Prednicarbate Pharmacology


About Prednicarbate
Topical synthetic Glucocorticoid, Anti-inflammatory.
Mechanism of Action of Prednicarbate
Prednicarbate is a topical synthetic 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-a, 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 Prednicarbate
Absorption: Prednicarbate 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 Prednicarbate
Duration of Action for Prednicarbate
Half Life of Prednicarbate
Side Effects of Prednicarbate
1. Thinning of epidermis
2. Burning
3. Itching
4. Irritation
5. Atrophy (Dermal changes)
6. Telangiectasia
7. Striae
8. Hypopigmentation
9. Contact dermatitis
10. Perioral dermatitis
11. Stinging
12. Cataract, Glaucoma, Corneal ulcers caused by application around eyelids and surrounding skin
13. Hypertrichosis
14. Dryness
15. Acne
16. Folliculitis,
Contra-indications of Prednicarbate
1. Hypersensitivity to Prednicarbate and other corticosteroids
2. Acne vulgaris
3. Acne Rosacea
4. Tuberculosis infection of the skin
5. Perioral dermatitis
6. Viral, fungal or bacterial primary infections
7. Ulcers

Special Precautions while taking Prednicarbate
1. Avoid application on large surface area
2. Prolonged use
3. Psoriasis
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
8. Use caution on areas where the skin creases, such as armpits, knees, and elbows
9. For external use only
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 Prednicarbate
1. Psoriasis
2. Eczema
3. Seborrheic dermatitis
4. Dermatoses (secondary infected)
5. Atopic dermatitis
6. Intertrigo

Interactions for Prednicarbate
Typical Dosage for Prednicarbate
Topical: Prednicarbate 0.1% cream is used. Clean and dry the affected area and apply the medicament thinly and evenly on the affected area for 2 times daily for 2 weeks.
Schedule of Prednicarbate
Storage Requirements for Prednicarbate
Store at room temperature. Protect from heat and moisture. Keep out of the reach of children
Effects of Missed Dosage of Prednicarbate
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 Prednicarbate
Give supportive measures and symptomatic treatment.

Home Delivery for Prednicarbate in Your City

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

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 prednicarbate and other medicines and health products. Home delivery services for prednicarbate 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 prednicarbate 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 prednicarbate before they complete the sale. You can get this information while placing the order for prednicarbate with the pharmacy.

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