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ACLOVATE

Be very careful not to get this medicine in your eyes. Wash your hands after using your finger to apply the medicine. If you accidentally get this medicine in your eyes, flush them with water.

Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.

If your doctor has ordered an occlusive dressing (airtight covering, such as kitchen plastic wrap or a special patch) to be applied over this medicine, make sure you know how to apply it. Since occlusive dressings increase the amount of medicine absorbed through your skin and the possibility of side effects, use them only as directed. If you have any questions about this, check with your doctor.

For patients using the topical aerosol form of this medicine:

• This medicine usually comes with patient directions. Read them carefully before using this medicine.
• It is important to avoid breathing in the vapors from the spray or getting them in your eyes. If you accidentally get this medicine in your eyes, flush them with water.
• Do not use near heat, near an open flame, or while smoking.

Do not use this medicine more often or for a longer time than your doctor ordered or than recommended on the package label. To do so may increase the chance of absorption through the skin and the chance of side effects.

If this medicine has been prescribed for you, it is meant to treat a specific skin problem. Do not use it for other skin problems, and do not use nonprescription hydrocortisone for skin problems that are not listed on the package label, without first checking with your doctor. Topical corticosteroids should not be used on many kinds of bacterial, viral, or fungal skin infections.

Dosing

The dose of topical corticosteroid will be different for different patients and products. Follow your doctor's orders or the directions on the label.

Missed dose

If your doctor has ordered you to use this medicine on a regular schedule and you miss a dose, apply it as soon as possible. But if it is almost time for your next dose, skip the missed dose and apply it at the next regularly scheduled time.

Storage

To store this medicine:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Keep the medicine from freezing.
• Do not puncture, break, or burn aerosol containers, even after they are empty.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For topical corticosteroids, the following should be considered:

Allergies Tell your doctor if you have ever had any unusual or allergic reaction to corticosteroids. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy When used properly, these medicines have not been shown to cause problems in humans. Studies on birth defects have not been done in humans. However, studies in animals have shown that topical corticosteroids, when applied to the skin in large amounts or used for a long time, could cause birth defects.

Breast-feeding Topical corticosteroids have not been reported to cause problems in nursing babies when used properly. However, corticosteroids should not be applied to the breasts just before nursing.

Children Children and teenagers who must use this medicine for a long time should be checked often by their doctor. Other, more potent corticosteroids are absorbed through the skin and can affect growth or cause other unwanted effects. Topical corticosteroids also can be absorbed if they are applied to large areas of skin. These effects are less likely to occur with the use of the lower potency corticosteroids. However, before using this medicine in children, you should discuss its use with your child's doctor.

Older adults This medicine is not expected to cause different side effects or problems in older people than it does in younger adults.

Other medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your health care professional if you are using any other topical prescription or nonprescription (over-the-counter [OTC]) medicine that is to be applied to the same area of the skin.

• Diabetes mellitus (sugar diabetes) Too much use of corticosteroids may cause a loss of control of diabetes by increasing blood and urine glucose. However, this is not likely to happen when topical corticosteroids are used for a short time

• Infection or sores at the place of treatment or
• Tuberculosis Corticosteroids may make existing infections worse or cause new infections

• Skin conditions that cause thinning of skin with easy bruising Corticosteroids may make thinning of the skin worse