Trimela Cream

Fluocinolone 0.01% + Hydroquinone 4% + Tretinoin 0.05% Topical

Incepta Pharmaceuticals Ltd.

Pack size	30gm Tube
Unite Price	200.00 BDT

Indications

Trimela Cream is used for: Melasma

Adult Dose

Topical/Cutaneous Moderate to severe melasma of the face Adult: Apply a thin layer onto the hyperpigmented areas of melasma once daily, 30 minutes before bedtime. Treatment duration should not exceed 8 wk.

Child Dose

Renal Dose

Administration

Wash face gently before application; rinse & pat dry Apply thin film to hyperpigmented area & 1/2 inch surrounding skin Do not use occlusive dressing

Contra Indications

A history of hypersensitivity, allergy, or intolerance to this product or any of its components.

Precautions

Cream contains hydroquinone and tretinoin that may cause mild to moderate irritation such as skin reddening, peeling, mild burning sensation, dryness, and pruritus. Transient skin reddening or mild burning sensation does not preclude treatment. If a reaction suggests hypersensitivity or chemical irritation, the use of the medication should be discontinued. Cream also contains the corticosteroid fluocinolone acetonide. Systemic absorption of topical corticosteroids can produce reversible hypothalamic-pituitary-adrenal (HPA) axis suppression with the potential for glucocorticosteroid insufficiency after withdrawal of treatment. Manifestations of Cushing’s syndrome, hyperglycemia, and glucosuria can also be produced by systemic absorption of topical corticosteroid while on treatment. If HPA axis suppression is noted, Cream should be discontinued. Lactation: not known whether excreted in breast milk; use caution

Pregnancy-Lactation

Pregnancy Category: C Lactation: not known whether excreted in breast milk; use caution

Interactions

Medicated or abrasive soaps & cleansers, soaps & cosmetics w/ drying effects, products w/ high conc of alcohol & astringent, & other irritants or keratolytic drugs. Medications w/ photosensitizing effects.

Side Effects

Side effects of Fluocinolone 0.01% + Hydroquinone 4% + Tretinoin 0.05% Topical : >10% Erythema (41-45%), Desquamation (36-40%), Burning (16-20%), Dryness (11-15%), Pruritis (11-15%) 1-10% Acne (5%)

Mode of Action

Fluocinolone acetonide is a synthetic fluorinated corticosteroid that is used topically for its anti-inflammatory, anti-pruritic and vasoconstrictive properties. Hydroquinone is used as a depigmenting agent. Tretinoin is a retinoid that is appears to stimulate mitosis, increases turnover of follicular epithelial cells and reduces their cohesiveness.

Note

Trimela Cream generic name is Fluocinolone 0.01% + Hydroquinone 4% + Tretinoin 0.05% Topical. Trimela Cream is manufactured by Incepta Pharmaceuticals Ltd.Trimela is availble in all over Bangladesh. Mes BD drug index information on Trimela Cream is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

Some other brands of Fluocinolone 0.01% + Hydroquinone 4% + Tretinoin 0.05% Topical :

Cream

Melasin ^{4% + 0.05% + 0.01%}

Pharmasia Ltd.

Cream

Melacare ^{(0.01 gm + 4 gm +0 .05 gm}

Chemist Laboratories Ltd.

Cream

Nospot ^{(0.01 gm + 4 gm +0 .05 gm}

Eskayef Pharmaceuticals Ltd.

Cream

Melatrin ^{0.01gm + 4gm + 0 .05gm}

Ziska Pharmaceuticals Ltd.

Cream

Amela Topical ^{.01 gm + 4 gm + .05 gm/10}

Ibn Sina Pharmaceutical Ind. Ltd.