Introduction About TOPINATE SOLUTION

TOPINATE SOLUTION contains Clobetasol, which belongs to the group of medicines called Topical corticosteroids. It is used in adults and adolescents (aged 12 years or above) to manage inflammatory skin conditions such as psoriasis, eczema and dermatitis that have not responded to milder steroid creams or ointments.

Psoriasis is an immune-mediated skin disease that speeds up the growth cycle of skin cells, causing patches of thick red skin and silvery scales, typically on the elbows, knees, scalp, lower back, face, palms, and soles, but can affect other places also. Eczema (also called dermatitis) includes several different types of skin swelling, causing dry, itchy skin and rashes on the face, inside the elbows, behind the knees, and on the hands and feet. Scratching the skin can make it turn red, swell and itch even more.

TOPINATE SOLUTION is not recommended for use in patients with other bacterial, fungal, or viral infections (such as herpes simplex, chicken pox and tuberculosis). Before using TOPINATE SOLUTION, inform your doctor if you have a skin infection, diabetes, adrenal gland problem, scheduled surgery, acne, plaques around your mouth, underarms, anus, or genitals and liver diseases.

TOPINATE SOLUTION should be used during pregnancy only if recommended by your doctor. TOPINATE SOLUTION should be used with caution by breastfeeding women. TOPINATE SOLUTION is not recommended for use by children under 12 years of age. The most common side effects of using TOPINATE SOLUTION are thinning of the skin, widening of small veins in the skin, skin discomfort and dryness. Contact your doctor if any of your symptoms get worse or persist.

Uses Of TOPINATE SOLUTION

• Manage inflammatory condition of the skin such as psoriasis, eczema, dermatitis, etc

How TOPINATE SOLUTION Works

TOPINATE SOLUTION is a topical corticosteroid with anti-itching, anti-inflammatory and vasoconstrictive properties. It acts by blocking the release of certain chemical mediators (prostaglandins, leukotrienes) in the body that causes pain, inflammation and swelling. As a result, it effectively reduces the skin redness, itchiness, inflammation, swelling, and irritation associated with certain skin problems.

How to use TOPINATE SOLUTION

Always apply TOPINATE SOLUTION as directed by your physician. It is for external use only. Wash your hands before and after application. Apply a thin layer of TOPINATE SOLUTION on the affected area. Do not cover the affected site after applying TOPINATE SOLUTION.

Avoid contact of TOPINATE SOLUTION with your eyes (including eyelids), ears, nose, armpits or with other mucous membranes (such as the vagina). Do not apply TOPINATE SOLUTION to the damaged skin.

Side Effects Of TOPINATE SOLUTION

How To Manage Side Effects

Irritation and burning:

Avoid sharing vessels, personal items, or cosmetics with others. Use disinfects on objects you use in public spaces, such as gym equipment. Drink enough water and consume a nutritious diet. Do not use irritants or harsh chemicals. Sleep seven to eight hours every night. Use sunscreens to manage sunburn and other sun damage. Wash hands regularly with soap and water.

Warning & Precautions

Pregnancy

TOPINATE SOLUTION should be used during pregnancy only if recommended by your doctor. Consult your doctor before using TOPINATE SOLUTION.

Breastfeeding

TOPINATE SOLUTION should be used with caution by breastfeeding women. Consult your doctor before using TOPINATE SOLUTION.

Driving and Using Machines

TOPINATE SOLUTION is not expected to have any effects on your ability to drive and use machines.

Liver

TOPINATE SOLUTION should be used with caution in patients with liver disease. Consult your doctor before using TOPINATE SOLUTION.

Allergy

Do not use TOPINATE SOLUTION if you are allergic to Clobetasol or any of the other ingredients in this medicine.

Lungs

TOPINATE SOLUTION should not be used in patients with unmanageed tuberculosis. Consult your doctor before using TOPINATE SOLUTION.

Interactions

A. Drug-Drug interactions:

Before using TOPINATE SOLUTION, inform your doctor if you are taking, have taken, or might take any other medicine, including prescription, non-prescription or any herbal medicine.

Overdosage:

If you or anyone else accidentally used more of TOPINATE SOLUTION, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose might include features of hypercortisolism (easy bruising, wide purple stretch marks, mainly on the stomach, breasts, hips, and under the arms, weak muscles).

Synopsis

More Information

• Keep TOPINATE SOLUTION out of reach from children
• Store at room temperature

FAQs About TOPINATE SOLUTION

What is TOPINATE SOLUTION used for?

TOPINATE SOLUTION is used in adults and adolescents (aged 12 years or above) to manage inflammatory skin conditions such as psoriasis, eczema and dermatitis that have not responded to milder steroid creams or ointments.

Can I use TOPINATE SOLUTION for wounds?

TOPINATE SOLUTION is not intended for use on wounds. Do not use it for any indication other than prescribed. Consult your doctor for advice.

Can we use TOPINATE SOLUTION for kids?

TOPINATE SOLUTION is not recommended for use in children (younger than 12 years of age). Consult your child’s doctor for advice. The doctor will decide on an appropriate dose or select a suitable alternative management for your child.

Can TOPINATE SOLUTION be used for vitiligo?

TOPINATE SOLUTION can be used for the management of limited areas of vitiligo. Do not use it for any indication other than prescribed. Consult your doctor for advice.

Can I use TOPINATE SOLUTION on my face for face brightening?

TOPINATE SOLUTION is not intended for beauty purposes. Do not use it for any indication other than prescribed. Consult your doctor for advice.

Will over-usage of TOPINATE SOLUTION cause any harmful side effects?

Long term usage of TOPINATE SOLUTION can cause some systemic effects such as suppression of pituitary-adrenal function, resulting in secondary adrenal insufficiency. Consult your doctor for advice.

Can I use TOPINATE SOLUTION along with my regular medications if I already have a skin infection?

No. Do not use TOPINATE SOLUTION without consulting your doctor if you already have a skin infection. Avoid using TOPINATE SOLUTION for other infections as it may cause other serious effects.

How should I use TOPINATE SOLUTION?

Always apply TOPINATE SOLUTION as directed by your physician. It is for external use only. Wash your hands before and after application. Apply a thin layer of TOPINATE SOLUTION on the affected area. Do not cover the affected site after applying TOPINATE SOLUTION. Avoid contact of TOPINATE SOLUTION with your eyes (including eyelids), ears, nose, armpits or with other mucous membranes (such as the vagina). Do not apply TOPINATE SOLUTION on the damaged skin. Contact your doctor immediately if you cannot see any improvement in your condition even after using TOPINATE SOLUTION for the stipulated duration.

Can TOPINATE SOLUTION be used on the face?

No. TOPINATE SOLUTION should not be used on the face, groin, or armpits. Consult your doctor for advice.

References

1. Tilo Grosser, Emer Smyth and Garret A. FitzGerald. Dermatological Pharmacology. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 12th Edition. New York McGraw Hill Medical 2011. Page – 1682.

2. KD Tripathi. Drugs Acting on Skin and Mucous Membranes. Essentials of Pharmacology. Seventh edition. 2013. Page no: 895.

3. J Clin Aesthet Dermatol. Topical Corticosteroid Therapy for Psoriasis—A Review of Clobetasol Propionate 0.025% Cream and the Clinical Relevance of Penetration Modification. NCBI. PMC US National Library of Medicine. National Institute of Health February 2020. [Accessed on 14th June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158910/

4. Stiefel, a GSK Company. Study to Evaluate Safety, Efficacy and Tolerability of Clobetasol Propionate for Chronic Hand Dermatitis. NIH U.S. National Library of Medicine. ClinicalTrials.gov. [Revised in October 2012] [Accessed on 27th August 2022] https://clinicaltrials.gov/ct2/show/NCT00828464?term=clobetasol&cond=Skin+Diseases&draw=2&rank=1

5. Lupin limited. U.S. Food and Drug Administration. [Revised in May 2020] [Accessed on 14th June 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/213691s000lbl.pdf

6. Sandoz Canada Inc health Canada. Sandoz Clobetasol (Clobetasol Propionate Solution). [Revised in December 2017] [Accessed on 14th June 2022] https://pdf.hres.ca/dpd_pm/00054412.PDF

7. Torrent Pharmaceuticals Ltd. Cortaz Foam (Clobetasol propionate Topical Foam 0.05% w/w). [Revised in July 2021] [Accessed on 27th August 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2893.pdf

8. Dailymed. Clobetasol propionate. [Revised in September 2020] [Accessed on 27th August 2022] https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2d4fa3a3-dc1c-4d3c-9959-4751e09d25be&type=display