|
Pronunciation |
|
(hal
oh BAY ta
sol) |
|
|
U.S. Brand
Names |
|
Ultravate™ |
|
|
Generic
Available |
|
No |
|
|
Synonyms |
|
Halobetasol Propionate |
|
|
Pharmacological Index |
|
Corticosteroid, Topical |
|
|
Use |
|
Relief of inflammatory and pruritic manifestations of corticosteroid-response
dermatoses [very high potency topical corticosteroid] |
|
|
Pregnancy Risk
Factor |
|
C |
|
|
Contraindications |
|
Hypersensitivity to halobetasol or any component; viral, fungal, or
tubercular skin lesions |
|
|
Warnings/Precautions |
|
Not for ophthalmic use; may cause adrenal suppression or insufficiency;
application to abraded or inflamed areas or too large areas of the body may
increase the risk of systemic absorption and the risk of adrenal suppression, as
may prolonged use or the use of >50 g/week. Topical halobetasol should not be
used for the treatment of rosacea or perioral dermatitis. |
|
|
Adverse
Reactions |
|
<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 |
|
|
Overdosage/Toxicology |
|
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 |
|
|
Drug
Interactions |
|
No data reported |
|
|
Mechanism of
Action |
|
Corticosteroids inhibit the initial manifestations of the inflammatory
process (ie, capillary dilation and edema, fibrin deposition, and migration and
diapedesis of leukocytes into the inflamed site) as well as later sequelae
(angiogenesis, fibroblast proliferation) |
|
|
Pharmacodynamics/Kinetics |
|
Absorption: Percutaneous absorption varies by location of topical application
and the use of occlusive dressings; ~3% of a topically applied dose of ointment
enters the circulation within 96 hours
Metabolism: Primarily in the liver
Elimination: By the kidneys |
|
|
Usual Dosage |
|
Children and Adults: Topical: Apply sparingly to skin twice daily, rub in
gently and completely; treatment should not exceed 2 consecutive weeks and total
dosage should not exceed 50 g/week. Therapy should be discontinued when control
is achieved; if no improvement is seen, reassessment of diagnosis may be
necessary. |
|
|
Mental Health: Effects
on Mental Status |
|
None noted |
|
|
Mental Health:
Effects on Psychiatric
Treatment |
|
None noted |
|
|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
No information available to require special precautions |
|
|
Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |
|
|
Patient
Information |
|
A thin film of cream or ointment is effective; do not overuse; 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;
apply sparingly in light film; rub in lightly; avoid contact with eyes; notify
physician if condition being treated persists or worsens |
|
|
Nursing
Implications |
|
A thin film of cream or ointment is effective; do not overuse; 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;
apply sparingly in light film; rub in lightly; avoid contact with eyes; notify
physician if condition being treated persists or worsens |
|
|
Dosage Forms |
|
Cream, as propionate: 0.05% (15 g, 45 g)
Ointment, topical, as propionate: 0.05% (15 g, 45 g)
|
|
Copyright © 1978-2000 Lexi-Comp Inc. All Rights Reserved
|