Clobederm-NN Ointment 15 gm

Clobederm-NN Ointment 15 gm is a topical medicine that is a combination of synthetic steroids, an antibacterial, and an anti-fungal preparation. Clobederm-NN Ointment 15 gm is prescribed for the treatment of a number of inflammatory skin conditions with the presence of bacterial or yeast infections or when it is expected to occur. This includes eczema (intractable types), psoriasis, and dermatoses, among many others. Clobederm-NN Ointment 15 gm helps reduce redness and swelling as it treats the infection. Clobederm-NN Ointment 15 gm is available in the form of an ointment, packed in a tube, meant for external use only.

How Does Clobederm-NN Ointment 15 gm Work

Clobederm-NN Ointment 15 gm is chemically composed of neomycin, clobetasol, and nystatin. It works by acting on the skin via three basic mechanisms. Firstly, clobetasol, being a steroid controls redness and swelling by decreasing protein formation that leads to this inflammation. Also, it controls the infiltration and migration of inflammatory cells like leukocytes and inhibits enzymes that speed up the process of prostaglandin formation, a key mediator in inflammatory reactions. Secondly, neomycin disrupts bacterial growth, whereas nystatin kills the fungal cells by puncturing holes in the plasma membrane, thereby disrupting the cells.

Clobederm-NN Ointment 15 gm is prescribed for the management of a variety of skin conditions with an existing infection (bacterial/fungal) including

• Severe eczema-like recalcitrant eczema
• Psoriasis 
• Infected Dermatoses 

Dosage

Adult Dose

A thin film of Clobederm-NN Ointment 15 gm is to be applied once or twice, or as instructed by a physician. A small amount on the fingertips should be gently rubbed in. Maximum weekly safe dose: 50 g per week

Child Dose

Clobederm-NN Ointment 15 gm is not considered safe for application in patients aged 2 years and younger. 1/3rd less than the total adult dose should be applied to children. Smaller amounts should be applied to a child’s body due to height and physique differences. Commonly a pea-sized quantity on the fingertip is sufficient to cover the affected skin, 1 to 2 times a day.

How To Use Clobederm-NN Ointment 15 gm

Clobederm-NN Ointment 15 gm is available in the form of cream for external use and is best suited for lesions that are moist in nature or weeping. Apply it with clean hands usually once or twice daily after cleaning the affected skin properly. It is recommended to use caution and supervision when giving medication to children to prevent unintentional ingestion. Clobetasol is a steroid, thus a prolonged application of more than 4 weeks is not advised.

• Wash and gently pat dry your skin before applying the Clobederm-NN Ointment 15 gm. 
• Take out a small amount of {{product} on your fingertips and gently rub it in to form a thin, even coat over the affected area.
• Wash your hands after application, an additional amount can be reapplied if Clobederm-NN Ointment 15 gm gets wiped off from any part.
• {{product} is applied to the skin 1 to 3 times or as per the doctor’s suggestion.
• Tight bandages are not advised, discuss with a doctor how to protect the wound

Inform your healthcare supervisor immediately if you notice any of the following symptoms:

• Allergic reaction 
• Itching
• Redness
• Dryness of skin 
• Tingling/ burning sensation at the site of application
• Headache
• Adrenal suppression
• Pigmented skin
• Striae formation
• Cushionoid reactions

Contraindications

Please tell your doctor if you have a history of any of the following before using Clobederm-NN Ointment 15 gm:

• Allergy to Clobederm-NN Ointment 15 gm or one of its constituents
• Skin lesions due to viral infection (for example herpes)
• Cushing’s disease
• Rosacea 
• Widespread plaque psoriasis 
• Glaucoma/cataract (especially avoid application near eyes)
• Any skin condition likely to aggravate with  Clobederm-NN Ointment 15 gm such as acne
• Perioral dermatitis 
• Perianal or genital lesions 

Precautions

Please‌ ‌tell‌ ‌your‌ ‌doctor‌ ‌about‌ ‌any‌ ‌of‌ ‌the‌ ‌following‌ ‌conditions‌ before starting or during the treatment with ‌Clobederm-NN Ointment 15 gm:‌ 

• If there is a history of allergy to similar medicines.
• Make sure to wash your hands thoroughly after application, and avoid getting ‌Clobederm-NN Ointment 15 gm in your eyes.
• Do not use ‌Clobederm-NN Ointment 15 gm for long durations (more than 4 weeks) in continuity, if there is no noticeable difference in your condition after a week contact your doctor.
• If ‌Clobederm-NN Ointment 15 gm was prescribed for prolonged use by the doctor, it may put you at risk of slow wound healing due to immunosuppression, take precautions accordingly. 
• Clobetasol in ‌Clobederm-NN Ointment 15 gm is a steroid that when used for a longer duration can cause suppression of adrenal function.
• Avoid applying to sensitive parts like inside the nose, mouth, or around the mouth, genitals, near eyes, or open wounds. 
• Avoid using Clobederm-NN Ointment 15 gm for the treatment of diaper rash in infants.
• Avoid going near fire or open flames to avoid risking burns.
• Clobederm-NN Ointment 15 gm may initially cause exacerbation of existing symptoms or cause itching, redness, or irritation of the skin which should subside.
• Clobederm-NN Ointment 15 gm is best applied on naked skin without any bandage except if advised to loosely cover it by your doctor.
• Diabetic patients must also exercise caution while using Clobederm-NN Ointment 15 gm.

Certain medications could interact with Clobederm-NN Ointment 15 gm and may increase or decrease its absorption. Make sure to inform your doctor about all the drugs you’re currently taking, in which case, your doctor might alter the treatment. 

• Other skin medications (you can apply such drugs at different times)
• Cosmetics (may decrease the efficacy, especially on the face)
• Skin products that might irritate the skin
• Neuromuscular blocking agents like atracurium, succinylcholine 
• Immune suppressants like Methotrexate

# 1. How to store Clobederm-NN Ointment 15 gm?

Clobederm-NN Ointment 15 gm is to be kept away from the reach of children, in a cool dry place between 15 to 25°C,  away from direct sunlight and humidity as that tends to change the chemical nature of certain drugs.

# 2. What if I use too much of Clobederm-NN Ointment 15 gm?

Topical medicines are absorbed through the skin, so In case of excessive usage or accidental ingestion, kindly contact your doctor or nearby hospital right away. The amount of medication that can result in severe side effects varies from person to person. Toxicity results in slowing down of heart rate and difficulty breathing accompanied by dizziness and abdominal pain.

# 3. How is Clobederm-NN Ointment 15 gm supposed to be taken?

Clobederm-NN Ointment 15 gm  is available as an ointment, to be applied topically only over the affected area

# 4. Can I use other skincare products alongside Clobederm-NN Ointment 15 gm?

If you want to use other skin creams or ointments, use those products at different times. Avoid applying make-up as well while using Clobederm-NN Ointment 15 gm on the face

# 5. Can I take Clobederm-NN Ointment 15 gm during my pregnancy?

It is not clear whether or not, Clobederm-NN Ointment 15 gm can harm you or the unborn baby during pregnancy. Therefore, it should not be used in pregnancy or by breastfeeding mothers without consulting your doctor regarding the safety of Clobederm-NN Ointment 15 gm first. 

#6. Can I take Clobederm-NN Ointment 15 gm while breastfeeding?

With regards to safety please make sure to consult your doctor first before using it. Although topical use of Clobederm-NN Ointment 15 gm is not known to show any harmful effects, avoid application of Clobederm-NN Ointment 15 gm on the chest or from where the baby might ingest it.

# 7. How long will I have to continue taking  Clobederm-NN Ointment 15 gm?

Treatment can last up to a week or two, depending on your condition and response to the Clobederm-NN Ointment 15 gm. Treatment must not continue for longer periods in continuity, exceeding 4 weeks. Progress in children must be assessed on a weekly basis.

# 8. Can I go outside after applying Clobederm-NN Ointment 15 gm?

Commonly Clobederm-NN Ointment 15 gm is prescribed to be applied twice daily, you should avoid sun or UV exposure. Sensitivity to the sun may develop therefore If it is necessary to step outside make sure to protect your skin from direct sun or wear sunblock or clothes covering your skin.