dermozyme cream - Fluocinolone acetonide (NA) + Neomycin (NA) medicine

Dermozyme Cream: Complete Guide To Uses, Side Effects, And Safety

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🏭 Concept Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 28, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 28, 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: rash, hives, swelling of face, lips, or throat, difficulty breathing.
  • Signs of systemic corticosteroid effects: unusual weight gain, rounding of face, fatigue, muscle weakness.
  • Signs of kidney damage: decreased urine output, swelling in legs, fatigue.
  • Signs of hearing problems: ringing in ears, hearing loss.
  • Severe skin reactions: blistering, peeling, or open sores.
  • New or worsening infection: increased redness, swelling, pus, or pain.
  • Symptoms do not improve after 7 days of use.

If experiencing severe symptoms, call emergency services immediately.

What is dermozyme cream used for?

This medicine is a topical cream containing fluocinolone acetonide (a corticosteroid) and neomycin (an antibiotic). It is used to treat inflamed skin conditions that have a bacterial infection, such as infected eczema or dermatitis. Apply a thin layer to the affected area 2-4 times daily as directed by your doctor.

  • Generic Name: Fluocinolone acetonide (NA) + Neomycin (NA)
  • Manufacturer: Concept Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 dermozyme cream के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल क्रीम है जिसमें फ्लुओसिनोलोन एसीटोनाइड (एक स्टेरॉयड) और नियोमाइसिन (एक एंटीबायोटिक) होता है। यह त्वचा की सूजन और बैक्टीरियल संक्रमण के इलाज के लिए इस्तेमाल की जाती है, जैसे कि संक्रमित एक्जिमा या डर्मेटाइटिस। यह लालिमा, खुजली और सूजन को कम करती है और बैक्टीरिया को मारती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में लगाने की जगह पर जलन, खुजली, सूखापन या लालिमा शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। लंबे समय तक उपयोग से त्वचा पतली हो सकती है, खिंचाव के निशान पड़ सकते हैं, या बाल बढ़ सकते हैं। अगर आपको एलर्जी, गंभीर जलन, या सांस लेने में तकलीफ हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का इस्तेमाल डॉक्टर के बताए अनुसार ही करें। प्रभावित जगह पर पतली परत लगाएं और हल्के से मलें। आंखों, मुंह और श्लेष्मा झिल्ली के संपर्क में न आने दें। लगाने के बाद हाथ धो लें। बिना डॉक्टर की सलाह के इसे ढकें नहीं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों में 2 साल से कम उम्र में इस्तेमाल न करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 dermozyme cream Uses & Benefits

[{"condition":"Infected eczema","description":"This medicine helps reduce inflammation and itching while treating bacterial infection in eczema lesions.","evidence":"Well-established"},{"condition":"Infected dermatitis","description":"Used to treat inflamed skin with secondary bacterial infection, reducing redness and preventing spread.","evidence":"Well-established"},{"condition":"Infected insect bites","description":"Helps relieve swelling and itching while preventing infection from scratching.","evidence":"Commonly used"},{"condition":"Infected minor cuts and abrasions","description":"Applied to superficial wounds to reduce inflammation and bacterial growth.","evidence":"Commonly used"}]

Off-label uses: [{"condition":"Psoriasis with secondary infection","description":"Sometimes used short-term to manage inflamed psoriatic plaques that have become infected.","evidence":"Limited"},{"condition":"Seborrheic dermatitis with infection","description":"May be used to reduce inflammation and treat bacterial overgrowth.","evidence":"Limited"}]

Primary treatment for: Infected dermatitis

Also treats: Infected eczema, Infected insect bites, Infected minor wounds

📋 Drug Information

Generic Name(s)Fluocinolone acetonide (NA) + Neomycin (NA)
Brand Namedermozyme cream
ManufacturerConcept Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action Class
Route of AdministrationTopical
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from freezing and direct sunlight. Keep the tube tightly closed when not in use.
Shelf Life24 months from the date of manufacture.
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 layer of this medicine to the affected area only; do not use it on unaffected skin.
2
Wash your hands before and after applying the cream to prevent spreading infection.
3
Do not use this medicine on the face, groin, or underarms unless specifically directed by your doctor.
4
Avoid using this medicine for more than 2 weeks without medical advice, as prolonged use can cause skin thinning.
5
If you develop a rash, itching, or swelling that worsens, stop using the cream and consult your doctor.
6
Inform your doctor if you have a history of kidney disease or hearing problems before using this medicine.
7
Do not cover the treated area with tight bandages or dressings unless instructed by your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Red, itchy, inflamed skin with possible infection
This medicine is commonly prescribed for infected dermatitis or eczema.
Likely Use
❌
Dry, scaly skin without inflammation
This medicine is not for dry skin alone; it is for inflamed, infected skin.
Not Primary
❌
Acne or rosacea
This medicine is contraindicated for acne and rosacea.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFluocinolone acetonide and neomycin can be absorbed through intact skin, but absorption is increased when the skin is broken, inflamed, or covered with an occlusive dressing. Systemic absorption of fluocinolone acetonide is generally low with normal use, but can be significant with prolonged use over large areas. Neomycin absorption through intact skin is minimal, but can occur through wounds or denuded skin.
DistributionOnce absorbed, fluocinolone acetonide is distributed throughout the body, with a preference for tissues with high glucocorticoid receptor density. Neomycin distributes mainly in extracellular fluid and is not significantly protein-bound. Both drugs can cross the placenta and are excreted in breast milk in small amounts.
Protein BindingFluocinolone acetonide is approximately 90% bound to plasma proteins. Neomycin is less than 30% bound to plasma proteins.
MetabolismFluocinolone acetonide is metabolized in the liver, primarily by cytochrome P450 enzymes, to inactive metabolites. Neomycin is not metabolized and is excreted unchanged.
Half-LifeThe elimination half-life of fluocinolone acetonide is approximately 1.5 to 3 hours. The elimination half-life of neomycin is approximately 2 to 3 hours in patients with normal kidney function.
ExcretionFluocinolone acetonide metabolites are excreted mainly in the urine and bile. Neomycin is excreted almost entirely unchanged by the kidneys through glomerular filtration.
BioavailabilityBioavailability of fluocinolone acetonide after topical application is low but variable, depending on the integrity of the skin and the use of occlusive dressings. Neomycin is poorly absorbed through intact skin, with less than 1% of a topical dose reaching systemic circulation.
Onset of ActionThe anti-inflammatory effects of fluocinolone acetonide may begin within a few hours to a day after application, with noticeable improvement in redness and itching within 1 to 2 days. The antibacterial effect of neomycin starts soon after application, but visible improvement in infection may take 2 to 3 days.
Peak Plasma TimePeak plasma concentrations of fluocinolone acetonide after topical application are typically reached within 1 to 2 hours. For neomycin, peak plasma levels are reached within 1 to 2 hours after absorption.
Duration of ActionThe anti-inflammatory effect of a single application of fluocinolone acetonide lasts for several hours, but the cream is usually applied 2 to 4 times daily. The antibacterial effect of neomycin lasts until the drug is cleared from the skin, which may be several hours.

How It Works

This medicine combines a corticosteroid and an antibiotic. Fluocinolone acetonide is a synthetic corticosteroid that binds to glucocorticoid receptors inside skin cells. This binding leads to a decrease in the production of inflammatory chemicals such as prostaglandins and leukotrienes, which reduces redness, swelling, and itching. Neomycin is an aminoglycoside antibiotic that binds to bacterial ribosomal RNA, causing misreading of genetic code and preventing bacteria from making essential proteins. This leads to bacterial cell death. Together, these ingredients reduce inflammation and treat bacterial infection in the skin.

Mechanism Steps

1
Corticosteroid binding: Fluocinolone acetonide enters skin cells and binds to glucocorticoid receptors in the cytoplasm.
2
Gene regulation: The drug-receptor complex moves into the nucleus and alters gene transcription, increasing anti-inflammatory proteins and decreasing pro-inflammatory ones.
3
Reduced inflammation: This leads to less release of inflammatory mediators, resulting in reduced redness, swelling, and itching.
4
Antibiotic action: Neomycin binds to the bacterial 30S ribosomal subunit, causing misreading of mRNA and blocking protein synthesis.
5
Bacterial death: The faulty proteins disrupt bacterial cell function, leading to bacterial cell death and clearance of infection.

💡 How to Take dermozyme cream

Strength: Cream containing fluocinolone acetonide 0.025% w/w and neomycin sulfate 0.5% w/w (equivalent to neomycin 0.35% w/w).

1Wash your hands thoroughly before and after applying the cream.
2Clean and dry the affected area gently.
3Apply a thin layer of the cream to the affected area.
4Rub it in gently until it is absorbed.
5Do not cover the area with a bandage or dressing unless instructed by your doctor.
6Avoid contact with eyes, mouth, and other mucous membranes.
7Use the cream exactly as prescribed. Do not use more or less than directed.

Dosage Information

Adult DosageApply a thin layer of this medicine to the affected area 2 to 4 times daily, or as directed by your doctor. The frequency and duration of treatment depend on the condition being treated and your response to therapy. Do not use for longer than prescribed. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician. This medicine should not be used in children under 2 years of age unless specifically directed by a doctor.
Elderly DosageElderly patients may be more susceptible to the side effects of corticosteroids, such as skin thinning. Use with caution and monitor closely. Dose must be individualized by a qualified clinician.
Renal ImpairmentNo specific dosage adjustment for topical use is established. However, use with caution in patients with renal impairment due to the neomycin component, which can accumulate and cause nephrotoxicity if absorbed systemically.
Hepatic ImpairmentNo specific dosage adjustment for topical use is established. Use with caution in patients with severe hepatic impairment, as systemic absorption of fluocinolone acetonide may be increased.
Maximum Daily DoseNot established from the available information. Use only as 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 make up for the missed one.

⚠️ Side Effects of dermozyme cream

✅ Common Side Effects

Burning or stinging at application site (Common (5-10%))
This usually goes away after a few applications. If it persists or worsens, consult your doctor.
Itching (Common (5-10%))
Avoid scratching. If itching is severe or accompanied by rash, stop the medicine and consult your doctor.
Dryness or flaking of skin (Common (5-10%))
Apply a moisturizer after the medicine has dried, unless your doctor advises otherwise.
Redness or irritation (Common (5-10%))
If redness increases or spreads, stop using the cream and contact your doctor.

🚨 Serious Side Effects

Allergic contact dermatitis (Uncommon (1-2%))
Stop using the medicine and seek medical attention if you develop a rash, hives, or swelling.
Skin thinning (atrophy) (Rare (<0.1%) with short-term use; more common with prolonged use)
Do not use for longer than prescribed. If you notice skin thinning, stretch marks, or easy bruising, consult your doctor.
Systemic corticosteroid effects (e.g., adrenal suppression) (Rare (<0.1%))
Seek medical advice if you experience fatigue, weakness, weight loss, or low blood pressure.
Nephrotoxicity or ototoxicity from neomycin (Rare (<0.1%))
Report any decrease in urine output, hearing loss, or ringing in the ears to your doctor immediately.

⚠️ Rare Side Effects

Cushing's syndrome
Seek medical attention if you develop a rounded face, upper body obesity, or purple stretch marks.
Hyperglycemia
Monitor blood sugar if you are diabetic. Report increased thirst or urination to your doctor.
Secondary infection
If you develop new or worsening infection, consult your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Other topical corticosteroids Major
Nephrotoxic drugs Major
Ototoxic drugs Major
CYP3A4 inhibitors Moderate
Live vaccines Moderate

🚨 Major Interactions

  • Other topical corticosteroids
  • Nephrotoxic or ototoxic drugs (e.g., aminoglycosides, loop diuretics)

⚡ Moderate Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
  • Live vaccines

🍷 Alcohol Interaction

No known interaction between this medicine and alcohol. However, alcohol may worsen certain skin conditions and can increase stomach irritation if the medicine is accidentally ingested. It is best to avoid excessive alcohol while treating skin infections.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to fluocinolone acetonide, neomycin, or any component of the cream.","Viral skin infections (e.g., herpes simplex, chickenpox).","Fungal skin infections.","Tuberculous skin infections.","Acne vulgaris and rosacea.","Use on the face, groin, or axillae unless directed by a doctor.","Use in children under 2 years of age."]

⚠️ Warnings & Precautions

["For external use only. Do not swallow.","Avoid contact with eyes, mouth, and mucous membranes.","Do not use on large areas of the body or for prolonged periods without medical supervision.","Do not cover with airtight dressings unless directed by a doctor.","If irritation or allergic reaction occurs, stop use and consult a doctor.","Prolonged use may lead to skin thinning, stretch marks, and increased hair growth.","Neomycin may cause allergic contact dermatitis; if this occurs, discontinue use.","Use with caution in patients with kidney or hearing problems.","Consult a doctor before use if pregnant or breastfeeding.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether fluocinolone acetonide or neomycin are excreted in human breast milk after topical application. However, systemic absorption can occur. Caution should be exercised when using this medicine during breastfeeding. Avoid applying to the breast area to prevent infant exposure. Consult your doctor before use.

💊 Overdose Management

Overdose from topical application is unlikely. If accidental ingestion occurs, seek medical attention immediately. Symptoms of overdose may include nausea, vomiting, and signs of systemic corticosteroid excess. Treatment is supportive and symptomatic. In case of excessive topical application, wash the area with water and discontinue use. Contact a poison control center or emergency room if needed.

⏰ Missed Dose

If you miss a dose, apply it as soon as you remember. However, 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

Use this medicine exactly as prescribed by your doctor. Apply a thin layer to the affected area and rub it in gently. Do not cover the treated area with airtight dressings unless your doctor tells you to, as this can increase absorption and side effects. Avoid contact with your eyes, mouth, and other mucous membranes. Wash your hands thoroughly after applying the cream, unless your hands are the treated area. Do not use this medicine for longer than the prescribed duration, as prolonged use can lead to skin thinning and other problems. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before using this medicine. Do not use this medicine on children under 2 years of age unless directed by a doctor. Keep this medicine out of reach of children. If your condition does not improve after a few days or if it worsens, contact your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to skin thinning and systemic side effects from corticosteroids. Use this medicine with caution and for the shortest duration possible. Monitor for signs of skin atrophy and systemic effects.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Topical corticosteroids and neomycin should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Avoid using on large areas or for prolonged periods.

🏥 Post-Surgery Considerations

If you have recently had surgery, consult your doctor before using this medicine on or near the surgical site. It may interfere with wound healing or increase the risk of infection. Do not apply to surgical wounds unless directed by your doctor.

🦷 Dental Procedures

This medicine is for topical use on the skin and is not expected to affect dental procedures. However, inform your dentist if you are using this medicine, especially if you have a history of allergies to antibiotics.

💚 Lifestyle Tips for Better Results

🏃
Keep the affected area clean and dry.
🥗
Avoid scratching the affected area to prevent worsening infection.
😴
Wear loose, breathable clothing to reduce irritation.
💧
Avoid sharing towels or personal items to prevent spreading infection.
🧘
Manage stress as it can worsen skin conditions.
🌞
Follow a healthy diet rich in fruits and vegetables to support skin healing.

🏋️ Exercise Considerations

Exercise is generally safe while using this medicine. However, if the treated area is on a part of the body that sweats heavily or rubs against clothing, you may want to gently clean the area after exercise and reapply the cream if needed. Avoid swimming in public pools if you have an open infected wound to prevent spreading infection.

🥗 Diet Recommendations

Stay well hydrated to keep skin healthy.
Include foods rich in vitamin C and zinc to support skin healing.
Avoid excessive sugar and processed foods that can worsen inflammation.
Consume omega-3 fatty acids from fish or flaxseeds to reduce inflammation.

💼 Impact on Daily Work & Life

This medicine is applied to the skin and is unlikely to affect your ability to work or drive. However, if you experience any allergic reaction or severe irritation, you should avoid driving or operating machinery until you feel better. If the treated area is on your hands, you may need to wear gloves for certain tasks to avoid spreading the cream or infection.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if your symptoms do not improve after 7 days, if they worsen, or if you develop new symptoms such as severe irritation, rash, or signs of an allergic reaction. Do not stop abruptly if you have been using it for a long time without consulting your doctor, as this may cause a flare-up of the skin condition.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to skin thinning (atrophy), stretch marks, and increased hair growth. It can also cause systemic absorption of the corticosteroid, leading to adrenal suppression, Cushing's syndrome, and hyperglycemia. Neomycin can cause kidney damage and hearing loss if absorbed in significant amounts. Therefore, this medicine should only be used for short periods as prescribed by a doctor. Regular monitoring for side effects is recommended if prolonged use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Topical calcineurin inhibitors

Non-steroidal creams that reduce inflammation without the side effects of steroids.

Evidence: Well-established for eczema
Oral antibiotics

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

Evidence: Well-established
Emollients and moisturizers

Help restore the skin barrier and reduce the need for steroid creams.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no specific vaccine interactions with topical corticosteroids and neomycin. However, if you are using this medicine over a large area or for a prolonged period, it may suppress your immune system and affect vaccine response. Consult your doctor before receiving any live vaccines.

📦 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

When traveling, 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 your carry-on luggage to avoid extreme temperatures in checked baggage. Keep it away from direct sunlight and heat. If you are traveling across time zones, continue applying as prescribed; there is no need to adjust the schedule for topical creams. Ensure you have enough supply for your trip.

💰 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. After 3 days, the redness and itching reduced significantly. She made sure to wash her hands before and after application and avoided using it on her face. She completed the 10-day course as prescribed and her skin cleared up.
💡 Lesson: Consistent application and following hygiene practices lead to better outcomes.
👤 A 60-year-old man with infected insect bites on his legs
He applied the cream as directed and noticed improvement in swelling and pain within 2 days. He was advised not to scratch the bites. He used the cream for 7 days and the infection resolved. He was cautioned not to use it for longer than prescribed.
💡 Lesson: Short-term use as prescribed is effective and safe; prolonged use should be avoided.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start noticing improvement in redness and itching within 1-2 days. The antibacterial effect may take 2-3 days to show visible improvement. If no improvement after 7 days, consult your doctor.

Q: Can I use this cream on my face?

A: No, unless specifically directed by your doctor. This medicine is not recommended for use on the face because the skin there is thin and more susceptible to side effects like thinning and stretch marks.

Q: What should I do if I miss a dose?

A: 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.

Q: Is this medicine safe during pregnancy?

A: Consult your doctor before using this medicine if you are pregnant or planning to become pregnant. Topical corticosteroids and neomycin should be used during pregnancy only if clearly needed.

Q: Can I use this medicine for acne?

A: No, this medicine is not for acne. It may actually worsen acne. It is contraindicated for acne and rosacea.

🤔 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 medicine?
  • Will it thin my skin?
  • Can I use it if I am pregnant?
  • What if I forget to apply a dose?
  • Can I use it for my child's rash?

🛑 Myths vs. Facts

  • Myth: This medicine can be used for any skin rash.
    Fact: This medicine is only for specific inflamed skin conditions with bacterial infection. It is not for viral or fungal infections, acne, or rosacea.
  • Myth: More cream means faster healing.
    Fact: Applying more than a thin layer does not speed up healing and can increase side effects.
  • Myth: It is safe to use this medicine for months.
    Fact: Prolonged use can cause skin thinning, stretch marks, and systemic effects. Use only as long as prescribed.
  • Myth: This medicine is safe for babies.
    Fact: It should not be used in children under 2 years unless specifically directed by a doctor.

🔄 Alternative Options

Generic Alternatives

  • Fluocinolone acetonide + neomycin cream (generic)

Brand Alternatives

  • Dermozyme cream

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Fluocinolone acetonide + neomycin","potency":"Medium","common_uses":"Infected eczema, dermatitis"},{"medicine":"Hydrocortisone + neomycin","active_ingredients":"Hydrocortisone + neomycin","potency":"Low","common_uses":"Mild infected dermatitis"},{"medicine":"Betamethasone + neomycin","active_ingredients":"Betamethasone + neomycin","potency":"High","common_uses":"Severe infected dermatitis"}]

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