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Precautions and Warnings With Topical Fluticasone Propionate

Not everyone can use topical fluticasone propionate, as it may cause allergic reactions or interfere with other drugs. It is also important that your healthcare provider knows if you are pregnant or breastfeeding before beginning treatment with topical fluticasone propionate. Other precautions and warnings with this steroid include complications that might occur with long-term use, such as Cushing's syndrome or diabetes.

What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using topical fluticasone propionate (Cutivate®) 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 Topical Fluticasone Propionate Precautions and Warnings

Some warnings and precautions to be aware of before using this medicine include the following:
 
 
  • This product 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 topical fluticasone propionate. 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 recommended, may also increase this risk.
 
  • If you use this medication for an extended period, 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 arms and legs)
    • High blood sugar levels.
 
  • Topical fluticasone propionate can suppress the body's ability to make natural steroids. This typically happens when large doses are used over a long period. In such circumstances, this medicine 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 it.
 
  • Like all steroids, topical fluticasone propionate may slow down the growth rate of children and teenagers. Contact your child's healthcare provider if you are concerned about this. In general, children may be more susceptible to the side effects of steroids. Close monitoring is necessary for any child receiving such drugs long-term.
 
  • If you develop a skin infection while using topical fluticasone propionate, you will need to be treated with appropriate antibiotics or antifungal medications. If the infection does not clear up, you may need to stop using this product.
 
 
  • Topical fluticasone propionate 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 Cutivate and Pregnancy).
 
  • It is unknown if this drug passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to beginning treatment (see Cutivate and Breastfeeding).
 

Topical Fluticasone Propionate Information

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