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| U.S. Brand
Names |
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| Lidex®; Lidex-E® |

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| Generic
Available |
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Yes |

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| Canadian Brand
Names |
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| Lyderm; Lydonide; Tiamol®;
Topactin®; Topsyn® |

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| Pharmacological Index |
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Corticosteroid, Topical |

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| Use |
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Anti-inflammatory, antipruritic, relief of inflammatory and pruritic
manifestations [high potency topical corticosteroid] |

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| Pregnancy Risk
Factor |
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|
C |

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| Contraindications |
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Viral, fungal, or tubercular skin lesions, herpes simplex, known
hypersensitivity to fluocinonide |

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| Warnings/Precautions |
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Adverse systemic effects may occur when used on large areas of the body,
denuded areas, for prolonged periods of time, with an occlusive dressing, and/or
in infants or small children |

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| Adverse
Reactions |
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<1%: Intracranial hypertension, acne, hypopigmentation, allergic
dermatitis, maceration of the skin, skin atrophy, dry skin, itching,
folliculitis, hypertrichosis, HPA suppression, Cushing's syndrome, growth
retardation, burning, irritation, secondary infection |

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| Drug
Interactions |
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No data reported |

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| Mechanism of
Action |
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Fluorinated topical corticosteroid considered to be of high potency. The
mechanism of action for all topical corticosteroids is not well defined,
however, is felt to be a combination of three important properties:
anti-inflammatory activity, immunosuppressive properties, and antiproliferative
actions. |

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| Pharmacodynamics/Kinetics |
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Absorption: Dependent on amount applied and nature of skin at application
site; ranges from ~1% in areas of thick stratum corneum (palms, soles, elbows,
etc) to 36% in areas of thin stratum corneum (face, eyelids, etc); absorption is
increased in areas of skin damage, inflammation, or occlusion
Distribution: Distributed throughout local skin; any absorbed drug is removed
rapidly from the blood and distributed into muscle, liver, skin, intestines, and
kidneys
Metabolism: Primarily in the skin; small amount absorbed into systemic
circulation is metabolized primarily in the liver to inactive compounds
Elimination: By the kidneys primarily as glucuronides and sulfates, but also
as unconjugated products; small amounts of metabolites are excreted in feces
|

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| Usual Dosage |
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Children and Adults: Topical: Apply thin layer to affected area 2-4 times/day
depending on the severity of the condition. Therapy should be discontinued when
control is achieved; if no improvement is seen, reassessment of diagnosis may be
necessary. |

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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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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 a light film; rub in lightly; notify physician if
condition being treated persists or worsens; avoid contact with
eyes |

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| Nursing
Implications |
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Use sparingly |

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| Dosage Forms |
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Cream: 0.05% (15 g, 30 g, 60 g, 120 g)
Anhydrous, emollient (Lidex®): 0.05% (15 g, 30 g, 60 g,
120 g)
Aqueous, emollient (Lidex-E®): 0.05% (15 g, 30 g, 60 g,
120 g)
Gel, topical: 0.05% (15 g, 60 g)
Lidex®: 0.05% (15 g, 30 g, 60 g, 120 g)
Ointment, topical: 0.05% (15 g, 30 g, 60 g)
Lidex®: 0.05% (15 g, 30 g, 60 g, 120 g)
Solution, topical: 0.05% (20 mL, 60 mL)
Lidex®: 0.05% (20 mL, 60 mL)
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