names |
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DesOwen® Topical; Tridesilon®
Topical |
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Generic
Available |
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No |
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Canadian Brand
Names |
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Desocort® |
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Pharmacological Index |
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Corticosteroid, Topical |
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Use |
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Adjunctive therapy for inflammation in acute and chronic corticosteroid
responsive dermatosis (low potency corticosteroid) |
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Pregnancy Risk
Factor |
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C |
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Contraindications |
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Known hypersensitivity to desonide, fungal infections, tuberculosis of skin,
herpes simplex |
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Warnings/Precautions |
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Use with caution in patients with impaired circulation, skin
infections |
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Adverse
Reactions |
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<1%: Itching, dry skin, folliculitis, hypertrichosis, acneiform eruptions,
hypopigmentation, perioral dermatitis, allergic contact dermatitis, skin
maceration, skin atrophy, striae; local burning, irritation, miliaria; secondary
infection |
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|
Overdosage/Toxicology |
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Symptoms of overdose include moon face, central obesity, hypertension,
diabetes, hyperlipidemia, peptic ulcer, increased susceptibility to infection,
electrolyte and fluid imbalance, psychosis, hallucinations. When consumed in
excessive quantities, systemic hypercorticism and adrenal suppression may occur;
in those cases discontinuation and withdrawal of the corticosteroid should be
done judiciously. |
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Drug
Interactions |
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No data reported |
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Mechanism of
Action |
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Stimulates the synthesis of enzymes needed to decrease inflammation, suppress
mitotic activity, and cause vasoconstriction |
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Pharmacodynamics/Kinetics |
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Onset of effect: Commonly noted within 7 days of continued therapy
Absorption: Topical absorption extensive from the scalp, face, axilla and
scrotum; adequate through epidermis on appendages; absorption can be increased
with occlusion or the addition of penetrants (eg, urea, DMSO)
Metabolism: By the liver
Elimination: Primarily in urine |
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Usual Dosage |
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Children and Adults: Topical: Apply 2-4 times/day sparingly. Therapy should
be discontinued when control is achieved; if no improvement is seen,
reassessment of diagnosis may be necessary. |
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Administration |
|
Do not use on open wounds; apply sparingly to occlusive
dressings |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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A thin film of cream or ointment is effective, do not overuse; rub in
lightly; do not use tight-fitting diapers or plastic pants on children being
treated in the diaper area; use only as prescribed and for no longer than the
period prescribed; avoid contact with eyes; notify physician if condition being
treated persists or worsens |
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Nursing
Implications |
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For external use only; do not use on open wounds; apply sparingly to
occlusive dressings; should not be used in the presence of open or weeping
lesions |
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Dosage Forms |
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Cream, topical: 0.05% (15 g, 60 g)
Lotion: 0.05% (60 mL, 120 mL)
Ointment, topical: 0.05% (15 g, 60 g)
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