Castor-NF Cream

• If you are allergic to clobetasol, terbinafine, ciprofloxacin, metronidazole or any other ingredient of Castor-NF cream.
• If you are allergic to other quinolones like ofloxacin. If you are not sure what these medicines are, please confirm with your doctor.
• If you have skin conditions like acne, severe flushing of skin on and around your nose (rosacea) or spotty red rash around your mouth (perioral dermatitis).
• If you have itching around your anus or genitals.
• If you have itchy skin which is not inflamed.
• If you have infected skin that is not being treated with an anti-infective medicine.

• Itching
• Burning sensation
• Dry skin
• Skin irritation
• Skin reddening

Other General Warnings

• You have any blood disorders.
• You use other oral/topical medications containing corticosteroids or medications
• intended to control your immune system (for autoimmune disease or after
• transplantation).
• You have had an allergic reaction to a steroid.
• You are applying the cream under an airtight dressing.
• You are applying the cream on broken or damaged skin, within skin folds or to a large surface area.
• You have a skin condition called psoriasis.
• You are using Castor-NF cream around a chronic leg ulcer.
• You are applying near eyes or on eyelids or on thin skin such as the face.
• You experience local irritation after using this medicine.
• You experience newly developed bone pain or worsening of previous bone symptoms after using Castor-NF cream.
• You notice vision disturbances like blurred vision after applying this medicine.
• You develop an infection after using Castor-NF cream.

• Castor-NF cream should be used as recommended by your doctor.
• Clean and dry your hands before and after applying the ointment.
• Apply a thin layer of the medication only to the affected areas and rub gently to cover the entire affected area.
• In case your eyes come in contact with this ointment, rinse your eyes with clean water immediately.

• Store in a cool and dry place below 25°C away from direct sunlight.
• Keep out of reach of children and pets.

Overdose

• Castor-NF cream is meant for external application and hence cases of overdose are unlikely. However, the symptoms upon accidental ingestion are headache, nausea, stomach pain and dizziness. If you have accidentally ingested this medicine, contact your doctor immediately or visit the nearest hospital.
• You may also experience itching of the skin and local skin burning sensation if you over apply this medicine. If you experience any such symptoms, contact your doctor immediately or visit the nearest hospital. If you have applied extra quantities of it, wipe out the excess of the medicine with tissue or cotton.

Missed a Dose

How Does It Work?

• Castor-NF cream contains clobetasol, terbinafine, ciprofloxacin and metronidazole as its active ingredients.
• Clobetasol is a steroid that decreases the production of certain substances in the body that are responsible for inflammation. This helps to reduce swelling and irritation.
• Terbinafine is an antifungal that prevents the formation of a substance called ergosterol which is essential for maintaining the structure of the fungus. This prevention causes a number of abnormalities in the fungus like leakage of the components of the cell and cell death.
• Ciprofloxacin is an antibiotic that interferes with the chemicals required for the production of the genetic material of bacteria. This results in the death of infection-causing bacteria.
• Metronidazole is an antibiotic that acts by altering the growth of bacteria. It interacts with the genetic material of bacteria and prevents bacterial multiplication. This stops the further growth of bacteria and kills the bacteria causing the infection.

Interactions with other medicines

• Since Castor-NF cream is to be used externally on the skin, it is less likely to interact with other medicines.
• However, you should always consult your doctor if you are taking other medicines for treating other health conditions.
• The use of Castor-NF cream with medicines for treating HIV/AIDS (ritonavir) and fungal infections (itraconazole) may increase the levels of Castor-NF cream in the body.
• Particular care should be taken if you are taking medicines for treating chronic obstructive pulmonary disease (theophylline), migraine headaches (caffeine), blood clots (warfarin), immune system alteration (cyclosporine).