Inhouse product
Indications
Halotaz lotion is
indicated for for the treatment of plaque psoriasis in adults.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Pharmacology
Corticosteroids play a
role in cellular signaling, immune function, inflammation and protein
regulation. However, the precise mechanism of action in plaque psoriasis is
unknown. Tazarotene is a retinoid prodrug which is converted to its active
form, tazarotenic acid, the carboxylic acid of tazarotene, by deesterification.
Tazarotenic acid binds to all three members of the retinoic acid receptor (RAR)
family: RARα, RARβ and RARγ, but shows relative selectivity for RARβ, and RARγ
and may modify gene expression. The clinical significance of these findings for
the treatment of plaque psoriasis is unknown.
Dosage &
Administration
Apply a thin layer of
Halotaz lotion once daily to cover only affected areas and rub gently. If a
bath or shower is taken prior to application, the skin should be dry before
applying the lotion. The total dosage should not exceed approximately 50 gm per
week because of the potential for the drug to suppress
hypothalamic-pituitary-adrenal (HPA) axis. Avoid application of Halotaz lotion
from oral, ophthalmic or intravaginal use.
Use in children and
adolescents: Safety and
effectiveness of Halotaz lotion in patients under the age of 18 years have not
been evaluated.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Interaction
With Medicine: It is contraindicated with patients who are
taking corticosteroids by mouth or injection, or use other products on skin
that contain corticosteroids.
With food and others: No data available with interaction of food.
Contraindications
This lotion is
contraindicated in pregnancy.
Side Effects
Common: Redness, itching, swelling, burning,
stinging, folliculitis, atrophy, peeling & rash.
Rare: Skin ulcer, increased pressure in the eye,
increased sensitivity of the skin to the sun & skin discoloration.
Pregnancy &
Lactation
This lotion is
contraindicated in women who are pregnant. There are no data on the presence of
Tazarotene and Halobetasol Propionate or its metabo- lites in human milk.
Precautions &
Warnings
Embryofetal risk: This lotion contains Tazarotene, which is a
teratogenic substance. In females of reproductive potential, obtain a negative
pregnancy test within 2 weeks prior to initiating treatment and advice patients
to use an effective method of contraception during treatment.
Reversible hypothalamic-pituitary-adrenal (HPA) axis suppression may occur,
with the potential for glucocorticosteroid insufficiency during or after treatment.
Systemic effects of topical corticosteroids may also include cushing’s
syndrome, hyperglycemia, and glucosuria.
Systemic absorption may require evaluation for HPA axis suppression.
Use of potent corticosteroids on large areas, for prolonged durations, under
occlusive dressings, or on an altered skin barrier may increase systemic
exposure.
Local Adverse
Reactions: Local adverse
reactions may include atrophy, striae, telangiectasias, and folliculitis. If
these effects occur, discontinue at least until the integrity of the skin has
been restored. This lotion should not be used on eczematous skin, as it may
cause severe irritation.
Photosensitivity and
Risk for Sunburn: Avoid exposure to
sunlight, sunlamps, and weather extremes. This lotion should be administered
with caution if the patient is also taking drugs known to be photosensitizers.
Ophthalmic Adverse
Reactions: Use of topical
corticosteroids may increase the risk of posterior subcapsular cataracts and
glaucoma. If visual symptoms occur, consider referral to an ophthalmologist.
Therapeutic Class
Other Topical
corticosteroids
Storage Conditions
Store below 30°C
temperature & protected from light. Keep all medicines out of reach of
children.
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