Key information summary
Efficacy & effects
The first medication is used for allergic dermatitis, contact dermatitis, chronic simple lichen (neurodermatitis), atopic dermatitis, discoid lupus erythematosus, seborrheic dermatitis, psoriasis, insect bites, radiation dermatitis, and urticaria. The second medication is used for the treatment of alopecia areata.
Dosage
Apply an appropriate amount to the affected area well 3 to 4 times a day. Reduce the frequency to 1 to 2 times as symptoms improve.
Precautions
This drug should not be used in patients with certain skin infections. For example, it should not be administered to patients with infections such as cutaneous tuberculosis, herpes simplex, chickenpox, shingles, and syphilis. It should also be avoided in patients with a history of allergic reactions to this drug or its components. It is not recommended for patients with eczematous external otitis who have a perforated tympanic membrane due to risks of treatment delay and infection. It should not be used in patients with skin ulcers, severe burns, or frostbite as skin regeneration may be delayed. If there are bacterial, fungal, or viral skin infections, the use of this drug may worsen the infection. It is also unsuitable for patients with injections, acne, perioral dermatitis, pruritus around the anus, and genital itching. It is not to be used in children under 2 years of age. Caution is required in pregnant or breastfeeding women, children, and the elderly, and consultation with a physician is necessary if required. Skin fungal or bacterial infections may develop during the use of this drug, so if symptoms worsen, it should be stopped immediately and appropriate treatment should be sought. Various skin side effects such as steroid acne, skin atrophy, erythema, and itching may occur, so if any symptoms develop, use should be gradually discontinued and switched to another medication. Allergic reactions such as contact dermatitis, rashes, and swelling may occur, so caution is advised. Long-term large-scale use may suppress pituitary and adrenal function, necessitating regular check-ups. Caution is needed when used around the eyes as it may increase intraocular pressure and the risk of glaucoma, and prolonged use may also increase the risk of cataracts. It should generally not be used for eczema or dermatitis accompanied by skin infections, but if necessary, combined treatment with antibiotics should be considered. Systemic steroid side effects may occur with large-scale, long-term, or extensive use, so it should be used following a doctor's instructions. Special care should be taken for children, as prolonged use may present a risk of adrenal suppression, and the use of occlusive dressings should be avoided. When used on the face, the duration should be limited to within 5 days, and occlusive dressings should not be used. Long-term continuous use should be avoided, and once symptoms improve, it should be discontinued as soon as possible. Local steroid withdrawal syndrome may occur, so if symptoms recur, consultation with a specialist is necessary. Pregnant women should particularly avoid use during the first 3 months of pregnancy, and it is preferable to avoid breastfeeding during prolonged extensive use. In children, caution is advised as long-term large-scale use or the use of occlusive dressings may lead to growth disorders. The elderly are at higher risk of adverse reactions and should be especially careful during large-scale or prolonged extensive use. This drug is not intended for ophthalmic use and should not be used for cosmetic purposes or after shaving except for the therapeutic purpose.
Side effects
Inhibition of pituitary and adrenal cortex function (with large-scale or prolonged extensive use)