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Nerisalic

Brand Name

Nerisalic

Common Name

diflucortolone and salicylic acid (cream)

In this drug factsheet:

DIN (Drug Identification Number)

02028719 NERISALIC OILY CREAM

How does this medication work? What will it do for me?

This is a combination medication that contain two ingredients: diflucortolone and salicylic acid. It is used to treat skin conditions such as chronic eczema and psoriasis.

Diflucortolone belongs to the group of medications known as corticosteroids, which works by reducing skin inflammation and thereby relieves itchiness and irritation. Salicylic acid belongs to the group of medications known as keratolytics, which promotes the removal of dead skin cells.

Your doctor may have suggested this medication for conditions other than the ones listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.

How should I use this medication?

This medication should be applied to affected areas in a thin film. During the first week of treatment, it should be applied 2 or 3 times daily. After the first week, this medication should be applied once or twice daily.

The medication should not be used for more than 4 weeks at a time. Check with your doctor if the skin condition does not start to improve within a week, or if it seems to be getting worse.

This medication should not be applied in or near the eyes. If contact with the eyes occurs, flush with plenty of water and check with your doctor. The medication should not be applied to broken skin or open wounds. Do not use it under dressings that don't breathe unless you are instructed to do so by your doctor.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is very important that this medication be used exactly as prescribed by the doctor.

If you miss a dose, apply it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one. If you are not sure that to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from freezing, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

What form(s) does this medication come in?

Nerisalic is no longer being manufactured for sale in Canada and is no longer available under any brand names. This article is being kept available for reference purposes only. If you are using this medication, speak with your doctor or pharmacist for information about your treatment options.

Who should NOT take this medication?

This medication should not be used by anyone who:

  • is allergic to diflucortolone, salicylic acid, or to any ingredients of the medication
  • has a skin reaction after a vaccination
  • has a viral skin infection
  • has chickenpox
  • has tuberculosis of the skin or skin infections from syphilis
  • has untreated bacterial or fungal skin infections

This medication should not be applied to skin areas with open sores or lesions.

What side effects are possible with this medication?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who take this medication. If you are concerned about side effect, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • burning
  • dryness
  • itching
  • redness of skin
  • skin irritation not present before use of this medication (mild)
  • stinging

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • acne or oily skin
  • increased redness or scaling of skin sores
  • painful, red or itchy, pus-containing blisters in hair follicles
  • red spots on the skin
  • reddish-purple lines (stretch marks)
  • softening of the skin
  • skin colour changes
  • skin rash
  • thinning of skin with easy bruising
  • unusual increase in hair growth

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • symptoms of a serious allergic reaction (such as swelling of the face or throat, hives, or difficulty breathing)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Absorption: Prolonged use of this medication over large areas over the body or under dressings that don't breathe could promote the absorption of diflucortolone into the bloodstream. This may result in side effects similar to those seen after taking a corticosteroid by mouth for long periods of time (e.g., depression, filling or rounding out of the face, increased blood pressure, irritability, loss of appetite, rapid weight gain or loss, stomach bloating, or swelling of feet or lower legs).

Allergy: If an allergic reaction develops, stop using this medication and contact your doctor immediately.

Long-term use: Long-term use of this medication may cause skin thinning, abnormal growth of facial hair, and acne. If these side effects occur, stop using this medication and contact your doctor immediately.

Medical conditions: People with poor blood circulation should use this medication with caution.

Proper use: This medication should not be used to treat perioral (around the mouth) dermatitis, rosacea, or lower leg ulcers. In general, this medication should not be used over large areas with dressings that do not breathe or for prolonged periods of time, especially by people with decreased kidney function, infants, and children. This medication should not be used in or near the eye.

Thinning of skin: Prolonged use of topical corticosteroid products may produce thinning of the skin and of tissues under it. If this is noticed, call your doctor.

Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: It is not known if diflucortolone and salicylic acid cream passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using this medication have not been established for children.

What other drugs could interact with this medication?

Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. In many cases, interactions are intended or are managed by close monitoring. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

All material © 1996-2014 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.