Clobex Patient Counseling Information

Read the Patient Information that comes with CLOBEX Shampoo before you start using it and each time you get a refill. There may be new information. This leaflet does not take the place of talking with your doctor about your medical condition or your treatment.
What is the most important information I should know about CLOBEX Shampoo?
What is CLOBEX Shampoo?
CLOBEX Shampoo is a medicine called a topical (skin use only) corticosteroid. It is used for a short time to treat forms of scalp psoriasis. CLOBEX Shampoo is a highly potent (very strong) topical corticosteroid. It is very important that you use CLOBEX Shampoo only as directed in order to avoid serious side effects.
Who should not use CLOBEX Shampoo?
Do not use CLOBEX Shampoo if you are allergic to any of its ingredients, or to any other corticosteroid. The active ingredient is clobetasol propionate. See the Description for a complete list of ingredients in CLOBEX Shampoo. Ask your doctor or pharmacist if you need a list of other corticosteroids.
CLOBEX Shampoo is not recommended for use by patients under 18 years of age. Children have smaller body sizes and have a higher chance of side effects.
What should I tell my doctor before using CLOBEX Shampoo?
Tell your doctor: If you are breastfeeding. It is not known if CLOBEX Shampoo passes into your milk, and if it can harm your baby.
If you think you have an infection on your scalp. You may need another medicine to treat the scalp infection before you use CLOBEX Shampoo.
Tell your doctor about all the other medicines and skin products you use, including prescription and non-prescription medicines, vitamins, herbal supplements, and cosmetics. Some medicines and products can cause serious side effects if used while you are using CLOBEX Shampoo.
How should I use CLOBEX Shampoo?
Use CLOBEX Shampoo exactly as prescribed by your doctor. CLOBEX Shampoo is for use on your scalp only.
Apply CLOBEX Shampoo on affected areas of the scalp once a day. Use only enough to cover the affected areas of your scalp. Do not use CLOBEX Shampoo on your face, groin, armpits, lips, or in your eyes.
Do not wet your hair before using CLOBEX Shampoo. Move the hair away from the scalp so that one of the affected areas is exposed. Apply a small amount of the shampoo directly onto the affected area by gently squeezing the bottle. Gently, rub CLOBEX Shampoo into the affected area. Repeat for other affected areas on your scalp.
Do not cover your head with a shower cap or bathing cap while CLOBEX Shampoo is on your scalp.
Leave CLOBEX Shampoo in place for 15 minutes before adding water, lathering and rinsing hair and scalp completely. No other shampoos are necessary. However, you can use a non-medicated shampoo on your hair after using CLOBEX Shampoo if you want to.
Wash your hands after applying CLOBEX Shampoo. Wash any other part of your body that came into contact with CLOBEX Shampoo such as your neck and shoulders.
If you forget to apply CLOBEX Shampoo at the scheduled time, use it as soon as you remember. Then go back to your regular schedule. If it is about time for your next dose, apply just that 1 dose, and continue with your regular schedule. Do not make up the missed dose. If you miss several doses, tell your doctor.
Do not use more than 50 grams (50 mL or 1.75 fluid ounces) of CLOBEX Shampoo per week.
What should I avoid while using CLOBEX Shampoo? Do not do the following while using CLOBEX Shampoo: Do not get CLOBEX Shampoo on your lips or in or near your eyes because this might cause side effects. If you do, use a lot of water to rinse the CLOBEX Shampoo off your face, lips, or out of your eyes. If your eyes keep stinging after rinsing them well with water, contact your doctor right away.
Do not apply CLOBEX Shampoo to your face, groin or armpits.
Do not get CLOBEX Shampoo in your mouth. If you or a child accidentally swallows CLOBEX Shampoo, call your Poison Control center or local emergency room right away.
Do not cover your head with a shower or bathing cap while CLOBEX Shampoo is on your scalp.
Do not use CLOBEX Shampoo any longer than 4 weeks (28 days) for moderate to severe scalp psoriasis.
Do not use more than 50 ml (1.75 fluid ounces) of CLOBEX Shampoo per week.
What should I do if I miss an application of CLOBEX Shampoo?
If you forget to apply CLOBEX Shampoo at the scheduled time, use it as soon as you remember, and then go back to your regular schedule. If you remember at the time of your next application, apply only one dose and continue with your regular schedule. If you miss several doses, tell your doctor.
What are the possible side effects of CLOBEX Shampoo?
CLOBEX Shampoo can pass through your skin. Too much CLOBEX Shampoo passing through your skin can shut down your adrenal glands. This may happen if you use too much CLOBEX Shampoo or if you use it for too long, but it can happen with correct use. If your adrenal glands shut down, they may not start working right away after you stop using CLOBEX Shampoo. Shutting down of the adrenal glands can cause nausea, vomiting, fever, low blood pressure, heart attack and even death because your body cannot adequately respond to stress or illness.
Your doctor may do special blood and urine tests to check your adrenal gland function while you are using CLOBEX Shampoo.
The most common side effects with CLOBEX Shampoo include burning or itching at the site of application. Other possible side effects include thinning of the skin, widening of small blood vessels in the skin, and blurred vision.
If you go to another doctor for illness, injury or surgery, tell that doctor that you are using CLOBEX Shampoo. Tell your doctor if you: Are going to have surgery.
Get sick or don't feel right. Call your doctor right away.
Have irritation of the treated skin area that does not go away.
Have any unusual effects that you do not understand.
Have affected areas that do not seem to be healing after 4 weeks of using CLOBEX Shampoo.
These are not all the possible side effects of CLOBEX Shampoo. For more information, ask your doctor or pharmacist.
How should I store CLOBEX Shampoo? Store CLOBEX Shampoo below 30°C.
Keep the bottle tightly closed at all times.
Do not use CLOBEX Shampoo after the expiration date shown on bottle.
Keep CLOBEX Shampoo and all medicines out of the reach of children.
General information about CLOBEX Shampoo: Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use CLOBEX Shampoo for a condition for which it was not prescribed. Do not give CLOBEX Shampoo to other people, even if they have the same symptoms you have. It may harm them. This summarizes the most important information about CLOBEX Shampoo. If you would like more information, talk with your doctor. You can ask your pharmacist or doctor for information about CLOBEX Shampoo that is written for health professionals.