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Fluocinonide

Brand and Other Names: Fluocinonide
Mechanism of Action:

Corticosteroids play a role in cellular signaling, immune function, inflammation, and protein regulation; however, the precise mechanism of action of Fluocinonide Cream in corticosteroid responsive dermatoses is unknown.

Indications:

Fluocinonide Cream is indicated for:

Corticosteroid-responsive dermatoses

  • Psoriasis
  • Atopic dermatitis
  • Other inflammatory skin conditions

 

Route: topical
Dose:

Psoriasis: Apply thin layer once or twice daily

Atopic Dermatitis: Apply thin layer once daily

Other dermatoses: Apply once or twice daily as directed

Adverse Reactions:

Common clinical trial adverse effects (≥1%):

  • Headache (3.7–4%)
  • Application site burning (1.8–2.3%)
  • Nasopharyngitis (0.9–1.3%)
  • Nasal congestion
Contraindication:

None

Warnings and Precautions:

Endocrine Effects:

  • May suppress HPA axis, causing adrenal insufficiency
  • Can result in Cushing’s syndrome, hyperglycemia, and unmasking of latent diabetes

Local Skin Reactions:

  • Potential for atrophy, striae, hypopigmentation, acneiform eruptions, and irritation
  • Higher risk with prolonged use or occlusion

Infections:

  • Secondary infections may require antifungal/antibacterial treatment
  • Discontinue if infection persists

Allergic Contact Dermatitis:

  • Diagnose through lack of healing
  • May require patch testing
See package insert for full prescribing information.