Locoid Lipocream contains hydrocortisone butyrate, a non-fluorinated hydrocortisone ester [Pregn-4-ene-3, 20-dione, 11, 21-dihydroxy-17- [(1-oxobutyl) oxy (11β)-] for topical dermatologic use.
Chemically, hydrocortisone butyrate is C25H36O6. It has the following structural formula:
Hydrocortisone butyrate is a white to practically white powder with a molecular weight of 432.56. It is practically insoluble in water, slightly soluble in ether, soluble in methanol, in alcohol, and in acetone, and freely soluble in chloroform.
Each gram of Locoid Lipocream contains 1 mg hydrocortisone butyrate in a hydrophilic base consisting of cetostearyl alcohol, ceteth-20, mineral oil, white petrolatum, citric acid, sodium citrate, propylparaben and butylparaben (preservatives) and water.
Locoid Lipocream is not for oral, ophthalmic, or intravaginal use.
Therapy should be discontinued when control is achieved. If no improvement is seen within 2 weeks, reassessment of the diagnosis may be necessary. Before prescribing for more than 2 weeks, any additional benefits of extending treatment to 4 weeks should be weighed against the risk of HPA axis suppression and local adverse events. The safety and efficacy of Locoid Lipocream has not been established beyond 4 weeks of use.
2.1 Corticosteroid-Responsive Dermatoses in Adults
Apply a thin film to the affected skin areas two or three times daily, depending on the severity of the condition. Rub in gently.
2.2 Atopic Dermatitis in Patients From 3 Month to 18 Years
Apply a thin film to the affected skin areas two times daily. Rub in gently.
Locoid Lipocream should not be used with occlusive dressings or applied in the diaper area unless directed by a physician.