Fourderm Cream

• Fourderm cream is used to treat selected skin conditions involving inflammation and bacterial or fungal infection, when prescribed by a doctor.
• It may help relieve symptoms such as itching, redness and inflammation associated with the diagnosed condition. It is not suitable for every rash or skin infection.

• If you are allergic to clobetasol, neomycin, miconazole, chlorhexidine, or any of the ingredients in this medicine.
• If you have an untreated skin infection or skin-thinning problem.consult your doctor before use.
• If you have chickenpox, shingles, warts or any other wounds and skin infections.
• Do not use it to treat acne, rosacea or perioral dermatitis, or on the face or around the mouth, unless specifically directed by your doctor.
• Do not use it on the genital area, skin folds or damaged skin without medical advice.
• Do not use this medicine in children for nappy rash.
• Do not use this medicine on open wounds, skin ulcers, or any area that can lead to systemic absorption.
• Do not use it in or near the eyes, or on any internal or mucous surface.

• Burning or stinging when the cream is applied
• Irritation or redness at the site
• Itching
• Dryness

• Thinning of the skin, which can make it fragile and easily bruised
• Stretch marks, which do not fade once they form
• Visible small blood vessels, or a permanent change in skin colour at the site
• Increased hair growth at the treated area
• Acne-like or rosacea-like spots, particularly on the face
• Worsening or masking of a skin infection

• Signs of an allergic reaction: swelling of the face, lips or throat, difficulty breathing, a widespread rash or hives
• A spreading skin infection: increasing pain, spreading redness, pus, a red streak, or a fever
• Possible effects of steroid absorption into the body, particularly with prolonged use, application over large areas, use under dressings or use in children. Symptoms may include unusual weight gain, a rounder face, easy bruising, or unusual tiredness.
• Hearing changes, ringing in the ears, or reduced urine output are not expected with routine topical use. Seek medical advice if these occur, particularly after extensive application to damaged skin.

Other General Warnings

• You experience any allergic skin reactions after applying this cream.
• You are experiencing other infections after applying this cream.
• Do not apply this cream to large areas of skin for prolonged periods or longer than the prescribed duration.
• Do not use this cream for any condition other than as prescribed by your doctor.
• If this medicine contacts your eyes, rinse them with clean water immediately.
• You have been using this cream longer than your doctor advised, or over a larger area, because the risk of skin thinning and steroid absorption increases with the amount used and the length of use.
• You are using it on a child, on the face, or in a skin fold such as the groin or armpit, as absorption is much greater in those places.
• You may be tempted to cover the treated area with a bandage, dressing, or tight clothing, but this increases absorption. Do not do so unless your doctor told you to.
• If you have diabetes, a weakened immune system, or poor circulation, you need to monitor skin infections more closely.
• If the condition comes back when you stop, or doesn't improve as expected, Don't just repeat the course.
• For external use only. Keep it away from the eyes, mouth, and other mucous surfaces. Never use a leftover tube on a new rash, or give it to someone else - a steroid applied to an undiagnosed rash can make an infection considerably worse.

• Use Fourderm cream as directed by your doctor and follow all the instructions.
• For external use only; apply only to the affected skin areas your doctor specifies. Avoid open wounds or broken skin unless specifically directed.
• Wash your hands before and after using Fourderm cream unless you are treating your hands.
• Apply a thin layer and gently rub it over the affected area for as long as your doctor advises.
• If your condition worsens or does not improve within the period your doctor advises, seek medical review rather than extending treatment yourself.
• Clean and dry the area before applying. A thin layer is enough; thicker layers do not work better and may increase side effects.
• Do not cover the treated area with a bandage, dressing or tight clothing unless your doctor told you to.
• Do not use it on the face, the groin or the armpits unless your doctor specifically told you to treat there.
• Follow the duration your doctor prescribed. Do not extend treatment or restart it for a recurring rash without medical advice.

• Store Fourderm cream as directed on the product label.
• Keep this medicine out of reach of children and pets.
• Keep the cap closed and keep the tube in its carton. Do not share the tube with anyone else.
• Do not use it after the expiry date. Dispose of unused or expired medicine according to local pharmacy guidance. Do not keep a part-used tube to treat a future rash.

• Avoid using Fourderm Cream on the face and around the eyes. Do not cover the treated area with a bandage or dressing. Use the medicine only for the prescribed condition.
• Before applying the cream, clean the affected area with a mild cleanser and pat it dry. Apply a thin layer of the cream to the clean, dry, unbroken skin.
• Fourderm Cream may cause irritation. Avoid contact with the eyes, nose, or mouth. Rinse immediately with water if it gets into these areas. Inform your doctor if the irritation persists.
• To help prevent infection, don’t share towels or clothes with others, and wear clean clothes each day. Follow your doctor's instructions and keep using any medication as prescribed.
• Use it only for the condition and for the number of days your doctor set. A potent steroid is not a general-purpose skin cream.
• Apply a thin layer. More cream does not work better; it only increases the side effects.
• Do not cover the treated area with a dressing or tight clothing unless your doctor told you to, as this can increase steroid absorption.
• Never use leftover product on a new rash, and never share it with someone else. On an undiagnosed rash, a steroid can make a fungal infection spread.
• Avoid the face, groin, and armpits unless your doctor specifically told you to treat there. Skin is thinner there and absorbs it much faster.
• If the rash returns as soon as you stop, see your doctor rather than restarting the cream on your own.
• Wash your hands after applying, unless you're treating your hands.
• Keep the treated skin clean and dry; do not scratch, and do not share towels or clothing while treating a skin infection.

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