Corticosteroid-responsive dermatoses
Adult: As 0.05% oint/cream: Apply a thin film onto the affected areas 1-4 times daily depending on the severity of the condition.
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Indications and Dosage
                                             
                                            
Topical/Cutaneous 
                                        Corticosteroid-responsive dermatoses Adult: As 0.05% oint/cream: Apply a thin film onto the affected areas 1-4 times daily depending on the severity of the condition. 
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Contraindications
                                             
                                            
As treatment for rosacea or perioral dermatitis.
                                             
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Special Precautions
                                             
                                            
Pregnancy and lactation.
                                             
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Adverse Reactions
                                             
                                            
Significant: HPA axis suppression, manifestations of Cushing’s syndrome, hyperglycaemia, and glycosuria. 
                                        Dermatologic: Itching, burning, irritation, dryness, folliculitis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, maceration, atrophy, striae, miliaria, secondary infections.  | 
                                
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Topical: C
                                             
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Patient Counseling Information
                                             
                                            
Do not apply on the face, eyes, mucous membranes, intertriginous areas, occluded or broken skin, and into a large surface area.
                                             
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Monitoring Parameters
                                             
                                            
Monitor for hypothalamic-pituitary adrenal (HPA) axis suppression through ACTH stimulation test, plasma cortisol test, or urinary free cortisol test.
                                             
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Action
                                             
                                            
Description:  
                                        Mechanism of Action: Diflorasone is a glucocorticoid that has anti-inflammatory, antipruritic, and vasoconstrictive actions. It induces phospholipase A2 inhibitory proteins (lipocortins) and sequentially inhibits the release of arachidonic acid, hence depresses the formation, release, and activity of chemical inflammatory mediators. Pharmacokinetics: Absorption: Absorbed through normal intact skin (approx 1%); increased percutaneous absorption in inflamed or occluded skin. Metabolism: Metabolised in the liver. Excretion: Via urine and faeces.  | 
                                
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Chemical Structure
                                             
                                            ![]() Source: National Center for Biotechnology Information. PubChem Database. Diflorasone, CID=71415, https://pubchem.ncbi.nlm.nih.gov/compound/Diflorasone (accessed on Jan. 21, 2020)  | 
                                
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Storage
                                             
                                            
Store between 20-25°C.
                                             
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MIMS Class
                                             
                                            
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ATC Classification
                                             
                                            
D07AC10 - diflorasone ; Belongs to the class of potent (group III) corticosteroids. Used in the treatment of dermatological diseases.  
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References
                                             
                                            
Anon. Diflorasone. Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 16/02/2017.  Buckingham R (ed). Diflorasone Diacetate. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 16/02/2017.  Diflorasone Diacetate Cream (E. Fougera & Co. A division of Fougera Pharmaceuticals Inc). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/02/2017.  McEvoy GK, Snow EK, Miller J et al (eds). Dilforasone Diacetate (Topical). AHFS Drug Information (AHFS DI) [online]. American Society of Health-System Pharmacists (ASHP). https://www.medicinescomplete.com. Accessed 16/02/2017.  
                                             
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