I think it is called ';Diflucortolone Valerate'; cream (generic)';
Precautions: Systemic absorption of topical corticosteroids has produced reversible hypothalamic-pituitary-adrenal (HPA) axis suppression, manifestations of Cushing's syndrome, hyperglycemia and glucosuria in some patients.
Significant systemic absorption may occur when steroids are applied over large areas of the body or if used under an occlusive dressing. To minimize this possibility when long-term therapy is anticipated, interrupt treatment periodically or treat one area of the body at a time. It is recommended that patients receiving a large dose of a potent topical steroid applied over a large surface area be evaluated periodically for evidence of HPA axis suppression by using the urinary free cortisol and ACTH stimulation tests. If HPA axis inhibition is observed, an attempt should be made to withdraw the drug, to reduce the frequency of application or substitute a less potent steroid. Recovery of HPA axis function is generally prompt and complete upon discontinuation of the drug. Infrequently, signs and symptoms of steroid withdrawal may occur, requiring supplemental systemic corticosteroids.
If irritation or hypersensitivity reactions develop, Nerisalic should be discontinued and appropriate therapy initiated.
Prolonged use of topical corticosteroid products may produce atrophy of the skin and of s.c. tissues, particularly on flexor surfaces and on the face, telangiectasias, hirsutism and steroid induced acne. If this is noted, discontinue use of the product. Long-term therapy with Nerisalic should be avoided.
In cases of bacterial or fungal skin infections, appropriate antibacterial agents should be used as primary therapy. If it is considered necessary, Nerisalic may be used as an adjunct to control inflammation, erythema and itching.
Nerisalic should be used with caution in patients with stasis dermatitis and other skin diseases associated with impaired circulation, on extremities of diabetics with impaired circulation or on patients with inherent compromised cardiovascular circulatory problems.
Patients should be advised to inform subsequent physicians of the prior use of corticosteroids.
Also try http://search.yahoo.com/search?p=difluco鈥?/a> for more info than you probably ever wanted to know.
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