Drugs Home > Cutivate Warnings and Precautions
Diabetes and Cushing's syndrome are some of the potential complications that may occur when using steroids, including Cutivate. Other safety precautions to be aware of with this medicine include warnings of potential drug interactions and allergic reactions. Using Cutivate for extended periods may also cause your body to stop producing its own natural steroids.
What Should I Tell My Healthcare Provider?You should talk with your healthcare provider prior to using Cutivate® (topical fluticasone propionate) if you:
- Are breastfeeding
- Are pregnant or thinking of becoming pregnant
- Have any allergies, including to foods, dyes, or preservatives.
Specific Precautions and Warnings With CutivateSome warnings and precautions to be aware of before using this medicine include the following:
- Cutivate Lotion and Cutivate Cream contain an inactive ingredient (imidurea) that breaks down into formaldehyde. This should not be a significant concern, except for people who are allergic to formaldehyde. Cutivate Ointment does not contain imidurea.
- This product is a steroid and can cause serious side effects, such as Cushing's syndrome or diabetes. Although this is more likely to occur with oral or injectable steroids, it is still possible with topical steroids, including Cutivate. The more you apply and the longer you use the drug, the more likely these problems are to occur. Covering the medicine with a dressing, which is not recommended, may also increase this risk.
- If you use this medication for an extended period, it may lead to Cushing's syndrome (a group of symptoms caused by prolonged exposure to steroids). Contact your healthcare provider if you develop signs of this condition, such as:
- A rounded face
- Unusual body fat distribution (more fat in the trunk, face, and neck, and less fat in the arms and legs)
- High blood sugar levels.
- Cutivate can suppress the body's ability to make natural steroids. This typically happens when large doses are used over a long period. In such circumstances, the drug should be stopped gradually to give your body a chance to begin making its own natural steroids again. If this is not feasible, you might need to take an oral steroid for a while, after which you will slowly be weaned off it.
- Like all steroids, Cutivate may slow down the growth rate of children and teenagers. Contact your child's healthcare provider if you are concerned about this. In general, children may be more susceptible to the side effects of steroids. Close monitoring is necessary for any child receiving such drugs long-term.
- If you develop a skin infection while using Cutivate, you will need to be treated with appropriate antibiotics or antifungal medications. If the infection does not clear up, you may need to stop using this product.
- Cutivate may react with a few other medications (see Cutivate Drug Interactions).
- Cutivate is a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are currently unknown (see Cutivate and Pregnancy).
- It is unknown if Cutivate passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to using the drug (see Cutivate and Breastfeeding).