Chloramphenicol (NA) + Clotrimazole (NA) + Beclometasone (NA) (Medical Monograph)

Overview

A fixed-dose combination topical preparation containing an antibiotic (Chloramphenicol), an antifungal (Clotrimazole), and a corticosteroid (Beclometasone). It is primarily used for the treatment of mixed bacterial and fungal skin infections complicated by inflammation. This combination addresses infection, inflammation, and pruritus simultaneously, commonly used for conditions like infected eczema, otitis externa, and intertrigo in the Indian clinical setting.

Uses

  • Infected eczema (bacterial and/or fungal)
  • Otitis externa (bacterial/fungal)
  • Intertrigo (candidal or mixed)
  • Infected seborrheic dermatitis
  • Infected contact dermatitis

Side Effects

  • Local burning or stinging sensation
  • Itching (pruritus) at application site
  • Dryness of skin
  • Erythema (redness)

Detailed Pharmacology

This combination exerts a triple action: Chloramphenicol inhibits bacterial protein synthesis, Clotrimazole disrupts fungal cell membrane integrity, and Beclometasone suppresses inflammatory and immune responses.

Available Brands in India

BrandManufacturerPrice
Quadriderm RF Cream Cipla Ltd ₹85 - ₹120 for 15g tube
4D Cream Sun Pharmaceutical Industries Ltd. ₹80 - ₹110 for 15g tube
Clodid-B Cream Macleods Pharmaceuticals Ltd. ₹75 - ₹105 for 15g tube
Beclonac-CM Ear Drops FDC Limited ₹65 - ₹95 for 5ml dropper bottle
Zincot-C Cream Mankind Pharma Ltd. ₹90 - ₹130 for 15g tube