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Like other topical corticosteroids, clobetasol propionate has anti-inflammatory, antipruritic, and vasoconstrictive properties. The mechanism of the anti-inflammatory activity of the topical steroids, in general, is unclear. However, corticosteroids are thought to act by the induction of phospholipase Aj inhibitory proteins, collectively called lipocortins. It is postulated that these proteins contra! the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor, arachidonic acid. Arachidonic acid is released from membrane phospholipids by phospholipase A2.
Pharmacokinetics: The extent of percutaneous absorption of topical corticosteroids is determined by many factors, including the vehicle and the integrity of the epidermal barrier. Occlusive dressing with hydrocortisone for up to 24 hours has not been demonstrated to increase penetration; however, occlusion of hydrocortisone for 96 hours markedly enhances penetration. Topical corticosteroids can be absorbed from normal intact skin. Inflammation and/or other disease processes in the skin may increase percutaneous absorption. Greater absorption was observed for the TEMOVATE gel (clobetasol propionate gel) formulation as compared to the cream formulation in in vitro human skin penetration studies.
Studies performed with TEMOVATE Gel (clobetasol propionate gel) indicate that it is in the super-high range of potency as compared with other topical corticosteroids.
Last reviewed on RxList: 3/24/2008
This monograph has been modified to include the generic and brand name in many instances.
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