Precautions and Warnings With Desoximetasone
Desoximetasone may not be suitable for treating skin conditions in some people, so make sure your healthcare provider is aware of any allergies you might have or if you are pregnant or breastfeeding. Other precautions for desoximetasone include warnings of complications that may occur with long-term use, such as Cushing's syndrome or an inability for your body to make its own natural steroids.
What Should I Tell My Healthcare Provider Before Using Desoximetasone?You should talk with your healthcare provider prior to using desoximetasone (Topicort®) if you:
- Are breastfeeding
- Are pregnant or thinking of becoming pregnant
- 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.
Specific Desoximetasone Precautions and WarningsSome warnings and precautions to be aware of before using this medicine include:
- Desoximetasone is a steroid and can cause serious side effects. Although this is more likely to occur with oral or injectable steroids, it is still possible with topical steroids, including desoximetasone. 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 sometimes recommended, may also increase this risk.
- 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.
- Desoximetasone 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, desoximetasone 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, desoximetasone 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.
- Desoximetasone may react with a few other medications (see Drug Interactions With Desoximetasone).
- Desoximetasone 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 Topicort and Pregnancy).
- It is unknown if desoximetasone 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 Topicort and Breastfeeding).