candicef cream - Terbinafine (1% w/w) + Clobetasol (0.05% w/w) medicine

candicef cream - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Iceberg Healthcare Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 30, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 30, 2026

What is candicef cream used for?

Avoderm Plus Cream (Terbinafine + Clobetasol) is used to treat DERMA. It contains Terbinafine (1% w/w) + Clobetasol (0.05% w/w), which Terbinafine inhibits squalene epoxidase, disrupting ergosterol synthesis; Clobet. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Terbinafine + Clobetasol
  • Manufacturer: Iceberg Healthcare Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: C
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

๐Ÿ’Š candicef cream Uses & Benefits

Tinea pedis, tinea cruris, tinea corporis with inflammatory symptoms.

Off-label uses: Seborrheic dermatitis, Psoriasis

๐Ÿ“‹ Drug Information

Generic Name(s)Terbinafine + Clobetasol
Brand NameAvoderm Plus Cream
ManufacturerIceberg Healthcare Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action ClassAntifungal + Corticosteroid
Route of AdministrationTopical
StorageStore at 20-25ยฐC (68-77ยฐF); keep tightly closed.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionTopical absorption is minimal; systemic absorption is low but enhanced by inflamed skin or prolonged use.
DistributionDistributes into skin layers; systemic distribution limited due to low absorption.
Protein BindingTerbinafine: >99% bound to plasma proteins; Clobetasol: 90-95% bound.
MetabolismTerbinafine: Hepatic via CYP2D6, CYP3A4; Clobetasol: Hepatic via CYP3A4.
Half-LifeTerbinafine: 11-17 hours; Clobetasol: 2-3 hours.
ExcretionTerbinafine: Renal (70%) and fecal; Clobetasol: Renal and biliary.
BioavailabilityLow systemic bioavailability due to topical application.
Onset of ActionWithin 24-48 hours for antifungal effect; corticosteroid effect within hours.
Peak Plasma TimeNot well-defined for topical use.
Duration of ActionAntifungal effect persists for days; corticosteroid effect lasts 12-24 hours.

How It Works

Terbinafine inhibits squalene epoxidase, disrupting ergosterol synthesis; Clobetasol binds to glucocorticoid receptors, suppressing inflammation.

Mechanism Steps

1Terbinafine inhibits squalene epoxidase, preventing conversion of squalene to lanosterol.
2Accumulation of squalene and depletion of ergosterol disrupt fungal cell membrane integrity.
3Clobetasol binds to glucocorticoid receptors, modulating gene expression.

๐Ÿ’ก How to Take candicef cream

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of candicef cream

โœ… Common Side Effects

  • Application site irritation
  • Pruritus
  • Burning

๐Ÿšจ Serious Side Effects

  • Skin atrophy
  • Hypothalamic-pituitary-adrenal axis suppression
  • Allergic contact dermatitis

โš ๏ธ Rare Side Effects

  • Hypertrichosis
  • Perioral dermatitis
  • Acneiform eruptions

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
CYP3A4 inhibitors Major Increased systemic exposure of clobetasol
CYP3A4 inducers Major Decreased efficacy of clobetasol
Warfarin Moderate Potential increased INR
Cyclosporine Moderate Increased risk of nephrotoxicity

๐Ÿšจ Major Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole)
  • CYP3A4 inducers (e.g., rifampin)

โšก Moderate Interactions

  • Warfarin
  • Cyclosporine

โ„น๏ธ Minor Interactions

  • Antacids
  • Cimetidine

๐Ÿฝ๏ธ Food Interactions

No significant food interactions for topical use.

๐Ÿท Alcohol Interaction

No known interaction.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to any component; viral skin infections (e.g., herpes); fungal nail infections (monotherapy).

๐Ÿ“Š Monitoring Parameters

Skin improvement; signs of skin atrophy or systemic effects with prolonged use.

๐Ÿคฑ Lactation Safety

Use with caution; avoid application to breast area.

๐Ÿ’Š Overdose Management

Unlikely with topical use; if ingested, symptomatic treatment.

โฐ Missed Dose

Apply as soon as remembered; skip if almost time for next dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 30, 2026

๐Ÿ”— View Profile

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