What is Fucicort used for?

Fucicort is a medication commonly used to treat bacterial infections and inflammation at the site. This article will clarify the ingredients, effects, and precautions when using Fucicort.

1. Ingredients of Fucicort Cream 15g

Each gram of Fucicort contains: Fusidic Acid 20mg, Betamethasone 1mg (as betamethasone valerate)

Fucicort cream 15g combines the effective antibacterial action of fusidic acid with the anti-inflammatory and anti-itch effects of betamethasone valerate.

Fusidic acid and its salts are lipid and water-soluble, providing strong surface action and typically not affecting healthy skin. Concentrations from 0.03 to 0.12mcg/ml inhibit almost all strains of Staphylococcus aureus and are effective against other strains such as Streptococci, Corynebacterium, Neisseria, and Clostridia.

Betamethasone valerate is a corticosteroid with rapid local effects, particularly effective for inflammatory skin diseases responsive to this treatment method.

2. What is Fucicort used for?

Fucicort cream 15g is indicated for the treatment of inflammatory skin conditions (eczema, dermatitis) and bacterial infections.
Fucicort cream 15g is indicated for the treatment of inflammatory skin conditions and bacterial infections.

3. Dosage of Fucicort Cream 15g

Apply a small amount of Fucicort 15g to the affected skin area twice daily until the desired treatment result is achieved. However, a single treatment course with Fucicort should not exceed 2 weeks.

4. Contraindications of Fucicort 15g

Hypersensitivity to fusidic acid/sodium fusidate, betamethasone valerate, or any excipients. Due to the presence of corticosteroids, Fucicort cream 15g is contraindicated in the following cases:

• Skin infections caused by bacteria, fungi, or viruses (herpes or chickenpox);
• Skin diseases related to cutaneous tuberculosis or syphilis;
• Perioral dermatitis and rosacea.
• Fucicort is contraindicated in cases of perioral dermatitis and rosacea.

5. Precautions when using Fucicort

Avoid long-term treatment with corticosteroids, especially in infants and children, due to the following effects:

Adrenal cortex suppression may occur during the application of Fucicort cream 15g, even in cases where the area is not covered after application.

Skin atrophy may occur, particularly on the facial skin, and the risk is lower in other areas when treated long-term with topical corticosteroids like Fucicort.

Be cautious when applying Fucicort 15g near the eyes due to the risk of increased intraocular pressure if the medication gets into the eyes.
Prolonged skin infections require systemic treatment. Resistance to fusidic acid has been recorded. Therefore, similar to all other antibiotics, prolonged or repeated use of Fucicort increases the risk of antibiotic resistance.

Combining antibiotics with corticosteroids should be limited to 2 weeks as corticosteroids can mask or obscure infection symptoms or hypersensitivity reactions.

Due to the presence of corticosteroids, avoid using Fucicort in cases of skin atrophy, skin ulcers, common acne, or on genital skin or flexural areas.
Be cautious when applying Fucicort cream 15g on large skin areas and facial skin, and avoid using it on open wounds and mucous membranes.

Fucicort cream 15g contains cetostearyl alcohol, which may cause local skin reactions (e.g., contact dermatitis), and chlorocresol, which may cause allergic reactions.

Fucicort 15g is unlikely to affect the ability to drive and operate machinery.

Pregnant women: The safety of using Fucicort cream 15g during pregnancy has not been established. Animal studies show that fusidic acid does not cause teratogenic effects, but corticosteroids do. To ensure safety, avoid using Fucicort during pregnancy or breastfeeding unless absolutely necessary.

No adverse effects on breastfeeding infants have been recorded due to the systemic absorption of fusidic acid and betamethasone in Fucicort in breastfeeding women, especially when applied to limited skin areas. Therefore, Fucicort can be used by breastfeeding women, provided it is not applied to the nipple area.

6. Adverse effects of Fucicort

Common (ADR > 1/100):
Local skin irritation at the application site.
Allergic reactions.

Uncommon (1/1,000 < ADR < 1/100):
Skin and subcutaneous tissue disorders: transient skin irritation, stinging and burning sensation, itching, rash, erythema, severe eczema, contact dermatitis, or dry skin.

Rare (ADR < 1/1,000):
No reports.

Very rare (ADR < 1/10,000):
Immune system disorders: allergic reactions.
Skin: skin atrophy.
Observed side effects with corticosteroids include skin atrophy, telangiectasia, and striae, especially with prolonged use, multiple follicular cysts, hirsutism, perioral dermatitis, contact dermatitis, depigmentation, systemic effects such as increased intraocular pressure, and adrenal suppression.