Precautions and Warnings With Clobetasol Propionate Foam
A person may not be able to use clobetasol propionate foam if he or she has certain allergies or is pregnant or breastfeeding. Other precautions for clobetasol propionate foam include warnings of potential complications this drug may cause, such as Cushing's syndrome or diabetes. Also, using this medicine for long periods of time may prevent your body from producing its own natural steroids.
You should talk with your healthcare provider prior to using clobetasol propionate foam (Olux®) if you:
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding
- Have any allergies, including to foods, dyes, or preservatives.
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Some warnings and precautions to be aware before using this medicine include:
- Clobetasol propionate foam is a highly potent steroid. It is essential to follow your healthcare provider's dosing instructions carefully. Overuse can lead to serious side effects.
- Clobetasol propionate foam is a steroid and can cause serious side effects, such as Cushing's syndrome or diabetes. Although this is more likely to occur with oral or injectable steroids, it is still possible with topical steroids, including clobetasol propionate foam. The more you apply and the longer you use the drug, the more likely these problems are to occur. Covering the medicine with a dressing (which is not usually recommended) may also increase the risk.
- It is not recommended to use clobetasol propionate foam for more than two weeks at a time. Although the drug is quite effective, it should not be used on a long-term basis.
- If you use this medication for an extended period of time, it may lead to Cushing's syndrome (a group of symptoms caused by prolonged exposure to steroids). Contact your healthcare provider if you develop signs of this condition, such as:
- A rounded face
- Unusual body fat distribution (more fat in the trunk, face, and neck, and less fat in the extremities)
- High blood sugar levels.
- Clobetasol propionate foam can suppress the body's ability to make natural steroids. This typically happens when large doses are used over a long period of time. In such circumstances, clobetasol propionate foam should be stopped gradually, to give your body a chance to begin making its own natural steroids again. If this is not feasible, you might need to take an oral steroid for a while (after which you will slowly be weaned off the oral steroid).
- Like all steroids, clobetasol propionate foam may slow down the growth rate of children and teenagers. Contact your child's healthcare provider if you are concerned about a slow growth rate in your child. In general, children may be more susceptible to the side effects of steroids. Close monitoring is necessary for any child receiving long-term steroids.
- Clobetasol propionate foam can suppress the immune system, perhaps leading to infections or other problems.
- Clobetasol propionate foam may react with a few other medications (see Drug Interactions With Clobetasol Propionate Foam).
- Clobetasol propionate foam is a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are currently unknown (see Olux and Pregnancy).
- It is unknown if clobetasol propionate foam passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to using the drug (see Olux and Breastfeeding).