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Eczema - Patient's guide
Eczema Treatment Selection Chart
Select one of the features of the eczema (center of chart) and then select from the "Type of Eczema" (from the bottom of the chart) whether it is localized (in one area of the body) or general. Finally, select a treatment type and whether to receive it in oral or topical form:
If There Is Improvement:
- Maintain through moisturizing and intermittent anti-inflammatory
If Persistent Or Severe:
- Moisturize
- Increase strength of steroid
- Continue immunomodulators
- Consider oral or steroids
- UV light
- Oral immune supressants
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Cutivate® (Fluticasone propionate)
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INTRODUCTION
A synthetic fluorinated corticosteroid recently introduced to Canada but has been available in the U.S market for a number of years. Fluticasone propionate is classified as a medium potency topical corticosteroid...
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CLININCAL EXPERIENCE
Topical corticosteroids are extensively used. Atopic eczema will be used as a model for discussing this new topical corticosteroid.
A concern with the use of any long term medication is the potential for...
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INDICATIONS
Used for all inflammatory and pruritic conditions that are corticosteroid responsive e.g. eczema, psoriasis and dermatitis.
It should not be used in rosacea, acne, or perioral dermatitis...
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PATIENT PROFILE
4 double blind randomized controlled studies in 772 adults and children showed the once the acute episode of moderate to severe eczema had been treated effectively that twice weekly...
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DOSING
For the acute stage of eczema daily application of Cutivate is recommended.
New evidence guides us to apply Cutivate twice a week to maintain control of eczema...
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EFFICACY
Although not indicated for use on children in Canada, studies have shown that once daily application is safe and effective in children with atopic eczema...
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COMPLIANCE
Daily application in the acute phase and thereafter twice weekly maintaince should help with compliance ...
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SIDE EFFECTS, SAFETY AND RISKS
Approx 270 million packs sold since 1990 in US ...
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COST OF TREATMENT
Cost of this drug is in line with other potent topical corticosteroids.
Cost effectiveness is seen if effective clinical response is realized. The utilization of a twice a week regimen significantly reduces costs...
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View the entire Cutivate® (Fluticasone propionate) presentation.
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