Fluocinolone acetonide Pharmacology

Fluocinolone acetonide

About Fluocinolone acetonide
A synthetic hydrocortisone derivative, Vasoprotective ,reduce skin inflammation.
Mechanism of Action of Fluocinolone acetonide
Fluocinolone is a topical high potency glucocorticoid.
The drug exerts its pharmacological action by penetrating and binding to cytoplasmic receptor protein and causes a structural change in steroid receptor complex. This structural change allows it`s migration in to the nucleus and then binding to specific sites on the DNA which leads to transcription of specific m-RNA and which ultimately regulates protein synthesis. It exerts highly selective glucocorticoid action. It stimulates the enzymes needed to decrease the inflammatory response.
The drug exerts anti-inflammatory and immunosuppressant actions as follows: - 1) Induce lipocortins in macrophages, endothelium, and fibroblasts which inhibits Phospholipase A2 and thus decreases the production of Prostaglandins, leukotrienes (LT), and platelet activating factor, 2) Causes negative regulation of genes for cytokines in macrophages, endothelial cells and lymphocytes and thus decreases the production of interleukins (IL-1, IL-2, IL-3, IL-6), TNF-?, GM-CSF (granulocyte macrophage colony stimulating factor), Gama interferon and suppresses fibroblast proliferation and T-lymphocyte functions and interferes chemo taxis. 3) Decreases the production of acute phase reactants from macrophages and endothelial cells and interferes complement function. 4) Decreases the production of ELAM-1(Endothelial leukocyte adhesion molecule-1) and ICAM-1(intracellular adhesion molecule-1) in endothelial cells. 5) Inhibit IgE mediated histamine and LT-C4 release from basophiles and the effects of antigen-antibody reaction is not mediated 6) Reduces the production of collagenase and stromolysin and thus prevents tissue destruction.
Fluocinolone also has immunosuppressant and antimitotic actions.
Pharmacokinets of Fluocinolone acetonide
Absorption: Fluocinolone is absorbed( <1 %) through intact skin after topical administration and the amount absorbed is depending on the type of inflammation, vehicle used, area of skin and the epidermal barrier.
Onset of Action for Fluocinolone acetonide
Duration of Action for Fluocinolone acetonide
Half Life of Fluocinolone acetonide
Side Effects of Fluocinolone acetonide
1.Thinning of epidermis
3. Itching
5.Atrophy (Dermal changes)
8. Hypopigmentation
9.Contact dermatitis
10.Perioral dermatitis
12.Cataract,Glaucoma, Corneal ulcers caused by application around eyelids and surrounding skin
13. Hypertrichosis
14. Dryness
15. Acne
Contra-indications of Fluocinolone acetonide
1. Hypersensitivity to Fluocinolone and other corticosteroids
2.Acne vulgaris
3.Acne Rosacea
4.Nappy rash
5. Tuberculosis infection of the skin
6.Viral, fungal or bacterial primary infections
Special Precautions while taking Fluocinolone acetonide
1.Avoid application on large surface area
2. Prolonged use
4.Avoid contact with eyes
5. Avoid occlusive dressing
6.Not used more than 5 days on the face or in the children
7. If irritation or hypersensitivity occurs avoid the use of medicaments.
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
NEONATES: contraindicated
Indications for Fluocinolone acetonide
3.Otitis externa
4.Lichen simplex and planus
5.Anal and vulval pruritis
6.Contact dermatitis
7.Seborrheic dermatitis
8. Dermatoses (secondary infected)
Interactions for Fluocinolone acetonide
Typical Dosage for Fluocinolone acetonide
Topical: Fluocinolone 0.0025 %, 0.01% cream, ointment, gel or lotion is used. Clean and dry the affected area and apply the medicament thinly and evenly on the affected area for 2 - 3 times daily for 2 weeks.
Schedule of Fluocinolone acetonide
Storage Requirements for Fluocinolone acetonide
Store at room temperature. Protect from heat and moisture. Keep out of the reach of children
Effects of Missed Dosage of Fluocinolone acetonide
Apply the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Fluocinolone acetonide
Give supportive measures and symptomatic treatment.

Home Delivery for Fluocinolone acetonide in Your City

Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including fluocinolone acetonide.

However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for fluocinolone acetonide and other medicines and health products. Home delivery services for fluocinolone acetonide may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.

Please be aware that you should take fluocinolone acetonide only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for fluocinolone acetonide before they complete the sale. You can get this information while placing the order for fluocinolone acetonide with the pharmacy.

Fluocinolone acetonide is a generic medicine name and there are several brands available for it. Some of the brands for fluocinolone acetonide might be better known than fluocinolone acetonide itself. If the pharmacy that's willing to deliver medicines to your home doesn't have fluocinolone acetonide in stock, you can ask for one of the branded alternatives for fluocinolone acetonide.