closalve f cream - Clobetasol (0.05% w/w) + Fusidic Acid (2% w/w) medicine

Clonate-F Cream: Complete Guide to Uses, Side Effects, and Safety

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🏭 Salve Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 18, 2026
🤰 Pregnancy Category Not classified by outdated letter categories. Topical clobetasol should be used during pregnancy only if the potential benefit justifies the potential risk. Prolonged use or use on large areas should be avoided. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Moderate for approved indications; limited for off-label uses.
Reviewed by
SaathiMed Expert Panel | Oct 18, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction with swelling of face, lips, or throat, or difficulty breathing.
  • Signs of systemic steroid effects such as rapid weight gain, rounding of the face, or purple stretch marks on the abdomen.
  • Worsening of infection with spreading redness, pus, or fever.
  • Severe skin pain, blistering, or peeling.
  • Blurred vision or eye pain after accidental contact with eyes.
  • Unusual tiredness, weakness, or dizziness that may indicate adrenal suppression.

If experiencing severe symptoms, call emergency services immediately.

What is closalve f cream used for?

This medicine is a topical cream containing clobetasol 0.05% and fusidic acid 2%. It is used to treat infected inflammatory skin conditions such as infected eczema or dermatitis. Apply a thin layer to the affected area once or twice daily for up to 2 weeks, or as prescribed by your doctor.

  • Generic Name: Clobetasol + Fusidic Acid
  • Manufacturer: Salve Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 closalve f cream के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल क्रीम है जिसमें क्लोबेटासोल 0.05% और फ्यूसिडिक एसिड 2% होता है। इसका उपयोग संक्रमित एक्जिमा, संक्रमित डर्मेटाइटिस, संक्रमित सोरायसिस और कीड़े के काटने जैसी त्वचा की सूजन वाली बीमारियों के इलाज के लिए किया जाता है। यह सूजन, लालिमा और खुजली को कम करता है और साथ ही बैक्टीरिया को मारता है। इसे केवल त्वचा पर ही लगाएं, आंखों, होंठों और मुंह के अंदर न लगाएं। इसका उपयोग डॉक्टर के बताए अनुसार ही करें, आमतौर पर 2 सप्ताह से अधिक नहीं।

साइड इफेक्ट्स: आम दुष्प्रभावों में लगाने की जगह पर हल्की जलन, खुजली, सूखापन या लालिमा शामिल हैं। ये आमतौर पर अस्थायी होते हैं। लंबे समय तक उपयोग करने पर त्वचा पतली हो सकती है, खिंचाव के निशान पड़ सकते हैं और शरीर में स्टेरॉयड के अवशोषण से अन्य समस्याएं हो सकती हैं। अगर आपको गंभीर एलर्जी, सूजन या सांस लेने में तकलीफ हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस क्रीम को केवल प्रभावित त्वचा पर ही लगाएं। लगाने से पहले और बाद में हाथ धोएं। आंखों, होंठों और मुंह के अंदर न लगाएं। डॉक्टर की सलाह के बिना चेहरे, बगल या जांघों के बीच न लगाएं। इसे 2 सप्ताह से अधिक समय तक न लगाएं। अगर आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 closalve f cream Uses & Benefits

[{"condition":"Infected eczema","description":"Reduces inflammation and itching while treating bacterial infection that complicates eczema flares.","evidence":"Well-established"},{"condition":"Infected dermatitis","description":"Controls contact or atopic dermatitis that has become secondarily infected with bacteria.","evidence":"Well-established"},{"condition":"Infected psoriasis","description":"Helps reduce plaques and treats bacterial infection in psoriatic skin lesions.","evidence":"Moderate"},{"condition":"Infected insect bites","description":"Relieves swelling and itching and prevents or treats infection from scratching.","evidence":"Limited"},{"condition":"Infected minor wounds or cuts","description":"Used short-term to reduce inflammation and bacterial load in superficial infected wounds.","evidence":"Limited"}]

Off-label uses: [{"condition":"Discoid lupus erythematosus","description":"Sometimes used for short courses on resistant skin lesions under specialist supervision.","evidence":"Limited"},{"condition":"Necrobiosis lipoidica","description":"Occasionally prescribed for inflamed lesions, but evidence is weak.","evidence":"Limited"}]

Primary treatment for: Infected inflammatory skin conditions

Also treats: Eczema, Dermatitis, Psoriasis, Insect bites

📋 Drug Information

Generic Name(s)Clobetasol + Fusidic Acid
Brand NameClonate-F Cream
ManufacturerSalve Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action ClassCorticosteroid + Antibiotic
Route of AdministrationTopical
StorageStore below 30°C in a dry place, away from direct sunlight. Do not freeze. Keep the tube tightly closed when not in use.
Shelf Life24 months from the date of manufacture, or as printed on the pack.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply a thin film of this medicine only to the affected area and rub it in gently.
2
Do not use this cream on the face, groin, or underarms unless specifically instructed by your doctor.
3
Limit treatment to the shortest duration possible, usually no more than 2 weeks.
4
Do not cover the treated area with tight bandages or plastic wrap unless your doctor tells you to.
5
Wash your hands before and after applying the cream to prevent spreading infection.
6
If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine.
7
Report any signs of skin thinning, stretch marks, or unusual weight gain to your doctor promptly.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Red, itchy, inflamed skin with signs of infection
This medicine is commonly prescribed for infected eczema or dermatitis.
Likely Use
❌
Acne or rosacea
This medicine is not suitable for acne or rosacea and may worsen them.
Not Primary
❌
Fungal skin infection
This medicine does not treat fungal infections and may worsen them.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionClobetasol is absorbed through the skin. The amount absorbed depends on the area treated, the condition of the skin, and whether the area is covered. Fusidic acid is also absorbed through broken skin, but systemic absorption is generally low when used on small areas.
DistributionOnce absorbed, clobetasol and fusidic acid distribute into body tissues, but detailed distribution data for the topical combination are not established from the available information.
Protein BindingClobetasol is highly protein-bound in plasma, mainly to albumin. Fusidic acid is also highly protein-bound. Exact percentages are not established from the available information for this topical combination.
MetabolismClobetasol is metabolised in the liver, mainly by cytochrome P450 enzymes. Fusidic acid is metabolised in the liver, but the exact pathways for the topical form are not established from the available information.
Half-LifeThe elimination half-life of clobetasol after topical application is not established from the available information. For fusidic acid, the half-life is not established from the available information for this topical combination.
ExcretionMetabolites of clobetasol are excreted mainly in urine and bile. Fusidic acid is excreted mainly in bile and faeces, with a small amount in urine. Exact excretion data for this topical combination are not established from the available information.
BioavailabilityBioavailability of clobetasol and fusidic acid after topical application depends on the skin condition and application site. It is not established from the available information for this specific combination.
Onset of ActionImprovement in itching and redness may be noticed within a few hours to a few days of starting treatment. Full anti-inflammatory effect usually takes several days.
Peak Plasma TimeNot established from the available information for this topical combination.
Duration of ActionThe anti-inflammatory effect of clobetasol lasts for many hours after application, so it is usually applied once or twice daily. The antibiotic effect of fusidic acid also lasts between applications.

How It Works

This medicine combines a super-potent topical corticosteroid and a topical antibiotic. Clobetasol binds to glucocorticoid receptors inside skin cells, which leads to reduced production of inflammatory chemicals such as prostaglandins and leukotrienes, and suppression of immune cells that cause redness, swelling, and itching. Fusidic acid works by blocking bacterial protein synthesis. It binds to elongation factor G, preventing the bacteria from making essential proteins, which stops their growth and allows the body's defences and the steroid's anti-inflammatory effect to heal the skin.

Mechanism Steps

1
Clobetasol enters skin cells: After application, clobetasol penetrates the outer skin layer and enters cells in the epidermis and dermis.
2
Binding to glucocorticoid receptor: Clobetasol binds tightly to the glucocorticoid receptor inside the cell, forming a complex that moves into the nucleus.
3
Reduction of inflammatory signals: The complex reduces the production of inflammatory proteins and increases anti-inflammatory proteins, calming redness, swelling, and itching.
4
Fusidic acid blocks bacterial protein synthesis: Fusidic acid binds to bacterial elongation factor G, stopping bacteria from making proteins they need to survive and multiply.
5
Combined healing effect: With inflammation controlled and bacteria suppressed, the skin can heal faster and the risk of spreading infection is reduced.

💡 How to Take closalve f cream

Strength: Cream containing clobetasol 0.05% w/w and fusidic acid 2% w/w.

1Wash your hands thoroughly before and after applying the cream.
2Clean and dry the affected skin gently.
3Apply a thin film of the cream to the affected area and rub it in gently.
4Do not cover the area with bandages or dressings unless your doctor tells you to.
5Use the cream exactly as prescribed, usually once or twice daily.
6Do not use more than the prescribed amount or for longer than prescribed.

Dosage Information

Adult DosageApply a thin film of this medicine to the affected area once or twice daily, or as directed by your doctor. The usual duration is up to 2 weeks. Do not use more than 50 grams per week. Dose must be individualized by a qualified clinician based on the condition, area of skin, age, and response to treatment.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician. This medicine is not recommended for children under 1 year of age.
Elderly DosageElderly patients may be more susceptible to the side effects of topical corticosteroids, especially skin thinning. Use the lowest effective amount for the shortest possible time. Dose must be individualized by a qualified clinician.
Renal ImpairmentNo specific dose adjustment is established for topical use in patients with kidney disease. Use with caution and consult your doctor.
Hepatic ImpairmentNo specific dose adjustment is established for topical use in patients with liver disease. Use with caution and consult your doctor.
Maximum Daily DoseDo not apply more than 50 grams of this cream per week. The maximum daily dose should not exceed the amount prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with your regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not apply a double dose to catch up.

⚠️ Side Effects of closalve f cream

✅ Common Side Effects

Burning or stinging at application site (Common (up to 10%))
This usually settles within a few minutes. If it persists or worsens, consult your doctor.
Itching (Common (up to 10%))
Avoid scratching. If itching is severe or new, contact your doctor.
Dryness or flaking of skin (Common (up to 10%))
Use a gentle moisturiser if your doctor approves. Report if it becomes severe.
Redness or rash at application site (Uncommon (1-10%))
Stop using the cream and consult your doctor if redness spreads or becomes painful.

🚨 Serious Side Effects

Skin thinning (atrophy) (Uncommon with short-term use, more common with prolonged use)
Do not use longer than prescribed. If you notice skin becoming thin, shiny, or easily bruised, stop and see your doctor.
Stretch marks (striae) (Uncommon)
Report any new stretch marks to your doctor. They may be permanent.
Suppression of adrenal glands (Rare with proper use, more likely with large areas or prolonged use)
Seek medical advice if you feel unusually tired, weak, or dizzy. Do not stop suddenly without medical advice.
Allergic contact dermatitis (Rare)
Stop using the cream and seek immediate medical attention if you develop severe swelling, blistering, or difficulty breathing.
Secondary infection with resistant bacteria (Rare)
If the infection worsens or new pus-filled lesions appear, consult your doctor.

⚠️ Rare Side Effects

Cushing's syndrome
Seek medical attention if you notice rapid weight gain, rounding of the face, or purple stretch marks on the abdomen.
Hyperglycaemia
Monitor blood sugar if you are diabetic. Report increased thirst or urination to your doctor.
Glaucoma or raised eye pressure
Avoid applying near the eyes. If you notice blurred vision or eye pain, see a doctor immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole (topical or oral) Major
Ritonavir Major
Clarithromycin Major
Prednisolone (oral) Moderate
Other topical steroids Moderate
Other topical antibiotics Moderate
Emollients Minor

🚨 Major Interactions

  • Other topical corticosteroids
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, clarithromycin)

⚡ Moderate Interactions

  • Other topical antibiotics
  • Oral corticosteroids

🍷 Alcohol Interaction

No direct interaction is expected between this topical cream and alcohol. However, alcohol may worsen certain skin conditions and can affect liver function if you are also taking other medicines. It is best to limit 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 clobetasol, fusidic acid, or any ingredient in the cream","Untreated bacterial, viral, fungal, or parasitic skin infections","Acne vulgaris, rosacea, or perioral dermatitis","Use on the face, groin, or underarms unless specifically prescribed","Children under 1 year of age","Use on large areas or for prolonged periods without medical supervision"]

⚠️ Warnings & Precautions

["For external use only. Do not swallow.","Avoid contact with eyes, lips, and mucous membranes.","Do not use on open wounds or broken skin unless directed by a doctor.","Do not cover with tight bandages or plastic wrap unless instructed.","Use the smallest amount that works for the shortest time possible.","Do not use for more than 2 weeks without medical review.","If you are pregnant or breastfeeding, consult your doctor before use.","Keep out of reach of children.","Do not share this medicine with others."]

🤱 Lactation Safety

It is not known whether clobetasol or fusidic acid pass into breast milk in significant amounts after topical use. To be safe, do not apply this cream to the breasts or nipple area before breastfeeding. If applied to other areas, wash hands before handling the baby. Consult your doctor before use while breastfeeding.

💊 Overdose Management

Overdose from topical application is unlikely. If the cream is accidentally swallowed, seek medical attention immediately. If too much is applied over a large area for a long time, systemic steroid effects may occur. Contact your doctor if you notice unusual weight gain, swelling, or weakness. Treatment is supportive and may include stopping the medicine gradually under medical supervision.

⏰ 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

General Safety

Apply this medicine only to the affected skin and only as directed by your doctor. Wash your hands before and after applying it, unless your hands are the treated area. Do not cover the treated area with tight bandages, plastic wrap, or diapers unless your doctor tells you to, because this increases absorption and the risk of side effects. Avoid contact with the eyes, lips, and inside the nose or mouth. Do not use this medicine on the face, underarms, or groin unless specifically prescribed, because the skin there is thinner and more prone to steroid damage. Do not use it for longer than the recommended duration, which is usually no more than two weeks. If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before using this medicine. Keep it out of reach of children. Do not share this medicine with anyone else, even if they have similar symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to skin thinning and systemic side effects from topical corticosteroids. Use the lowest effective amount for the shortest possible time. Monitor for signs of skin atrophy and systemic effects such as high blood sugar and high blood pressure.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Topical corticosteroids should be used during pregnancy only if clearly needed. Avoid prolonged use or application to large areas. Your doctor will weigh the benefits against potential risks.

🏥 Post-Surgery Considerations

If you have recently had surgery, do not apply this cream to surgical wounds unless specifically instructed by your surgeon. It may interfere with wound healing or mask signs of infection. Consult your surgeon before use.

🦷 Dental Procedures

This medicine is for topical skin use and does not directly affect dental procedures. However, if you have a skin infection around the mouth, inform your dentist before any dental work. Avoid applying the cream near the mouth before dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Keep your skin clean and dry, but avoid over-washing which can irritate it.
🥗
Use a gentle, fragrance-free moisturiser to keep your skin hydrated.
😴
Avoid scratching the affected area to prevent worsening infection.
💧
Wear loose, breathable clothing to reduce irritation.
🧘
Manage stress as it can trigger flare-ups of skin conditions.
🌞
Avoid known triggers such as harsh soaps, detergents, and allergens.

🏋️ Exercise Considerations

You can exercise while using this medicine, but avoid activities that cause excessive sweating or friction on the treated area. Shower after exercise and gently pat the skin dry before reapplying the cream if needed. Avoid swimming in public pools if you have an open infected skin lesion.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables to support skin healing.
Include omega-3 fatty acids from fish or flaxseed to help reduce inflammation.
Stay well hydrated by drinking plenty of water.
Limit sugary and processed foods that can worsen inflammation.

💼 Impact on Daily Work & Life

This medicine is applied to the skin and is unlikely to affect your ability to drive or operate machinery. However, if you experience any dizziness or blurred vision, avoid these activities until you feel normal. You can continue your usual work and daily activities, but avoid sharing towels or clothing with others to prevent spreading infection.

🛑 When to Stop This Medicine

Stop using this medicine after the prescribed duration, usually no more than 2 weeks, or earlier if your doctor advises. If your skin condition worsens or does not improve, consult your doctor before continuing. Do not stop suddenly if you have been using it for a long time without medical advice, as this can cause a flare-up.

📅 Long-Term Use Effects

Long-term use of this medicine can cause skin thinning, stretch marks, visible blood vessels, and increased risk of systemic steroid effects such as high blood sugar, high blood pressure, and adrenal suppression. It can also lead to antibiotic resistance if used unnecessarily. Regular monitoring by a doctor is recommended if prolonged use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Emollients and moisturisers

Regular use of emollients can help repair the skin barrier and reduce the need for steroids.

Evidence: Well-established
Oral antibiotics

For more extensive skin infections, oral antibiotics may be needed instead of topical antibiotics.

Evidence: Well-established
Phototherapy

For chronic conditions like psoriasis, phototherapy may be an alternative under specialist care.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interaction between this topical medicine and vaccines is established. You can receive vaccinations while using this cream. However, if you have a severe skin infection, your doctor may advise delaying vaccination until the infection is controlled.

📦 Storage Guide

✅ DO

Store below 30°C in a dry place

❌ DON'T

Do not freeze or refrigerate

✅ DO

Keep the tube tightly closed

❌ DON'T

Do not leave the cap off

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in a hot car or bathroom cabinet

✈️ Traveling with This Medicine

When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription in case customs officials ask for it. Store it in a cool, dry place away from direct sunlight. Do not leave it in a hot car or checked luggage. If you are crossing time zones, continue applying it at your usual times; topical application does not require strict time zone adjustment. Keep it in your hand luggage if you need it during the flight.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with infected eczema on her hands
She was prescribed this medicine to apply twice daily for 10 days. She noticed significant reduction in itching and redness within 3 days. She was careful to wash her hands before and after application and avoided covering the area. She completed the course as prescribed and her skin healed well without side effects.
💡 Lesson: Using the cream exactly as prescribed and for the recommended duration leads to good results and minimizes side effects.
👤 A 60-year-old man with infected psoriasis on his elbows
He used this medicine for 2 weeks and saw improvement in scaling and inflammation. However, he continued using it for another month without consulting his doctor and developed thinning of the skin. He was advised to stop the cream and use a moisturiser. The skin thinning improved slowly over several weeks.
💡 Lesson: Prolonged use of super-potent topical steroids can cause skin thinning. Always follow the prescribed duration and consult your doctor before extending treatment.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may notice improvement in itching and redness within a few days. Full effect usually takes 1 to 2 weeks.

Q: Can I use this cream on my face?

A: No, unless your doctor specifically tells you to. The skin on the face is thin and more prone to steroid side effects.

Q: Is it safe for children?

A: It is not recommended for children under 1 year. For older children, consult a pediatrician for proper dosing and duration.

Q: What should I do if I accidentally swallow it?

A: Seek immediate medical attention. Take the tube with you to show the doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this cream on my face?
  • How long can I safely use this cream?
  • Will it thin my skin?
  • Can I use it if I am pregnant?
  • What if I miss a dose?
  • Can I use it with other skin creams?

🔄 Substitutes for closalve f cream

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This cream can be used for any skin problem.
    Fact: It is only for specific infected inflammatory skin conditions and should not be used for acne, rosacea, or fungal infections.
  • Myth: More cream means faster healing.
    Fact: Using more than prescribed increases the risk of side effects without improving results.
  • Myth: It is safe to use for months.
    Fact: Prolonged use can cause skin thinning and systemic side effects. It should generally not be used for more than 2 weeks without medical review.

🔄 Alternative Options

Generic Alternatives

  • Clobetasol 0.05% + Fusidic acid 2% cream (generic)

Brand Alternatives

  • Clonate-F cream

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Clobetasol 0.05% + Fusidic acid 2%","potency":"Super-potent steroid","use":"Infected inflammatory skin conditions"},{"medicine":"Betamethasone + Fusidic acid cream","composition":"Betamethasone 0.1% + Fusidic acid 2%","potency":"Potent steroid","use":"Infected inflammatory skin conditions"},{"medicine":"Hydrocortisone + Fusidic acid cream","composition":"Hydrocortisone 1% + Fusidic acid 2%","potency":"Mild steroid","use":"Mild infected inflammatory skin conditions"}]

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