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Patient Information Leaflet     cream 15g and 50g
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Fluticasone propionate 0.05%
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IT IS IMPORTANT TO READ THIS LEAFLET CAREFULLY BEFORE STARTING TREATMENT
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 Following this advice gives the cream a chance to work safely and effectively What you should know about Cutivate Cream
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What your cream does
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Cutivate cream is a strong and rapidly effective treatment for inflamed skin conditions such as dermatitis/eczema.
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What is in your cream
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Cutivate Cream is one of a group of medicines called topical steroids. "Topical" means they are put on the skin. Topical steroids reduce the redness and itchiness of certain skin problems. (They should not be confused with "anabolic" steroids misused by some body builders and taken as tablets or injections).
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The cream contains:
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The active ingredient - fluticasone (as propionate) 0.05% a preservative - imidurea in a base containing liquid paraffin, cetostearyl alcohol, isopropyl myristate, cetomacrogol 1000, propylene glycol, sodium phosphate, citric acid and water.
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The cream does not contain any lanolin, parabens or colouring agents.
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Product licence holder and manufacturer
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 Product Licence held by Glaxo Pharmaceuticals UK Ltd, Stockley Park, England UB11 1BT Manufactured by Glaxo Pharmaceuticals UK Ltd, Speke, Liverpool, England
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Before you use your cream
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This cream has been prescribed to treat the skin problem that you showed to your doctor.
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DO NOT put it on any other skin problems as it could make them worse, especially:
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acne skin infections such as cold sores, herpes, impetigo, athletes foot, chicken pox, ringworm, thrush itchiness of anus (back passage) itchiness of genitals (private parts) conditions called rosacea and perioral dermatitis.
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If you have had an allergy to any creams or ointments in the past If you think you may be pregnant
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Did you tell your doctor at the last visit or an earlier visit?
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IF YOU DID 
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NOT
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 TELL YOUR DOCTOR THEN YOU SHOULD DO SO 
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BEFORE
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 STARTING THE TREATMENT.
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Even so, your doctor may still want you to use the cream.
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Face
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YOU SHOULD NOT normally use on the face where the skin thins easily - BUT if your doctor has advised you to use it on the face then, if possible, the course of treatment should not last more than five days. It is important that you DO NOT let the cream get in your eyes.
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Children
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DO NOT use on a child under one year of age, or under the napkin, or airtight dressing of an infant older than one year. (These make it easier for the active ingredient to pass through the skin).
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How to use your cream
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If your doctor has told you in detail HOW MUCH to use and HOW OFTEN then keep to this advice. If you are not sure then follow the advice on the back of this leaflet.
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Unless told by your doctor:
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YOU SHOULD NOT
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 use more than this.
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YOU SHOULD NOT
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 use on large areas of the body for a long time (such as nearly everyday for many weeks or months).
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Overuse like this may:
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thin the skin so that it damages easily
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allow the active ingredient to pass through the skin and affect other parts of the body, especially in infants and children.
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If your skin problem does not improve in two to four weeks tell your doctor.
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continued
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Has the cream any side effects?
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Most people find using this cream causes no problems when used in the right amount for the correct length of time (See above as well as guidance on back of this leaflet).
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IF
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 you find your condition gets worse during treatment you may be allergic to the cream or have a skin infection.
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STOP USING THE CREAM AND TELL YOUR DOCTOR AS SOON AS POSSIBLE
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Repeated courses of topical steroids over a long period of time may sometimes cause changes in hair growth and skin colour.
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Guidance on how much cream to use If your doctor has told you in detail how to use the cream then keep to that advice otherwise:-
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Once a day, after washing your hands, gently rub the correct amount of cream into the skin until it has all disappeared.
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For an adult:
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You should find that two fingertips of cream will treat both hands or one foot three fingertips of cream will treat one arm six fingertips of cream will treat one leg fourteen fingertips of cream will treat the front and back of one trunk
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Fingertip Units      
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Do not worry if you find you need a little more or a little less than this - it is only a rough guide.
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Wash your hands before using the cream. Gently rub the correct amount into the skin until it has all disappeared. 
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Unless
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 used for treating the hands wash them again 
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after
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 using the cream. Anyone who helps to rub in the cream should also do the same or wear disposable plastic gloves.
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For a child:
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It should not be used in children under one year of age.
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The smaller the child the less you use.
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A child of 4 years needs about a third of the adult amount.
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A course of treatment for a child should not normally last more than five days unless your doctor has told you to use it for longer.
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Where to keep your cream
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As with all medicines keep this cream safely away from children.
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Store it at room temperature below 30ºC
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What to do with any unused cream
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If your doctor stops your treatment, return any unused cream to a pharmacist.  Only keep it if your doctor tells you to.
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Do not use the cream after the expiry date on the tube or carton.
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