Aclovate
alclometasone (topical)
(al-kloe-met-a-sone) alclometasone,Aclovate
(trade name)Classification
Therapeutic: anti inflammatories steroidalPharmacologic: corticosteroids
Indications
Action
Therapeutic effects
Pharmacokinetics
Time/action profile (response depends on condition being treated)
ROUTE | ONSET | PEAK | DURATION |
Topical | min–hrs | hrs–days | hrs–days |
Contraindications/Precautions
Adverse Reactions/Side Effects
Dermatologic
- allergic contact dermatitis
- atrophy
- burning
- dryness
- edema
- folliculitis
- hypersensitivity reactions
- hypertrichosis
- hypopigmentation
- irritation
- maceration
- miliaria
- perioral dermatitis
- secondary infection
- striae
Miscellaneous
- adrenal suppression (use of occlusive dressings, long-term therapy)
Interactions
Drug-Drug interaction
None significant.Route/Dosage
Availability (generic available)
Nursing implications
Nursing assessment
- Assess affected skin before and daily during therapy. Note degree of inflammation and pruritus. Notify health care professional if symptoms of infection (increased pain, erythema, purulent exudate) develop.
- Lab Test Considerations: May cause ↑ serum and urine glucose concentrations if significant absorption occurs.
- Lab Test Considerations: Adrenal function tests may be ordered to assess degree of hypothalamic-pituitary-adrenal (HPA) axis suppression in long—term therapy. Pediatric: Children and patients with dose applied to a large area, using an occlusive dressing, or using high-potency products are at greatest risk for HPA suppression.
Potential Nursing Diagnoses
Risk for impaired skin integrity (Indications)Risk for infection (Side Effects)
Deficient knowledge, related to medication regimen (Patient/Family Teaching)
Implementation
- Choice of vehicle depends on site and type of lesion. Ointments are more occlusive and preferred for dry, scaly lesions. Creams should be used on oozing or intertriginous areas, where the occlusive action of ointments might cause folliculitis or maceration. Creams may be preferred for aesthetic reasons even though they may be more drying to skin than ointments.
- Topical: Apply ointment orcream sparingly as a thin film to clean, slightly moist skin. Wear gloves. Apply occlusive dressing only if specified by health care professional.
Patient/Family Teaching
- Instruct patient on correct technique of medication administration. Emphasize importance of avoiding the eyes. Apply missed doses as soon as remembered unless almost time for the next dose.
- Caution patient to use only as directed. Avoid using cosmetics, bandages, dressings, or other skin products over the treated area unless directed by health care professional.
- Advise patient to consult health care professional before using medicine for condition other than indicated.
- Caution women that medication should not be used extensively, in large amounts, or for protracted periods if they are pregnant or planning to become pregnant.
- Instruct patient to inform health care professional if symptoms of underlying disease return or worsen or if symptoms of infection develop.
Evaluation/Desired Outcomes
- Resolution of skin inflammation, pruritus, or other dermatologic conditions.