Laboderm-OC Cream: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction with swelling of face, lips, or throat
- Signs of systemic corticosteroid effects such as facial swelling, weight gain, or high blood sugar
- Severe skin thinning, stretch marks, or easy bruising
- Increasing pain, warmth, or pus at the application site
- Blistering or peeling of the skin
- Vision problems or eye pain if cream accidentally gets into the eyes
- Symptoms of adrenal suppression like extreme fatigue, weakness, nausea, or low blood pressure
If experiencing severe symptoms, call emergency services immediately.
What is at cad cream used for?
This medicine is a topical cream combining terbinafine (an antifungal) and clobetasol (a strong steroid). It is used for short-term treatment of inflamed fungal skin infections like ringworm. Apply a thin layer to the affected area as prescribed, usually for 1-2 weeks. Do not use on the face or for prolonged periods without medical advice.
- Generic Name: Terbinafine (1% w/w) + Clobetasol (0.05% w/w)
- Manufacturer: Avunu Life Sciences
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 at cad cream के बारे में (Hindi Summary)
उपयोग: यह दवा एक टॉपिकल क्रीम है जिसमें टर्बिनाफाइन और क्लोबेटासोल होते हैं। इसका उपयोग फंगल त्वचा संक्रमण जैसे दाद, खुजली और एथलीट फुट के इलाज के लिए किया जाता है, खासकर जब सूजन और लालिमा हो। यह क्रीम फंगस को मारती है और सूजन को कम करती है। इसे डॉक्टर के निर्देशानुसार ही लगाएं और 1-2 सप्ताह से ज्यादा इस्तेमाल न करें।
साइड इफेक्ट्स: आम दुष्प्रभावों में लगाने की जगह पर जलन, खुजली, या लालिमा शामिल हैं। लंबे समय तक उपयोग से त्वचा पतली हो सकती है, खिंचाव के निशान पड़ सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको तेज एलर्जी, सूजन, या त्वचा पर चकत्ते दिखें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस क्रीम को केवल बाहरी त्वचा पर लगाएं। आंखों, मुंह और नाक के अंदर न लगाएं। डॉक्टर के बताए समय से ज्यादा इस्तेमाल न करें। अगर आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 at cad cream Uses & Benefits
[{"condition":"Tinea corporis with inflammation","description":"Used for short-term treatment of ringworm of the body when significant redness, itching, and swelling are present.","evidence":"Well-established for the combination in short-term use"},{"condition":"Tinea cruris with inflammation","description":"Used for jock itch with marked inflammatory symptoms, but only for a limited duration and with caution due to the sensitive skin area.","evidence":"Well-established for short-term use"},{"condition":"Tinea pedis with inflammation","description":"Used for athlete's foot with pronounced inflammation, itching, and burning, typically for one to two weeks.","evidence":"Well-established for short-term use"}]
Off-label uses: [{"condition":"Inflammatory dermatophytosis unresponsive to plain antifungals","description":"Sometimes prescribed off-label for severe inflammatory fungal infections where a plain antifungal alone is not controlling the inflammation.","evidence":"Limited"}]
Primary treatment for: Inflammatory dermatophytosis (tinea infections with inflammation)
Also treats: Tinea corporis, Tinea cruris, Tinea pedis
📋 Drug Information
| Generic Name(s) | Terbinafine (1% w/w) + Clobetasol (0.05% w/w) |
| Brand Name | at cad cream |
| Manufacturer | Avunu Life Sciences |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | DERMA |
| Action Class | |
| Route of Administration | Topical |
| Storage | Store at room temperature between 15°C and 30°C. Protect from direct sunlight and moisture. Keep the tube tightly closed when not in use. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through two complementary mechanisms. Terbinafine inhibits the fungal enzyme squalene epoxidase, which blocks the synthesis of ergosterol, a vital component of the fungal cell membrane. This leads to accumulation of squalene and increased membrane permeability, ultimately killing the fungus. Clobetasol propionate binds to glucocorticoid receptors in the skin, reducing the production of inflammatory mediators and suppressing the local immune response. This rapidly decreases redness, itching, and swelling. The combination provides both antifungal action and symptomatic relief of inflammation.
Mechanism Steps
💡 How to Take at cad cream
Strength: Cream containing terbinafine 1% w/w and clobetasol propionate 0.05% w/w.
Dosage Information
| Adult Dosage | Apply a thin film of this medicine to the affected skin area once or twice daily, or as directed by your doctor. The usual duration of treatment is 1 to 2 weeks. Do not use for longer than prescribed. Dose must be individualized by a qualified clinician based on the indication, severity, and response to treatment. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more susceptible to the effects of topical corticosteroids, including skin thinning. Use the lowest effective amount for the shortest duration. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No dose adjustment is needed for renal impairment with topical use, as systemic absorption is minimal. |
| Hepatic Impairment | No dose adjustment is needed for hepatic impairment with topical use, as systemic absorption is minimal. |
| Maximum Daily Dose | The maximum daily dose depends on the area treated and the prescribed frequency. Do not exceed the duration and frequency recommended by your doctor. Generally, not more than 50 grams per week of a super-potent topical corticosteroid should be used. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of at cad cream
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Other topical corticosteroids | Major | |
| CYP3A4 inhibitors | Moderate | |
| CYP2C9 inhibitors | Moderate | |
| CYP1A2 inhibitors | Moderate | |
| Other topical products | Minor |
🚨 Major Interactions
- Other topical corticosteroids
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
⚡ Moderate Interactions
- CYP2C9 inhibitors (e.g., fluconazole)
- CYP1A2 inhibitors (e.g., ciprofloxacin)
🍷 Alcohol Interaction
Alcohol is not expected to interact with this topical medicine because systemic absorption is minimal. However, alcohol may worsen certain skin conditions or increase flushing. It is best to avoid excessive alcohol while treating a skin infection.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to terbinafine, clobetasol, or any component of the cream","Bacterial or viral skin infections (e.g., impetigo, herpes simplex)","Acne vulgaris, rosacea, and perioral dermatitis","Use on the face, groin, or underarms unless specifically directed by a doctor","Children under 12 years unless prescribed by a pediatrician"]
⚠️ Warnings & Precautions
["For external use only. Do not swallow.","Avoid contact with eyes, mouth, and mucous membranes.","Do not use for longer than the prescribed duration, usually not more than 2 weeks.","Do not use under occlusive dressings unless directed by a doctor.","Prolonged use can cause skin thinning, stretch marks, and increased hair growth.","If irritation or allergic reaction occurs, stop use and consult a doctor.","Keep out of reach of children.","Do not use on large areas of the body without medical supervision."]
🤱 Lactation Safety
It is not known whether terbinafine or clobetasol pass into breast milk in significant amounts after topical application. To be safe, do not apply this cream to the breast area, and consult your doctor before use while breastfeeding.
💊 Overdose Management
Overdose from topical application is unlikely. If the cream is accidentally swallowed, seek immediate medical attention. Symptoms of corticosteroid overdose may include nausea, vomiting, and weakness. Treatment is supportive and symptomatic.
⏰ Missed Dose
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.
Additional Safety Advice
Apply this medicine exactly as prescribed by your doctor. Wash and dry the affected area gently before applying a thin film of the cream. Do not cover the area with tight bandages or dressings unless your doctor instructs you to do so. Avoid contact with the eyes, mouth, and other mucous membranes. Do not use this medicine for longer than the recommended duration, as prolonged use of the corticosteroid component can cause skin damage. Do not use it on the face, groin, or underarms unless specifically directed by your clinician. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children. Do not share this medicine with others, even if they have similar symptoms. If your condition does not improve within the prescribed time or worsens, contact your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to skin thinning and other side effects of topical corticosteroids. Use the lowest effective amount for the shortest duration. Monitor for signs of skin atrophy and systemic steroid effects.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before using this medicine. Topical corticosteroids should be used with caution during pregnancy. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
If you have recently had surgery, do not apply this cream to surgical wounds unless specifically directed by your surgeon. It may interfere with wound healing and increase the risk of infection.
🦷 Dental Procedures
This medicine is applied to the skin and is not expected to affect dental procedures. However, inform your dentist about all medicines you are using.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue exercising, but keep the affected area clean and dry. Avoid activities that cause excessive sweating or friction on the treated area until the infection clears. If the infection is on your feet, wear clean socks and change them daily.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. You can continue your daily activities, but keep the treated area clean and dry. If the infection is on your hands, you may need to avoid certain tasks that require direct contact with others until it clears.
🛑 When to Stop This Medicine
Stop using this medicine after the prescribed duration, usually 1 to 2 weeks, or as directed by your doctor. If your symptoms have not improved or have worsened, consult your doctor before stopping or continuing. Do not stop early without completing the course, as the infection may return.
📅 Long-Term Use Effects
Long-term use of this medicine can cause skin thinning, stretch marks, visible blood vessels, and increased hair growth. It can also lead to systemic absorption of the steroid, potentially causing adrenal suppression, high blood sugar, and other steroid-related effects. It should not be used for more than 2 weeks without medical supervision. Regular monitoring of the skin and, if necessary, adrenal function is advised for prolonged use.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
For non-inflammatory fungal infections, a plain antifungal cream may be sufficient.
Evidence: Well-establishedFor extensive or resistant infections, oral antifungals may be prescribed by a doctor.
Evidence: Well-establishedKeeping the skin clean and dry helps prevent fungal infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known with this topical medicine. You can receive vaccinations as scheduled. However, if you have a severe skin infection, consult your doctor about the timing of vaccination.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case you need to show it at customs. Store it in a cool, dry place away from direct sunlight. If traveling to a hot climate, keep it in a cool bag. No time zone adjustments are needed for topical application. Do not leave it in a hot car.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may notice reduced itching and redness within a few days. The fungal infection usually clears within 1 to 2 weeks of regular use.
A: No, unless your doctor specifically tells you to. The steroid component can cause skin thinning and other problems on the face.
A: Apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose.
A: Consult your doctor before using this medicine during pregnancy. It is generally not recommended unless clearly needed.
A: No, complete the full course as prescribed to prevent the infection from returning. Stopping early can lead to recurrence.
🤔 Common Patient Concerns
🔄 Substitutes for at cad cream
View AllAlternative brands with exact same active ingredient:
-
neo castor-nf creamLeeford Healthcare Ltd ₹30.00 62.5% CHEAPER
-
restoderm plus creamDabur India Ltd ₹32.92 58.9% CHEAPER
-
widerm creamLupin Ltd ₹44.06 44.9% CHEAPER
-
lamiterb plus creamMed Manor Organics Pvt Ltd ₹44.34 44.6% CHEAPER
-
total derm plus creamAlkem Laboratories Ltd ₹44.55 44.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This cream can be used for any skin rash.
Fact: This medicine is specifically for inflammatory fungal infections. It should not be used for bacterial or viral rashes. - Myth: Using more cream will make it work faster.
Fact: Applying more than prescribed can increase the risk of side effects like skin thinning. Use only a thin film as directed. - Myth: It is safe to use this cream for months.
Fact: Prolonged use of the steroid component can cause skin damage. It is meant for short-term use only.
🔄 Alternative Options
Generic Alternatives
- Terbinafine 1% + Clobetasol 0.05% cream
Brand Alternatives
- Laboderm-OC Cream