prednicarbate (Rx)

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Brand and Other Names:Dermatop

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

cream/ointment

  • 0.1%
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Dermatoses

Apply cream/ointment q12hr; discontinue therapy when control achieved

If no improvement within 2 weeks, reassess diagnosis

Not for use >3 weeks

Dosage Forms & Strengths

cream/ointment

  • 0.1%
more...

Dermatoses

<12 months: Safety & efficacy not established

>12 months: Apply cream q12hr

>10 years: Apply ointment q12hr

Not for use >3 weeks

Limit to minimum amount necessary for therapeutic efficacy

If no improvement within 2 weeks, reassess diagnosis

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Adverse Effects

Frequency Not Defined

Skin atrophy

Striae

Acneform lesions

Pigmentation changes

HPA suppression (with higher potency used >2 wk)

Intracranial hypertension

Allergic contact dermatitis

Pruritus

Pustulation

Perioral dermatitis

Urticaria

Hypertrichosis

Leukoderma

Pigmentation changes

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Warnings

Contraindications

Underlying infection

Hypersensitivity

Ophthalmic use

Cautions

Chronic topical corticosteroid therapy may interfere with growth & development in children

Use medium to very high potency for <2 wk to reduce local and systemic side effects

Use low potency for chronic therapy

Children may exhibit greater susceptibility to corticosteroid-induced HPA axis suppression and Cushing's syndrome due to larger skin surface area to body weight ratio  

Avoid medium to very high potency on face, folds, groin because can increase steroid absorption

Kaposi's sarcoma reported with prolonged corticosteroid therapy

Use lower potency for children (ie, increase BSA/kg, therefore increase systemic absorption)

Avoid contact between cream/ointment and latex containing products (eg, condoms, diaphragm); paraffin in cream/ointment can cause damage to latex and reduce the effectiveness of any latex containing products

Externally only, not for intravaginally use

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Pregnancy & Lactation

Pregnancy Category: C

Lactation: not known whether topical corticosteroids are distributed into milk; however, systemic corticosteroids are distributed into milk

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

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Pharmacology

Mechanism of Action

Corticosteroids decrease inflammation by stabilizing leukocyte lysosomal membranes, preventing release of destructive acid hydrolases from leukocytes; inhibiting macrophage accumulation in inflamed areas; reducing leukocyte adhesion to capillary endothelium; reducing capillary wall permeability and edema formation; decreasing complement components; antagonizing histamine activity and release of kinin from substrates; reducing fibroblast proliferation, collagen deposition, and subsequent scar tissue formation

Pharmacokinetics

Absorption: Dependent on nature of skin at application; occlusion and inflammation may increase absorption

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Images

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Formulary

FormularyPatient Discounts

Adding plans allows you to compare formulary status to other drugs in the same class.

To view formulary information first create a list of plans. Your list will be saved and can be edited at any time.

Adding plans allows you to:

  • View the formulary and any restrictions for each plan.
  • Manage and view all your plans together – even plans in different states.
  • Compare formulary status to other drugs in the same class.
  • Access your plan list on any device – mobile or desktop.

The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

Tier Description
1 This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
2 This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
3 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
4 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
5 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
6 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
NC NOT COVERED – Drugs that are not covered by the plan.
Code Definition
PA Prior Authorization
Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
QL Quantity Limits
Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
ST Step Therapy
Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
OR Other Restrictions
Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.
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