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Page 1: United Kingdom-GBR Package Leaflet: Information for the ... · • you have psoriasis and get raised bumps with pus under the skin. This can happen very rarely during or after treatment

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Read all of this leaflet carefully before you start using this medicine because it contains important information for you.• Keepthisleaflet.Youmayneedtoreaditagain.• Ifyouhaveanyfurtherquestions,askyourdoctor

orpharmacist.• Thismedicinehasbeenprescribedforyouonly.

Donotpassitontoothers.Itmayharmthem,eveniftheirsignsofillnessarethesameasyours.

• Ifyougetanysideeffects,talktoyourdoctororpharmacist.Thisincludesanypossiblesideeffectsnotlistedinthisleaflet.Seesection4.

What is in this leaflet:1 WhatBetnovateisandwhatitisusedfor2 WhatyouneedtoknowbeforeyouuseBetnovate3 HowtouseBetnovate4 Possiblesideeffects5 HowtostoreBetnovate6 Contentsofthepackandotherinformation

1 What Betnovate is and what it is used forBetnovatecontainsamedicinecalledbetamethasonevalerate.Itbelongstoagroupofmedicinescalledsteroids.Ithelpstoreduceswellingandirritation.Betnovateisusedtohelpreducetherednessanditchinessofcertainskinproblems,suchaseczema,psoriasisanddermatitis.

2 What you need to know before you use BetnovateDo not use Betnovate:• ifyouareallergic(hypersensitive)to

betamethasonevalerateoranyoftheotheringredientsofBetnovate(listedinSection6)

• onachildunder1year• totreatanyofthefollowingskinproblems,it

couldmakethemworse:- acne- severeflushingofskinonandaroundyour

nose(rosacea)- spottyredrasharoundyourmouth(perioral

dermatitis)- itchingaroundyourbackpassage

orprivateparts- infectedskin(unlesstheinfection

isbeingtreatedwithananti-infectivemedicineatthesametime)

- itchyskinwhichisnotinflamedDonotuseifanyoftheaboveapplytoyou.Ifyouarenotsure,talktoyourdoctororpharmacistbeforeusingBetnovate.Warnings and precautionsTalktoyourdoctororpharmacistbeforeusingBetnovateif:• youhavepreviouslyhadanallergic

reactionwithanothersteroid• youareapplyingtheointmentunder

anairtightdressing,includingachild’snappy.Thesedressingsmakeiteasierfortheactiveingredienttopassthroughtheskin.Itispossibletoaccidentallyendupusingtoomuch.

• youhavepsoriasis,yourdoctorwillwanttoseeyoumoreoften.

• usingforachroniclegulcerasyoumaybeatincreasedriskoflocalallergicreactionorinfection.

• youareapplyingtoalargesurfacearea• youareapplyingtheointmentonbrokenskinor

withintheskinfolds.• youareapplyingneareyesoroneyelids,as

cataractsorglaucomamayresultiftheointmentrepeatedlyenterstheeye.

• youareapplyingtothinskinsuchasthefaceoronchildrenastheirskinisthinnerthanadultsandasaresultmayabsorblargeramounts.

• Dressingorbandagesshouldnotbeusedonchildrenoronthefacewheretheointmentisapplied.

• Useonchildrenoronthefaceshouldbelimitedto5days.

Ifyouarenotsureifanyoftheaboveapplytoyou,talktoyourdoctororpharmacistbeforeusingthismedicine.Other medicines and BetnovateTellyourdoctororpharmacistifyouaretaking,haverecentlytakenormighttakeanyothermedicine,especiallyifyouaretakingritonaviranditraconazolemedications.Pregnancy and breast-feeding and fertilityIfyouarepregnantorarebreast-feeding,thinkyoumaybepregnantorareplanningtohaveababy,askyourdoctororpharmacistforadvicebeforetakingthismedicine.

3 How to use BetnovateAlwaysusethismedicineexactlyasyourdoctorhastoldyou.Checkwithyourdoctororpharmacistifyouarenotsure.Using this medicine• YouusuallyapplyBetnovateonceortwiceaday.

Thismaybereducedasyourskinbeginstogetbetter.

• Thisointmentisforuseonyourskinonly.• Donotusemorethantheamountprescribedforyou.• Donotuseonlargeareasofthebodyforalong

time(suchaseverydayformanyweeksormonths)-unlessyourdoctortellsyouto.

• Thegermsthatcauseinfectionslikewarm,moistconditionsunderbandagesordressingssoalwayscleantheskinbeforeafreshdressingisputon.

• Ifyouareapplyingtheointmentonsomeoneelsemakesureyouwashyourhandsafteruseorweardisposableplasticgloves.

• Ifyourskinproblemdoesnotimprovein2to4weeks,talktoyourdoctor.

Guidance on how to apply the ointment1 Washyourhands.2 Applyathinlayertotheaffectedarea(s)andgently

rubintotheskinuntilithasalldisappeared.YoucanmeasurehowmuchBetnovatetousewithyourfingertip.Forchildrenyouwillneedtouselessointmentbutstilluseanadultfingertomeasureoutthefingertipunit.Thispictureshowsonefingertipunit.

3 Unlessyouaremeanttoapplytheointmenttoyourhandsasapartofthetreatment,washthemagainafterusingtheointment.

For an adult

Donotworryifyoufindyouneedalittlemoreorlessthanthis.Itisonlyaroughguide.

Package Leaflet: Information for the User

Betnovate® Ointmentbetamethasone valerate

Pharma Code Ref: 7871

4

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GSK-GBR-Barnard Castle-UKBAR

United Kingdom-GBR

Betnovate

1

K

JMF032

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Page 2: United Kingdom-GBR Package Leaflet: Information for the ... · • you have psoriasis and get raised bumps with pus under the skin. This can happen very rarely during or after treatment

For a child aged 1 – 10

Number of fingertip units needed

Child’s age

Face and neck

Arm and hand

Leg and foot

FrontBack

including buttocks

1-2 years 1½ 1½ 2 2 3

3-5 years 1½ 2 3 3 3½

6-10 years 2 2½ 4½ 3½ 5

• Donotuseitonchildrenunder1yearofage.• Itisespeciallyimportantinchildrennottoexceed

theprescribedamount.• Acourseoftreatmentforachildshouldnot

normallylastmorethan5days-unlessyourdoctorhastoldyoutouseitforlonger.

If you have psoriasisIfyouhavethickpatchesofpsoriasisonyourelbowsorknees,yourdoctormaysuggestapplyingtheointmentunderanairtightdressing.Itwillonlybeatnighttohelptheointmenttostartworking.Afterashortperiodoftimeyouwillthenapplytheointmentasnormal.If you apply Betnovate to your faceYoushouldonlyapplytheointmenttoyourfaceifyourdoctortellsyouto.Itshouldnotbeusedformorethan5days,astheskinonyourfacethinseasily.Do not let the ointment get into your eyes.If you use more Betnovate than you shouldIfyouapplytoomuchorifaccidentallyswallowed,itcouldmakeyouill.Talktoyourdoctororgotothehospitalassoonaspossible.If you forget to use Betnovate Ifyouforgettoapplyyourointment,applyitassoonasyouremember.Ifitisclosetothetimeyouarenextmeanttoapplyit,waituntilthistime.If you stop using Betnovate IfyouuseBetnovateregularlymakesureyoutalktoyourdoctorbeforeyoustopusingitasyourconditionmaygetworseifstoppedsuddenly.Ifyouhaveanyfurtherquestionsontheuseofthismedicine,askyourdoctororpharmacist.

4 Possible side effectsLikeallmedicines,thismedicinecancausesideeffects,althoughnoteverybodygetsthem.Stop using Betnovate and tell your doctor immediately if:• youfindthatyourskinconditiongetsworse,you

developageneralisedrashoryourskinbecomesswollenduringtreatment.YoumaybeallergictoBetnovate,haveaninfectionorneedothertreatment.

• youhavepsoriasisandgetraisedbumpswithpusundertheskin.Thiscanhappenveryrarelyduringoraftertreatmentandisknownaspustularpsoriasis.

Other side effects you may notice when using Betnovate include:Common(mayaffectupto1in10people)• afeelingofburning,pain,irritationoritching

wheretheointmentisapplied.Very rare(mayaffectupto1in10,000people)• anincreasedriskofinfection• anallergicskinreactionwheretheointmentis

applied• rash,itchybumpyskinorrednessoftheskin• thinninganddrynessofyourskinanditmayalso

damageorwrinklemoreeasily• stretchmarksmaydevelop

• veinsunderthesurfaceofyourskinmaybecomemorenoticeable

• anincreaseorreductioninhairgrowthorhairlossandchangesinskincolour

• weightgain,roundingoftheface• delayedweightgainorslowingofgrowthin

children• bonescanbecomethin,weakandbreakeasily• cloudylensintheeye(cataract)orincreased

pressureineye(glaucoma)• increasedbloodsugarlevelsorsugarintheurine• highbloodpressureReporting of side effectsIfyougetanysideeffects,talktoyourdoctororpharmacist.Thisincludesanypossiblesideeffectsnot listedinthisleaflet.YoucanalsoreportsideeffectsdirectlyviatheYellowCardSchemeat:www.mhra.gov.uk/yellowcard.Byreportingsideeffectsyoucanhelpprovidemoreinformationonthesafetyofthismedicine.

5 How to store Betnovate• Keepoutofthesightandreachofchildren.• Donotusethismedicineaftertheexpirydate

whichisstatedonthetubeorcartonafter(Exp).Theexpirydatereferstothelastdayofthatmonth.

• Donotstoreabove30°C.• Donotthrowawaymedicinesviawastewateror

householdwaste.Askyourpharmacisthowtothrowawaymedicinesyounolongeruse.Thesemeasureswillhelpprotecttheenvironment.

6 Contents of the pack and other informationWhat Betnovate ointment contains• Theactiveingredientisbetamethasonevalerate.

Each1gcontains1mgofbetamethasone(0.1% w/w)asvalerate.

• Theotheringredientsareliquidparaffinandwhitesoftparaffin.

What Betnovate looks like and contents of the packWithineachcartonisatubewithaplasticscrewcap,whichcontainseither30or100gofointment.Marketing Authorisation Holder and ManufacturerProductLicenceheldbyGlaxoWellcomeUKLtd,StockleyParkWest,Uxbridge,MiddlesexUB111BTManufacturedbyGlaxoWellcomeOperations,BarnardCastle,DurhamDL128DTIfyouhaveanyquestionsorarenotsureaboutanything,askyourdoctororpharmacistwhowilladviseyou.Youmaybeabletofindoutmoreinformationfrombooksinpubliclibraries.Other formats:TolistentoorrequestacopyofthisleafletinBraille,largeprintoraudiopleasecall,freeofcharge:

08001985000(UKOnly)Pleasebereadytogivethefollowinginformation:Product name: Betnovate OintmentReferencenumber 10949/0020ThisisaserviceprovidedbytheRoyalNationalInstituteofBlindPeople.This leaflet was last revised in:July2013BetnovateisaregisteredtrademarkoftheGlaxoSmithKlinegroupofcompanies.©2013GlaxoSmithKlinegroupofcompanies.Allrightsreserved.

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