Nerisone

Apply a thin film to the affected areas 1 to 2 times daily, according to the doctor's instructions. After initial improvement, the dose is often reduced to once daily. Nerisone (Diflucortolone-valerate) should be used for a maximum of 4 weeks.

Nerisone (Diflucortolone-valerate) should not be applied in or near the eyes. If contact with the eyes occurs, flush with plenty of water and contact your doctor. Do not use Nerisone (Diflucortolone-valerate) under dressings that don't breathe, unless you are instructed to do so by your doctor. Your doctor may recommend a moisturizer in addition to Nerisone (Diflucortolone-valerate). If you are also using a moisturizer, allow time for the diflucortolone to be absorbed before applying the moisturizer.

Check with your doctor if the skin condition does not start to improve within a week, or if it seems to be getting worse.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

If you miss a dose, apply it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Nerisone (Diflucortolone-valerate) at room temperature, protect it from freezing, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Cream

Diflucortolone valerate cream is no longer being manufactured for sale in Canada. For brands that may still be available, search under diflucortolone. This article is being kept available fro reference purposes only. If you are using Nerisone (Diflucortolone-valerate), speak with your doctor or pharmacist for information about your treatment options.

Oily Cream

Each gram of water-in-oil emulsion contains 1 mg of diflucortolone valerate (0.1%). Nonmedicinal ingredients: white petrolatum, mineral oil, aluminum stearates, cera alba (EU); beeswax (PCPC), dicocoyl pentaerythrityl distearyl citrate, hydrogenated palm glycerides citrate, sorbitan sesquioleate, tocopherol, and white wax.

Ointment

Diflucortolone valerate ointment is no longer being manufactured for sale in Canada. For brands that may still be available, search under diflucortolone. This article is being kept available fro reference purposes only. If you are using Nerisone (Diflucortolone-valerate), speak with your doctor or pharmacist for information about your treatment options.

Do not use Nerisone (Diflucortolone-valerate) if you:

• are allergic to diflucortolone or any ingredients of the medication
• are allergic to other corticosteroids
• have a skin reaction after a vaccination
• have a skin infection caused by viruses, including herpes simplex, vaccinia, and varicella (Chickenpox)
• have syphillis or Tuberculosis of the skin
• have a skin infection caused by fungi, bacteria, or parasites
• are applying it to treat Acne, skin conditions around the mouth or Rosacea
• are using it to treat itchiness of the genital area
• are treating itchiness without inflammation
• applying it to the eye

Do not use Nerisone (Diflucortolone-valerate) to treat skin conditions on children under 12 months of age.

There may be an interaction between diflucortolone and any of the following:

• Aldesleukin
• Ceritinib
• Deferasirox
• hyaluronidase
• itraconazole
• ritonavir

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Nerisone (Diflucortolone-valerate). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Nerisone (Diflucortolone-valerate).

Absorption: Prolonged use of Nerisone (Diflucortolone-valerate) over large areas of the body or under dressings that don't breathe can cause diflucortolone to be absorbed into the bloodstream. This may result in side effects similar to those seen after taking a corticosteroid by mouth for long periods of time (e.g., Depression, filling or rounding out of the face, increased blood pressure, increased blood sugar, irritability, loss of appetite, rapid weight gain or loss, stomach bloating, or swelling of feet or lower legs).

Allergy: Stop using Nerisone (Diflucortolone-valerate) and contact your doctor immediately if you notice signs of an allergic reaction, such as increased irritation or itchiness.

Circulation problems: Poor circulation may increase the risk of developing infections or developing sensitivity to Nerisone (Diflucortolone-valerate). If you have poor circulation or leg ulcers because of poor circulation, discuss with your doctor how Nerisone (Diflucortolone-valerate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Nerisone (Diflucortolone-valerate), and whether any special monitoring is needed.

Infections: Diflucortolone should not be used on any area of infected skin. Corticosteroids applied to the skin may increase the risk of developing a skin infection. If you notice any increased redness, swelling, heat, or pain around the area where the medication is applied, contact your doctor, as these are possible signs of infection.

Long-term use: Long-term use of Nerisone (Diflucortolone-valerate) may cause skin thinning, abnormal growth of facial hair, and acne. If these side effects occur, stop using Nerisone (Diflucortolone-valerate) and contact your doctor immediately. If you do not notice improvement in your skin condition after 2 to 4 weeks, contact your doctor.

Proper use: Diflucortolone should not be used over large areas with dressings that do not breathe or for prolonged periods of time, unless directed by your doctor. Nerisone (Diflucortolone-valerate) should not be used in or near the eye or around the mouth area. Application near the eye may increase the risk of developing Cataracts or Glaucoma.

Thinning of skin: Prolonged use of topical corticosteroid products may produce thinning of the skin and of tissues under it. If you notice this, call your doctor.

Pregnancy: Nerisone (Diflucortolone-valerate) should not be used during pregnancy unless the benefits outweigh the risks. Contact your doctor immediately if you become pregnant while taking Nerisone (Diflucortolone-valerate).

Breast-feeding: It is not known if diflucortolone passes into breast milk. If you are a breast-feeding mother and are taking Nerisone (Diflucortolone-valerate), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Nerisone (Diflucortolone-valerate) have not been established for children. Children are more likely to experience absorption of topical corticosteroids and the side effects that occur with absorbed corticosteroids. Nerisone (Diflucortolone-valerate) is not intended to be used for children less than 12 months of age.