Betaderm-N (0.1/0.5%) 15g Ointment

Betamethasone, a potent synthetic corticosteroid, is the primary active ingredient in Betamethasone, Neomycin Ointment. It works by mimicking the effects of natural hormones produced by the adrenal glands, primarily glucocorticoids. When applied topically, betamethasone penetrates the skin and binds to intracellular receptors, triggering a series of cellular responses. This leads to the suppression of various inflammatory mediators and immune cells, resulting in reduced inflammation, itching, and allergic reactions. Neomycin, the other component, is an aminoglycoside antibiotic that acts by binding to bacterial ribosomes, disrupting protein synthesis, and ultimately killing bacteria. This combination ensures that the ointment not only addresses the inflammatory component of skin conditions but also helps prevent or treat secondary bacterial infections that may occur in compromised skin.

Betamethasone, Neomycin

Corticosteroid-antibiotic combination.

Ointment

The following are the uses of Betamethasone, Neomycin Ointment:

• Used for reducing inflammation and itching in various skin conditions like eczema, dermatitis, and psoriasis.
• Used to treat skin infections caused by bacteria, preventing further infection and promoting healing.
• Used for relieving symptoms of skin allergies, such as rashes and hives.
• Used for managing skin reactions to insect bites or stings, reducing redness, and swelling.
• Used for treating diaper rash in infants, providing relief and preventing further irritation.
• Used to prevent and treat skin complications in patients undergoing ostomy procedures.
• Used for easing skin discomfort and irritation after minor skin surgeries or procedures.

Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

• Skin Rash- Apply the cream to the affected area twice daily for up to 4 weeks.
• Vaginal Itching and Discharge- Apply a thin coat of the cream to the vaginal area after each bowel movement for 5 days.
• Neurodermatitis- Initially apply a small amount to the affected area daily followed by a reduction in frequency and quantity until complete withdrawal of topical therapy usually occurs after 4 weeks.
• Inflammatory Bowel Disease- Start with a small amount applied to the affected area and increase gradually until the optimal response is obtained.
• Ulcerative Proctitis / Ulcerative Proctitis- Initially, use a small amount applied to the affected area and increase gradually until the optimal response is obtained.
• Primary Bacterial Skin Infections- This cream is not recommended for treating primary bacterial skin infections.
• Infantile Hemangiomas- Topical corticosteroids are not recommended for the treatment of infantile hemangiomas.
• Primary Viral Skin Infections- Viral infections of the skin should be treated systemically rather than topically with corticosteroids.
• Rosacea- This medication is not recommended for the treatment of rosacea.
• Perioral Dermatitis- This medication is not recommended for the treatment of perioral dermatitis.
• Eczema- This medication is not preferred for the treatment of eczema, and should only be used if other safer medications are not available or tolerated.
• Acne Vulgaris- This medication is not recommended for treatment of acne vulgaris.
• Scar Therapy- This medication is not recommended for the treatment of scars.

In the case of an overdose of Betamethasone and Neomycin Ointment, the severity of symptoms can vary. Topical application of an excessive amount may lead to increased local skin reactions, such as redness, itching, or a burning sensation. If ingested, symptoms could include nausea, stomach discomfort, and potential gastrointestinal issues. In case of suspected overdose, it is recommended to promptly seek medical advice for appropriate evaluation and treatment.

In the case of a missed dose of Betamethasone, Neomycin Ointment, it is important to apply the medication as soon as you remember. However, if it is almost time for your next dose, skip the missed one and continue with your regular schedule. Do not apply extra ointment to make up for the missed dose, as this may increase the risk of side effects. If you miss multiple doses, contact your healthcare professional for advice on how to get back on track with your treatment plan.

To apply Betamethasone, Neomycin Ointment, clean and dry the affected area, then gently apply a thin layer of the ointment, spreading it evenly, usually two or three times a day, or as directed by your healthcare provider, ensuring you follow the prescribed dosage and duration of treatment.

Here are the conditions and situations when Betamethasone, Neomycin Ointment should not be used:

• Should not be used if you have a known allergy or sensitivity to any of the active ingredients, Betamethasone or Neomycin, or any of the inactive ingredients in the ointment.
• Avoid using on skin that is infected, as Neomycin is an antibiotic and using it on infected areas may lead to antibiotic resistance.
• Not recommended for individuals with certain skin conditions like rosacea, acne, or perioral dermatitis, as corticosteroids like Betamethasone can worsen these conditions.
• Do not use on skin that is thin, fragile, or atrophic, as it may increase the risk of skin damage.
• Avoid using on open wounds or broken skin, as it may increase the risk of infection and may not provide the intended therapeutic effect.
• Should not be used on children under the age of 2 years without medical supervision, as prolonged use of corticosteroids on children can affect their growth and development.
• Contraindicated for individuals with viral, fungal, or tubercular lesions, as corticosteroids can suppress the immune response and worsen these infections.

The side effects of Betamethasone, Neomycin Ointment may include:

• Skin irritation or redness at the application site
• Thinning of the skin
• Stretch marks
• Increased hair growth
• Acne or pimples
• Burning or itching sensation
• Allergic reactions (such as rash, swelling, or difficulty breathing)
• Prolonged use may lead to easy bruising and skin discoloration.

Following are the precautions and warnings for Betamethasone, Neomycin Ointment:

• Avoid using this ointment if you are allergic to any of its ingredients, including betamethasone or neomycin.
• This medication is for external use only; do not apply it near eyes, mouth, or open wounds.
• Prolonged use or overuse of this ointment may lead to skin thinning, stretch marks, or skin infections.
• Avoid using this ointment on large areas of the body or for extended periods without medical supervision.
• Do not cover the treated area with airtight dressings or bandages as it may increase the absorption of the medication.
• Exercise caution when using this ointment on children, as they may be more susceptible to side effects.
• If you are pregnant or breastfeeding, consult your doctor before using this ointment, as it may have potential risks for the baby.
• Keep this medication out of reach of children and pets to prevent accidental ingestion.

Following are the drug interactions for Betamethasone, Neomycin Ointment:

• Topical corticosteroids like Betamethasone may increase the risk of systemic side effects when used with oral corticosteroids, potentially leading to Cushing's syndrome.
• Neomycin, when absorbed systemically, can interact with aminoglycosides, affecting kidney function and increasing the risk of hearing loss or balance disorders.
• Anticoagulants such as warfarin may have their effects potentiated by Betamethasone, requiring close monitoring of coagulation parameters.
• Antidiabetic medications might need adjustment as Betamethasone can increase blood glucose levels.
• Combining with other ototoxic medications may increase the risk of hearing impairment.
• Live vaccines should be avoided during treatment due to potential immune suppression.
• Topical application with other skin products may alter Betamethasone's effectiveness and increase the risk of skin irritation.
• Caution with drugs metabolized by CYP3A4, as Betamethasone may inhibit this enzyme.

Following are the food interactions for Betamethasone, Neomycin Ointment:

• Betamethasone can increase blood sugar levels, so monitoring glucose levels is crucial, especially when consuming foods with high sugar content.
• Avoid alcohol consumption during treatment as it may increase the risk of gastrointestinal side effects and skin reactions.
• Grapefruit and grapefruit juice should be limited as they can affect the metabolism of certain medications, potentially increasing the concentration of Betamethasone in the body.
• Foods rich in vitamin D, calcium, and potassium should be consumed moderately as Betamethasone can alter their metabolism and absorption.
• Avoid high-salt foods as Neomycin can interact with sodium levels.
• Consume a balanced diet to maintain overall health, especially when using this medication for prolonged periods.
• Avoid caffeine or limit its intake as it may exacerbate side effects like nervousness and tremors.
• Ensure adequate fluid intake to prevent dehydration, especially if diarrhea occurs as a side effect.

Betamethasone, Neomycin Ointment should be stored with caution to maintain its effectiveness and safety. Keep the ointment in a cool and dry place, preferably at room temperature, away from direct exposure to sunlight or excessive heat. Ensure the tube is tightly sealed after each use to prevent contamination. Do not store it in the bathroom or refrigerator as moisture and temperature fluctuations can impact the ointment's integrity. Always check the expiration date, and dispose of any outdated or unused medication responsibly. Do not dispose of it by flushing or pouring it down the drain; instead, follow local guidelines or consult a pharmacist for appropriate disposal methods. Keep the ointment out of children's reach to prevent accidental contact or ingestion.

Following are the quick tips for Betamethasone, Neomycin Ointment:

• Clean and dry the affected area before applying the ointment.
• Apply a thin layer of ointment and gently rub it into the skin.
• Wash your hands after application to avoid accidental contact with eyes or mouth.
• Avoid covering the treated area with tight clothing or bandages to allow the skin to breathe.
• Do not apply the ointment on broken or infected skin unless directed by a healthcare professional.
• Store the ointment at room temperature, away from direct sunlight and moisture.
• Consult your doctor if you don't see improvement in your condition after a few days of use.

While using the Betamethasone BP 0.1% with Neomycin Sulphate BP 0.5% cream, you may need to undergo several laboratory tests to ensure the cream's safety and effectiveness. These tests are used to monitor potential changes in your body, including changes in potassium levels, blood pressure, kidney function, and hearing ability. Firstly, your doctor may monitor your potassium levels regularly to avoid complications such as nausea, weakness, or slow pulse. This is important because the Betamethasone can cause potassium levels in your blood to rise. Secondly, regular check-ups of your blood pressure may be necessary to ensure it remains within a safe range. The neomycin in the cream can cause blood pressure problems, including low blood pressure and kidney failure in rare cases. As a long-term solution, regular kidney function tests may be performed to assess kidney damage from long-term use of neomycin and determine if the medication is suited for you. Regular hearing tests may also be recommended for those taking neomycin sulfate long-term, particularly for those with pre-existing hearing problems or kidney disorders. This is a necessary step due to the rare but potential risk of irreversible hearing loss. Overall, your doctor may recommend periodic blood tests to monitor your overall health and detect any potential adverse effects while taking this medication. It is vital to inform your doctor about any other medications or supplements you are taking during the treatment with Betametasone BP 0.1% with Neomycin Sulphate BP 0.5% cream. The specific tests and how often they are performed may differ based on individual conditions and the severity of the case. Therefore, please consult your doctor for specific recommendations on lab tests and how often they should be performed while taking these medications.