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Fluocinonide is a potent topical corticosteroid widely used in dermatology for its anti-inflammatory, antipruritic, and vasoconstrictive properties.
Fluocinonide is a potent synthetic corticosteroid used primarily in dermatology for its anti-inflammatory, antipruritic, and vasoconstrictive properties. It is commonly prescribed for the treatment of various skin conditions, including eczema, psoriasis, and dermatitis, where it helps reduce inflammation and alleviate itching and redness.
As a high-potency corticosteroid, fluocinonide is effective in managing symptoms of inflammatory skin disorders, making it a valuable component in compounded formulations tailored to individual patient needs. Its mechanism of action involves the suppression of inflammatory mediators and the modulation of immune responses in the skin, providing relief from discomfort and promoting healing.
Fluocinonide is typically applied topically, and its use should be carefully monitored by healthcare professionals to minimize potential side effects, such as skin thinning or systemic absorption, especially when used over large surface areas or for extended periods. It is crucial for prescribers to consider the potency and appropriate dosage when recommending fluocinonide, ensuring it aligns with the severity of the condition being treated.
In compounding pharmacies like Bayview Pharmacy, fluocinonide can be customized into various formulations to enhance patient compliance and therapeutic outcomes. This flexibility allows for the creation of specific concentrations and delivery systems, such as creams, ointments, or gels, tailored to the unique requirements of each patient, thereby optimizing the efficacy and safety of the treatment regimen.
Each of these is compounded to order at our Warwick, Rhode Island pharmacy and requires a prescription.
A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.
Fluocinonide is a high-potency corticosteroid used on the skin for inflammatory conditions such as eczema, psoriasis, and lichen planus. Manufactured fluocinonide comes as 0.05% cream, ointment, gel, and solution and as a 0.1% cream. Bayview compounds it when your prescriber wants a different strength, a different base, or an oral paste or rinse for the inside of the mouth. The compounded preparations are not FDA-approved and are prepared to your prescriber's order.
Skin conditions that respond to corticosteroids: eczema and atopic dermatitis, plaque psoriasis, contact dermatitis, lichen planus, discoid lupus, and similar inflammatory rashes, usually on thicker skin such as the arms, legs, trunk, hands, feet, and scalp. The oral adhesive paste and rinse are prescribed for lichen planus and other sore, inflamed patches inside the mouth. Your prescriber decides whether it is appropriate for you and at what strength.
Most are local: burning or stinging when applied, itching, dryness, redness, acne-like bumps, and lightening of the skin. Used for too long, on thin skin, or under a covering, potent steroids can thin the skin, cause stretch marks and visible blood vessels, and be absorbed in amounts that affect the body's own steroid production, which can show up as unusual tiredness, weight gain, a rounded face, or muscle weakness. Children absorb more through their skin and can have slowed growth. Inside the mouth, the usual problem is thrush. Contact your prescriber if any of these happen.
Not unless your prescriber specifically directs it. Facial skin, the groin, underarms, and skin folds are thin and absorb more steroid, so they are more likely to be damaged by a high-potency product; prescribers usually choose a milder steroid or a steroid-sparing option such as compounded tacrolimus for those areas. Children absorb proportionally more steroid than adults, so fluocinonide is used in children only under a pediatric prescriber's direction, at the lowest strength for the shortest time, and never under a diaper or plastic pants.
Compounded fluocinonide starts at $98 for 15 g, and the price varies with the strength, base, and size. Where a manufactured fluocinonide product fits your prescriber's order, that is what we dispense and it may cost less — compounding is for the strengths, bases, and oral forms no manufacturer makes. Compounded preparations are cash-priced and are generally eligible for HSA and FSA cards. Call us at 401-284-4505 with the preparation and quantity your prescriber ordered and we will quote it before we make it.
Other salt forms of this molecule, and ingredients commonly compounded alongside it.
This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.
Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.
A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.
Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.
