Betnovate-N

Betnovate-N

betamethasone + neomycin

Manufacturer:

GlaxoSmithKline

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Betamethasone-17-valerate 0.1%, neomycin sulphate 0.5%
Indications/Uses
Relief of inflammatory & pruritic manifestations of steroid-responsive dermatoses eg, atopic, infantile & discoid eczemas, prurigo nodularis, psoriasis (excluding widespread plaque psoriasis), neurodermatoses including lichen simplex & planus, seborrheic dermatitis, contact sensitivity reactions, insect bites reactions. Management of secondary infected insect bites, anal & genital intertrigo.
Dosage/Direction for Use
Apply thinly to affected area once or bd for up to 7 days.
Contraindications
Rosacea, acne vulgaris, perioral dermatitis, pruritus w/o inflammation, perianal & genital pruritus, primary cutaneous infections. Primary infected skin lesions caused by infection w/ fungi or bacteria; primary or secondary infections due to yeast; secondary infections due to Pseudomonas or Proteus spp. Otitis externa w/ perforated eardrum. Large amounts or on large areas for prolonged periods. Childn <2 yr.
Special Precautions
Hypersensitivity. Discontinue use if reinfection occurs. Cushing's syndrome & reversible hypothalamic-pituitary-adrenal axis suppression. Pseudomembranous colitis. Increased risk of corticosteroidal systemic effects. Contact sensitisation; chronic leg ulcers; visual disturbances. Irreversible ototoxicity; nephrotoxicity. Use w/ occlusive dressings. Avoid contact w/ face & eyes. Avoid abrupt w/drawal. Renal impairment. Not recommended during pregnancy & lactation. Avoid long-term continuous therapy in childn <12 yr.
Adverse Reactions
Pruritus, local skin burning/skin pain.
Drug Interactions
Inhibited metabolism by CYP3A4 inhibitors eg, ritonavir, itraconazole. Intensified & prolonged resp depressant effects of neuromuscular blocking agents. Possibility of cumulative toxicity w/ systemic aminoglycoside therapy.
ATC Classification
D07CC01 - betamethasone and antibiotics ; Belongs to the class of potent (group III) corticosteroids, in combination with antibiotics. Used in the treatment of dermatological diseases.
Presentation/Packing
Form
Betnovate-N cream
Packing/Price
15 g x 1's (RM19.05/tube)
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