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Diflucortolone valerate

  • Apply as directed by your doctor, usually not more than twice daily.
  • Spread thinly, using the specified number of fingertip units.
  • Diflucortolone valerate should not be used on broken or infected skin.

About diflucortolone valerate

Type of medicineTopical corticosteroid
Used forTreatment of eczema, psoriasis and other similar inflammatory skin disorders
Also calledNerisone®, Nerisone® Forte
Available asCream, oily cream and ointment

Diflucortolone valerate works by being absorbed into the skin cells and stopping these cells from producing the chemicals which cause inflammation. This reduces the symptoms of swelling, itching and redness that are associated with inflammatory skin conditions.

Before using diflucortolone valerate

Before using diflucortolone valerate make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you have areas of infected skin.
  • If you suffer from acne rosacea.
  • If you suffer from perioral dermatitis (skin rash around the mouth).
  • If you suffer from widespread plaque psoriasis (large areas of raised, inflamed, red lesions covered by a silvery white scale).
  • If you have ever had an allergic reaction to this or any other medicine.

How to use diflucortolone valerate

  • Carefully follow the instructions given to you by your doctor. Your doctor will tell you how long to use your preparation for. It is not usually used more than twice daily.
  • Apply thinly using the specified number of fingertip units. A fingertip unit is the amount of topical steroid that is squeezed out from a standard tube along an adults fingertip.
  • If your skin problem does not improve in two to four weeks tell your doctor.

Getting the most from your treatment

  • Do not apply to the face or skin flexures (inside of elbows, backs of knees) unless directed to by your doctor.
  • The use of diflucortolone valerate in psoriasis may cause relapse or pustular psoriasis (psoriasis with clearly defined, raised bumps on the skin that are filled with pus) - if this happens, stop using this preparation and contact your doctor immediately.
  • Only use this preparation on children if you have been instructed to do so by your doctor and limit the treatment to 5 - 7 days only.
  • Long-term use is generally discouraged. If you see no improvement after two weeks, see your doctor again.
  • Do not cover the area treated unless directed to by your doctor.

Can diflucortolone valerate cause problems?

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Possible side-effects What can I do if I experience this
Spread and worsening of untreated infectionContact your doctor
Thinning of the skinThis may improve once treatment has stopped
Discoloration of skinThis may disappear once treatment has stopped
Burning of skin, itchingSpeak to your doctor if this persists.

Sometimes, the absorption of corticosteroids through the skin can cause adrenal suppression and Cushing's syndrome, generally when treatment is carried out on a large surface area, for a long time. Signs of adrenal suppression include stomach pain, weight loss, feeling or being sick, and tiredness.

In addition, you may notice changes in hair growth as a result of repeated courses of topical steroids over a long time. Stretch marks may also develop.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

How to store diflucortolone valerate

  • Keep all medicines out of the reach of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • If you suspect that you or someone else has swallowed some of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

  • British National Formulary; 55th Edition (March 2008) British Medical Association and Royal Pharmaceutical Society of Great Britain, London.
Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2008DocID:
9049
DocRef:
dils3938
Last Reviewed:
9 Sep 2008
Version:
2
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