Fluocinonide
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.
Fluocinonide Cream is indicated for:
Corticosteroid-responsive dermatoses
- Psoriasis
- Atopic dermatitis
- Other inflammatory skin conditions
Psoriasis: Apply thin layer once or twice daily
Atopic Dermatitis: Apply thin layer once daily
Other dermatoses: Apply once or twice daily as directed
Common clinical trial adverse effects (≥1%):
- Headache (3.7–4%)
- Application site burning (1.8–2.3%)
- Nasopharyngitis (0.9–1.3%)
- Nasal congestion
None
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