Diflorasone

Table of contents

  • Brand Names
  • Drug Combinations
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Drug Interactions
  • Genes that may be involved
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Germany: Florone; Spain: Murode.

North America

USA: Diflorasone, Psorcon.

Latin America

Mexico: Diasorane.

Asia

Japan: Anamidol, Derizelan, Diacort, Diflal, Kainozym, Sacoal, Teolop.

Drug combinations

Diflorasone and Gentamicin

Diflorasone, Econazole, and Gentamicin

Diflorasone, Econazole, Gentamicin, Griseofulvin, Hydrocortisone, Neomycin, and Salicylic Acid

Chemistry

Diflorasone Diacetate: C~26~H~32~F~2~O~7~. Mw: 494.52. (1) Pregna-1,4-diene-3,20-dione, 17,21-bis(acetyloxy)-6,9-difluoro-11-hydroxy-16-methyl-, (6α,11β,16β)-; (2) 6α,9-Difluoro-11β,17,21-trihydroxy-16β-methylpregna-1,4-diene-3,20-dione 17,21-diacetate. CAS-33564-31-7; CAS-2557-49-5 (diflorasone)(1973).

Pharmacologic Category

Skin and Mucous Membrane Agents; Anti-inflammatory Agents. Topical Corticosteroid. (ATC-Code: D07AC10).

Mechanism of action

A synthetic fluorinated corticosteroid. Decreases inflammation by suppression of migration of polymorphonuclear leukocytes and reversal of increased capillary permeability.

Therapeutic use

Relieves inflammation and pruritic symptoms of corticosteroid-responsive dermatosis (e.g. seborrheic or atopic dermatitis, localized neurodermatitis, anogenital pruritus, psoriasis, late phase of allergic contact dermatitis, inflammatory phase of xerosis).

Pregnancy and lactiation implications

Not known whether topical diflorasone is distributed into milk. Caution if topical diflorasone is used.

Unlabeled use

Contraindications

Hypersensitivity to diflorasone or any ingredient in the formulation.

Warnings and precautions

Allergic contact dermatitis can occur (failure to heal). Prolonged treatment with corticosteroids associated with the development of Kaposi’s sarcoma (case reports). Adverse systemic effects including Cushing’s syndrome, hyperglycemia, glycosuria, fluid and electrolyte changes, and reversible HPA-axis suppression (particularly in younger children) may occur when used on large surface areas, for prolonged periods, or with an occlusive dressing. Infants and children may be more susceptible to adverse systemic effects. Children are at greater risk of glucocorticoid insufficiency during and/or after withdrawal of treatment. Intracranial hypertension has occurred in children. Striae reported in children treated inappropriately with topical corticosteroids. Chronic topical corticosteroid therapy may interfere with growth and development in children. Prolonged use of topical corticosteroids may cause atrophy of the epidermis and subcutaneous tissue, mostly in intertriginous (e.g. axilla, groin), flexor, and facial areas. Irritation might occur. Do not use occlusive dressings on weeping or exudative lesions or in primary skin infection. Infection might develop.

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