Afloderm® (Ointment, Cream) Instructions for Use
ATC Code
D07AB10 (Alclometasone)
Active Substance
Alclometasone (Rec.INN registered by WHO)
Clinical-Pharmacological Group
Topical corticosteroids for external use
Pharmacotherapeutic Group
Corticosteroids used in dermatology; corticosteroids; corticosteroids with moderate activity (group II)
Pharmacological Action
A non-halogenated synthetic glucocorticosteroid for topical use. It has anti-inflammatory, anti-allergic, antipruritic, and antiproliferative effects.
When applied to the skin surface at the site of inflammation, it quickly and effectively reduces the severity of objective symptoms ( erythema, edema, lichenification) and subjective sensations ( itching, irritation, pain).
Indications
Dermatoses for which topical therapy with glucocorticosteroids is effective (including on the face and in the anogenital area): atopic dermatitis, eczema, psoriasis, allergic and contact dermatitis, solar dermatitis, allergic reactions to insect bites.
ICD codes
| ICD-10 code | Indication |
| L20.8 | Other atopic dermatitis (neurodermatitis, eczema) |
| L23 | Allergic contact dermatitis |
| L24 | Irritant contact dermatitis |
| L28.0 | Lichen simplex chronicus (circumscribed neurodermatitis) |
| L29 | Pruritus |
| L30.0 | Nummular eczema |
| L40 | Psoriasis |
| L56.2 | Photocontact dermatitis [berloque dermatitis] |
| T14.0 | Superficial injury of unspecified body region (including abrasion, bruise, contusion, hematoma, bite of nonvenomous insect) |
| ICD-11 code | Indication |
| 9A06.70 | Atopic eczema of the eyelids |
| EA80.0 | Infantile atopic eczema |
| EA80.1 | Childhood atopic eczema |
| EA80.2 | Adult atopic eczema |
| EA80.Z | Atopic eczema, unspecified |
| EA82 | Nummular dermatitis |
| EA83.00 | Lichen simplex of vulva |
| EA83.01 | Lichen simplex of male genital organs |
| EA83.02 | Lichen simplex of perianal area |
| EA83.0Z | Lichen simplex of unspecified location |
| EA85.20 | Atopic hand eczema |
| EA90.Z | Psoriasis, unspecified |
| EC90.Z | Itching, unspecified |
| EH92 | Dermatoses provoked by friction or mechanical impact |
| EH92.1 | Blister due to friction |
| EK00.Z | Allergic contact dermatitis, unspecified |
| EK02.Z | Irritant contact dermatitis, unspecified |
| EK20 | Photoallergic reaction to fragrances or cosmetic products |
| ND56.0 | Superficial injury of unspecified body region |
Dosage Regimen
| The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen. |
Apply a thin layer of Afloderm ointment or cream to the affected skin areas two to three times daily.
Gently rub in the medication until it is fully absorbed. Do not bandage or cover the treated area unless specifically directed by a physician.
Adjust the application frequency based on the severity of the condition and the specific anatomical location. For milder cases or for use on the face and intertriginous areas, once-daily application may be sufficient.
For severe or resistant lesions, a more frequent application schedule may be initially required under medical supervision.
The total duration of treatment should not exceed two weeks for adult patients. Limit treatment in pediatric patients to seven days unless otherwise advised by a physician.
Discontinue use and consult a physician if no clinical improvement is observed within the recommended treatment period.
Use the minimum amount necessary to control symptoms. Avoid application to very large body surface areas, under occlusive dressings, or for prolonged periods to minimize systemic absorption.
Adverse Reactions
Possibleitching, burning, redness or dryness of the skin, irritation, rash.
Very rarelyacne-like changes, hypopigmentation, miliaria, folliculitis, striae, skin atrophy, hypertrichosis, allergic contact dermatitis, secondary skin infections.
Contraindications
Skin tuberculosis, cutaneous manifestations of syphilis, chickenpox, viral skin infections, skin reactions to vaccination, open wounds, trophic ulcers, rosacea, acne vulgaris, children under 6 months of age, hypersensitivity to alclometasone.
Use in Pregnancy and Lactation
Use during pregnancy is only possible if the intended benefit to the mother outweighs the potential risk to the fetus. In such cases, use should be short-term and limited to a small area of skin.
There are no data on teratogenic effects.
Use during lactation is possible, but in such cases, do not apply to the skin of the breast before feeding.
Pediatric Use
Contraindication: children under 6 months of age.
The drug can be used in young children.
It should be considered that in young children, skin folds and diapers can have an effect similar to that of an occlusive dressing and, accordingly, increase the systemic absorption of the active substance. Furthermore, children may have a greater degree of systemic absorption due to the ratio of skin surface area to body weight, as well as due to the immaturity of the epidermis. Therefore, long-term use in young children is only possible under medical supervision.
Special Precautions
Do not apply to the skin in the eye area (due to the possible development of glaucoma and cataracts), or to open wound surfaces.
If the course of the disease is complicated by the development of a secondary bacterial or fungal infection, it is necessary to add a specific antibacterial or antifungal agent.
Can be used in young children.
It should be considered that in young children, skin folds and diapers can have an effect similar to that of an occlusive dressing and, accordingly, increase the systemic absorption of the active substance. Furthermore, children may have a greater degree of systemic absorption due to the ratio of skin surface area to body weight, as well as due to the immaturity of the epidermis. Therefore, long-term use in young children is only possible under medical supervision.
Storage Conditions
Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.
Dispensing Status
Over-the-Counter
Important Safety Information
This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.
Medical DisclaimerBrand (or Active Substance), Marketing Authorisation Holder, Dosage Form
Cream for external use 0.05%: tubes 20 g or 40 g
Marketing Authorization Holder
Belupo, Pharmaceuticals & Cosmetics d.d. (Croatia)
Dosage Form
| Afloderm® | Cream for external use 0.05%: tubes 20 g or 40 g |
Dosage Form, Packaging, and Composition
Cream for external use white, homogeneous.
| 1 g | |
| Alclometasone (in the form of dipropionate) | 0.5 mg |
Excipients: propylene glycol, chlorocresol, sodium dihydrogen phosphate dihydrate, phosphoric acid, white soft paraffin, macrogol cetostearyl ether, cetostearyl alcohol, mixture of glyceryl stearate and macrogol-100 stearate, sodium hydroxide, purified water.
20 g – aluminum tubes (1) – cardboard boxes.
40 g – aluminum tubes (1) – cardboard boxes.
Ointment for external use 0.05%: tubes 20 g or 40 g
Marketing Authorization Holder
Belupo, Pharmaceuticals & Cosmetics d.d. (Croatia)
Dosage Form
| Afloderm® | Ointment for external use 0.05%: tubes 20 g or 40 g |
Dosage Form, Packaging, and Composition
Ointment for external use from colorless to light yellow, homogeneous, without mechanical inclusions.
| 1 g | |
| Alclometasone (in the form of dipropionate) | 0.5 mg |
Excipients: white soft paraffin, white beeswax, propylene glycol monopalmitostearate, hexylene glycol.
20 g – tubes (1) – cardboard boxes.
40 g – tubes (1) – cardboard boxes.
