Elocon Cream

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Elocon Cream is the original Schering-Plough (now Merck / MSD) brand of 0.1% mometasone furoate — the molecule that defined the potent once-daily topical steroid class.

What Is Elocon Cream?

Elocon Cream is a 0.1% mometasone furoate topical cream, manufactured by Schering-Plough / MSD and supplied in a 15 g tube. Mometasone furoate is a synthetic glucocorticoid (corticosteroid) classified as a potent topical steroid (UK Class III). It was specifically engineered for topical use — its metabolism by skin esterases to inactive metabolites means systemic absorption after topical application is low, giving it one of the best therapeutic windows of any potent topical corticosteroid.

How Elocon Cream Works

Mometasone binds intracellular glucocorticoid receptors in keratinocytes, dermal fibroblasts, and infiltrating inflammatory cells. The activated receptor suppresses transcription of pro-inflammatory cytokines (IL-1, IL-2, IL-6, TNF-α), inhibits phospholipase A₂, and promotes apoptosis of T-lymphocytes infiltrating the inflamed skin. The result is rapid suppression of the inflammatory cascade driving eczema and psoriasis flares.

Onset: 24–48 hours for itch and redness; full response at 1–2 weeks.

Approved Uses

• Atopic dermatitis (eczema) — moderate-to-severe flare control on body sites
• Psoriasis vulgaris — stable plaque type on body sites
• Contact dermatitis (allergic and irritant)
• Lichen planus, lichen simplex chronicus
• Discoid lupus erythematosus
• Seborrhoeic dermatitis of the scalp, trunk, or body
• Nummular (discoid) eczema
• Severe insect-bite reactions, photoallergic reactions

Elocon Cream Dosage — the Fingertip Unit Rule

Topical steroid dosing uses the fingertip unit (FTU): the amount squeezed from a 5 mm-nozzle tube along an adult index finger from tip to first crease. 1 FTU ≈ 0.5 g treats an area about the size of two adult palms.

FTU per adult body region:

• One hand (front + back): 1 FTU
• One arm: 3 FTU
• One foot: 2 FTU
• One leg: 6 FTU
• Front of trunk: 7 FTU
• Back + buttocks: 7 FTU

Application steps:

1. Wash and dry your hands and the affected area.
2. Squeeze out the appropriate FTU amount.
3. Apply a thin film and rub in gently until absorbed — do NOT use thick layers.
4. Once daily — one of mometasone’s advantages over most other potent steroids.
5. Wait 30 minutes before applying emollient or moisturiser on top.
6. Do NOT cover with airtight dressings unless specifically directed — occlusion increases systemic absorption ten-fold.
7. Maximum continuous course: 2–4 weeks on body sites; 5–7 days maximum on the face (and only if a dermatologist has specifically prescribed facial use).

Where NOT to Apply Elocon Cream

• Face (unless specifically directed) — risk of perioral dermatitis, steroid-induced rosacea, telangiectasia, irreversible atrophy.
• Eyelids and around the eyes — risk of glaucoma and cataract from absorption.
• Armpits, groin, genitals, perineum, intertriginous folds — high absorption, high risk of striae and atrophy.
• Under nappies / occlusive dressings — absorption multiplied up to ten-fold.
• Acne, rosacea, perioral dermatitis — mometasone worsens all three.
• Untreated bacterial, fungal, or viral skin infection — impetigo, tinea, herpes simplex, chickenpox, scabies. Treat the infection first.

Side Effects & Safety

Local (more common with prolonged use, occlusion, or thin-skin sites):

• Skin atrophy — thinning, fragile skin, easy bruising (often irreversible)
• Striae (stretch marks) — permanent
• Telangiectasia (visible small blood vessels)
• Hypopigmentation (depigmented patches)
• Perioral dermatitis, steroid-induced rosacea, steroid acne
• Tinea incognito — masking of an underlying fungal infection
• Application-site burning or itching
• Steroid rebound on abrupt withdrawal

Systemic (rare at recommended dose; real risk with high-dose, large-area, prolonged, or occlusive use): HPA-axis suppression, iatrogenic Cushing’s syndrome, hyperglycaemia, glaucoma/cataract from periocular use, growth suppression in children.

How to Stop Elocon Cream — Avoiding Rebound

Stopping a potent topical steroid abruptly after more than 2–3 weeks of daily use commonly triggers a rebound flare — original eczema or psoriasis returns, often worse than baseline, sometimes with burning or topical steroid withdrawal syndrome (TSWS).

Step-down strategies used in dermatology:

• Stepdown to moderate potency (clobetasone butyrate, betamethasone valerate 0.025%) for 1–2 weeks, then mild (hydrocortisone 1%), then emollient alone.
• Weekend therapy — mometasone only Saturday + Sunday; emollient on weekdays.
• Switch to a steroid-sparing agent — topical calcineurin inhibitor (tacrolimus 0.1%, pimecrolimus) for long-term maintenance on thin skin.
• Continuous emollient use to reduce steroid requirement.

Contraindications & Pregnancy

• Hypersensitivity to mometasone or any excipient
• Untreated bacterial, fungal, or viral skin infection
• Acne vulgaris, rosacea, perioral dermatitis (worsening)
• Children under 2 years

Pregnancy: avoid extensive or prolonged use. Brief use over small area for essential indication is generally considered acceptable. High cumulative topical-steroid exposure in pregnancy has been associated with low birth weight.

Storage

Store below 25°C. Replace cap tightly after each use. Keep out of reach of children. Use within 3–6 months of opening or before the expiry date, whichever is sooner.

Συχνές Ερωτήσεις

Can I use Elocon Cream for rosacea?

No. Mometasone (like all potent topical steroids) can trigger or worsen steroid-induced rosacea — persistent redness, telangiectasia, papules and pustules appearing after days to weeks of facial steroid use. If you have rosacea, use topical ivermectin 1% (Ivrea Cream), azelaic acid (Aziderm), or brimonidine gel (Erythego) — the evidence-based rosacea topicals.

How long does Elocon Cream take to work?

Relief of itch and redness within 24–48 hours. Full response in 1–2 weeks for eczema; psoriasis plaques may take 2–4 weeks for meaningful thinning. If no improvement at 2 weeks, stop and review the diagnosis — fungal infection mistaken for eczema is the most common reason.

Why is the face limit only 5–7 days?

Facial skin is thinner and more permeable than body skin, so systemic absorption is 6–15× higher from the face. The risk of perioral dermatitis, steroid-induced rosacea, telangiectasia, and irreversible atrophy rises steeply beyond 1 week of facial use. For facial inflammation, a mild steroid (hydrocortisone 1%) or a topical calcineurin inhibitor (tacrolimus, pimecrolimus) is the appropriate choice.

Can I cover Elocon Cream with a bandage?

No — occlusion multiplies systemic absorption up to ten-fold and dramatically raises the risk of atrophy and HPA-axis suppression. Occluded steroid therapy is a specialised dermatology technique used only under direct supervision.

Can children use Elocon Cream?

Children have more permeable skin and higher risk of growth suppression and HPA-axis effects from potent topical steroids. Generally not for under 2 years. In ages 2–12, used only under paediatric dermatology supervision — preferred starting agents are mild steroids (hydrocortisone 1%) or topical calcineurin inhibitors (tacrolimus 0.03%).

My eczema came back worse when I stopped — why?

Classic steroid rebound flare from abrupt discontinuation. Restart, then plan a tapered step-down — moderate-potency steroid for 1–2 weeks, then mild, then emollient ± topical calcineurin inhibitor for long-term maintenance.

Is Elocon Cream safe in pregnancy?

Avoid extensive or prolonged use. Brief use over a small area for an essential flare is generally considered acceptable. High cumulative topical-steroid exposure during pregnancy has been associated with low birth weight in some studies. Discuss with your obstetrician.

Where can I buy Elocon Cream online?

You can buy Elocon Cream (mometasone 0.1% cream, 15 g tube) from MedsBase with discreet packaging and worldwide shipping.

Related Treatments on MedsBase

• Momin Cream — Mometasone 0.1%
• Halox Cream — Halobetasol 0.05%
• Flucort-N Cream — Fluocinolone + Neomycin
• Tenovate Cream — Clobetasol 0.05%
• Browse all Eczema & Psoriasis Treatments

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