fusidox 20mg cream - Fusidic Acid (20mg) medicine

Dicfu 20mg Cream: A Complete Guide to Fusidic Acid Topical Antibiotic

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🏭 Anhox Healthcare Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction: swelling of face, lips, tongue, or throat, difficulty breathing.
  • Signs of worsening infection: increased redness, swelling, pain, or pus.
  • New rash or hives appearing after application.
  • Blistering or peeling of the skin.
  • No improvement after 7 days of use.
  • Fever or chills accompanying the skin infection.

If experiencing severe symptoms, call emergency services immediately.

What is fusidox 20mg cream used for?

This medicine is a topical antibiotic cream containing fusidic acid, used to treat bacterial skin infections such as impetigo and infected wounds. It works by stopping bacterial protein synthesis. Apply a thin layer to the affected area 2-3 times daily, usually for up to 7 days. Consult a doctor if no improvement.

  • Generic Name: Fusidic Acid (20mg)
  • Manufacturer: Anhox Healthcare Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 fusidox 20mg cream के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल क्रीम है जिसमें फ्यूसिडिक एसिड होता है और यह बैक्टीरियल त्वचा संक्रमण जैसे इम्पेटिगो, संक्रमित घाव और फोलिकुलाइटिस के इलाज के लिए उपयोग की जाती है। यह बैक्टीरिया के प्रोटीन संश्लेषण को रोककर काम करती है। इसे प्रभावित क्षेत्र पर दिन में 2-3 बार पतली परत में लगाएं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में लगाने की जगह पर जलन, खुजली, लालिमा या सूखापन शामिल है। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर एलर्जी प्रतिक्रिया जैसे चेहरे, होंठ, जीभ या गले में सूजन, सांस लेने में कठिनाई दुर्लभ है लेकिन तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा का उपयोग करने से पहले अपने डॉक्टर को अपनी एलर्जी के बारे में बताएं। इसे आंखों, नाक, मुंह और अन्य श्लेष्मा झिल्ली के संपर्क में न आने दें। बड़े क्षेत्रों पर या लंबे समय तक बिना डॉक्टर की सलाह के उपयोग न करें। बच्चों की पहुंच से दूर रखें।

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

💊 fusidox 20mg cream Uses & Benefits

[{"condition":"Impetigo","description":"This medicine is used to treat impetigo, a common bacterial skin infection that causes red sores or blisters, typically around the nose and mouth.","evidence":"Well-established"},{"condition":"Infected wounds","description":"It is applied to minor infected wounds to prevent the spread of infection and promote healing.","evidence":"Well-established"},{"condition":"Folliculitis","description":"This medicine may be prescribed for folliculitis, an infection of the hair follicles, when caused by susceptible bacteria.","evidence":"Moderate"},{"condition":"Erythrasma","description":"It can be used to treat erythrasma, a bacterial infection of the skin folds, though other treatments are often preferred.","evidence":"Limited"}]

Off-label uses: [{"condition":"Atopic dermatitis with secondary bacterial infection","description":"Sometimes used off-label to treat secondary bacterial infections in eczema, but should be used cautiously and only under medical supervision.","evidence":"Limited"},{"condition":"Acne vulgaris","description":"Rarely used off-label for inflammatory acne due to bacterial resistance concerns, but may be considered in specific cases.","evidence":"Limited"}]

Primary treatment for: Bacterial skin infections

Also treats: Impetigo, Infected wounds, Folliculitis

📋 Drug Information

Generic Name(s)Fusidic Acid (20mg)
Brand Namefusidox 20mg cream
ManufacturerAnhox Healthcare Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action ClassProtein synthesis inhibitors
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Protect from light and moisture. Do not freeze.
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 the cream to the affected area only, and avoid surrounding healthy skin.
2
Wash your hands before and after application to prevent spreading the infection.
3
Do not use this medicine for more than 7 days without consulting your doctor.
4
If the infection does not improve within 3-5 days, contact your healthcare provider.
5
Avoid using this medicine on large areas of broken skin unless specifically instructed.
6
Do not share this cream with others, as it may not be suitable for their condition.
7
Keep the affected area clean and dry, and avoid scratching to prevent worsening.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Red sores around nose and mouth
This medicine is commonly prescribed for impetigo.
Likely Use
✅
Infected wound with pus
This medicine can treat infected wounds.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Fungal infection
This medicine is not effective against fungi.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFusidic acid is poorly absorbed through intact skin when applied topically. However, it can be absorbed through broken or damaged skin, and systemic absorption may occur, especially if applied to large areas or under occlusive dressings. The extent of absorption is not well established from the available information.
DistributionAfter topical application, fusidic acid remains largely in the skin, with limited systemic distribution. It penetrates the epidermis and dermis, and can reach the site of infection. Protein binding is high, but specific values for topical use are not established from the available information.
Protein BindingFusidic acid is highly protein-bound (approximately 97-99%) in the systemic circulation, but this is not directly relevant for topical application. Not established from the available information for topical use.
MetabolismFusidic acid is metabolized in the liver, primarily by glucuronidation and oxidation. However, for topical use, systemic metabolism is minimal unless significant absorption occurs. Not established from the available information for topical use.
Half-LifeThe elimination half-life of fusidic acid when taken systemically is approximately 5-6 hours, but for topical application, it is not established from the available information.
ExcretionSystemically absorbed fusidic acid is excreted mainly in the bile and feces, with a small amount excreted in urine. For topical use, excretion is not established from the available information.
BioavailabilityBioavailability of fusidic acid after topical application is low and variable, depending on the integrity of the skin and the area of application. Not established from the available information.
Onset of ActionThe onset of action for this medicine is not precisely established, but improvement in symptoms may be seen within a few days of starting treatment.
Peak Plasma TimeNot established from the available information for topical use.
Duration of ActionThe duration of action for this medicine is not established from the available information, but it is typically applied two to three times daily as prescribed.

How It Works

Fusidic acid works by inhibiting bacterial protein synthesis. It binds to elongation factor G (EF-G) and prevents the translocation step in protein synthesis, thereby stopping the bacteria from producing essential proteins needed for growth and multiplication. This action is primarily bacteriostatic, but it can be bactericidal at higher concentrations. Fusidic acid is effective against a wide range of gram-positive bacteria, including Staphylococcus aureus, Streptococcus species, and Corynebacterium species. It is particularly useful for skin infections because it penetrates the skin well and remains active in the presence of pus and debris.

Mechanism Steps

1
Penetration into bacterial cell: Fusidic acid penetrates the bacterial cell wall and reaches the cytoplasm.
2
Binding to EF-G: It binds to elongation factor G (EF-G), a protein involved in the translocation step of protein synthesis.
3
Inhibition of translocation: By binding to EF-G, fusidic acid prevents the translocation of the growing peptide chain from the A site to the P site on the ribosome.
4
Blockage of protein synthesis: This blockage halts the addition of new amino acids to the peptide chain, stopping bacterial protein synthesis.
5
Bacterial growth inhibition: As a result, the bacteria cannot grow or multiply, and are eventually cleared by the body's immune system.

💡 How to Take fusidox 20mg cream

Strength: Cream containing fusidic acid 20mg per gram (2% w/w).

1Wash your hands thoroughly before and after applying the cream, unless the hands are the treated area.
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 airtight dressings unless instructed by your doctor.
6Avoid contact with eyes, nose, mouth, and other mucous membranes.
7Use as prescribed, usually 2-3 times daily.

Dosage Information

Adult DosageApply a thin layer of this medicine to the affected area two to three times daily, or as directed by your doctor. The duration of treatment depends on the type and severity of the infection, but typically should not exceed 2 weeks without medical advice. 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.
Elderly DosageNo specific dosage adjustments are required for elderly patients. Use as directed by a doctor.
Renal ImpairmentNo dosage adjustment is required for renal impairment when used topically, as systemic absorption is minimal. Consult a doctor for guidance.
Hepatic ImpairmentNo dosage adjustment is required for hepatic impairment when used topically, as systemic absorption is minimal. Consult a doctor for guidance.
Maximum Daily DoseNot established from the available information for topical use. Use as prescribed by your doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

No food interactions
Not applicable
This medicine is for topical use and does not interact with food.

⏰ 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 the 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 fusidox 20mg cream

✅ Common Side Effects

Application site burning (Common (1-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Application site stinging (Common (1-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Itching (Common (1-10%))
Avoid scratching. If itching is severe or accompanied by rash, consult your doctor.
Redness (Common (1-10%))
Usually resolves. If redness spreads or worsens, consult your doctor.
Dryness (Uncommon (0.1-1%))
May use a moisturizer if not contraindicated. Consult doctor if severe.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, tongue, throat, difficulty breathing, or severe rash.
Contact dermatitis (Rare (<0.1%))
Discontinue use and consult a doctor if you develop a severe rash, blistering, or peeling skin.
Superinfection (Rare (<0.1%))
Prolonged use may lead to overgrowth of non-susceptible organisms. Consult doctor if new infection appears.

⚠️ Rare Side Effects

Angioedema
Seek emergency medical help if you experience swelling of the face, lips, or throat.
Urticaria
Discontinue and consult a doctor if hives appear.

Consult your doctor if you experience any unusual symptoms.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to fusidic acid or any component of the cream.","Not for ophthalmic use.","Not for use on large areas of broken skin without medical supervision."]

⚠️ Warnings & Precautions

["For external use only. Avoid contact with eyes, nose, mouth, and other mucous membranes.","Do not use on large areas or for prolonged periods without medical advice.","If irritation or allergic reaction occurs, discontinue use and consult a doctor.","Use with caution in patients with liver or kidney disease due to potential systemic absorption.","Do not share this medicine with others.","Keep out of reach of children."]

🤱 Lactation Safety

Fusidic acid is likely safe for use during breastfeeding when applied to small areas of skin. Avoid applying to the breast area to prevent infant exposure. Consult your doctor for guidance.

💊 Overdose Management

Overdose with topical fusidic acid is unlikely due to low systemic absorption. If accidental ingestion occurs, seek medical attention immediately. Symptoms of overdose may include nausea, vomiting, and abdominal pain. 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

General Safety

Before using this medicine, inform your doctor if you are allergic to fusidic acid or any other antibiotics. Do not use this medicine on large areas of broken skin or for prolonged periods without medical supervision. Avoid contact with the eyes, nose, mouth, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Wash your hands before and after applying the cream unless the hands are the treated area. Do not share this medicine with others, even if they have similar symptoms. If your condition does not improve within a few days or worsens, contact your healthcare provider. Pregnant or breastfeeding women should consult a doctor before using this medicine. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients can use this medicine safely. However, they may be more prone to skin irritation. Monitor for any unusual reactions and consult a doctor if needed.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Topical fusidic acid is generally considered safe, but medical advice is recommended.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, consult your doctor before using this medicine on surgical wounds. It may be used if there is a bacterial infection, but only under medical supervision.

🦷 Dental Procedures

This medicine is for skin use only and is not applied to the mouth. No specific considerations for dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Keep the affected area clean and dry.
🥗
Avoid sharing towels, clothing, or bedding with others.
😴
Wash your hands frequently to prevent spreading infection.
💧
Avoid scratching or picking at the affected area.
🧘
Maintain a healthy diet to support immune function.
🌞
Get adequate rest to help your body fight infection.

🏋️ Exercise Considerations

There is no specific exercise caution with this medicine, but avoid activities that may cause excessive sweating or friction on the affected area until it heals.

🥗 Diet Recommendations

Stay well hydrated.
Include fruits and vegetables rich in vitamins A, C, and E to support skin healing.
Avoid excessive sugar and processed foods that may promote inflammation.

💼 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 normal daily activities, but avoid contact sports or activities that may irritate the treated area.

🛑 When to Stop This Medicine

Stop using this medicine when the infection has cleared or as directed by your doctor. Do not stop prematurely, as this may lead to recurrence. If you experience severe side effects, stop and consult your doctor immediately.

📅 Long-Term Use Effects

Long-term use of topical fusidic acid can lead to bacterial resistance and overgrowth of non-susceptible organisms. It should not be used for prolonged periods without medical supervision. If long-term therapy is required, your doctor may monitor for signs of resistance or superinfection.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Mupirocin cream

Another topical antibiotic that can be used for similar skin infections.

Evidence: Well-established
Oral antibiotics

For more severe or widespread infections, oral antibiotics may be prescribed.

Evidence: Well-established
Good hygiene practices

Regular hand washing and wound care can help prevent infections.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interaction between this medicine and vaccines. Continue with your vaccination schedule as advised by your doctor.

📦 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 with this medicine, keep it in its original packaging and carry a copy of your prescription. Store it at room temperature and protect it from extreme heat or cold. If you are crossing time zones, continue applying as prescribed; there is no need for time zone adjustment for topical medications. Declare it at customs if required. Keep it in your carry-on luggage to avoid loss.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with impetigo around her nose.
She was prescribed this medicine to apply three times daily. After 4 days, the sores began to dry and heal. She noted that washing her hands before and after application was crucial to prevent spreading the infection to her child.
💡 Lesson: Consistent application and good hygiene are key to resolving impetigo and preventing spread.
👤 A 60-year-old man with an infected wound on his leg.
He used this medicine as directed and kept the wound clean. The infection cleared within a week. He emphasized the importance of not skipping doses and finishing the full course.
💡 Lesson: Completing the full course of treatment helps prevent recurrence and resistance.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start to see improvement within 2-3 days, but complete healing may take up to a week. If no improvement after 7 days, consult your doctor.

Q: Can I use this medicine for acne?

A: This medicine is not primarily indicated for acne, but it may be prescribed off-label in some cases. Consult your doctor before using it for acne.

Q: Is it safe to use during pregnancy?

A: Topical fusidic acid is generally considered safe during pregnancy, but consult your doctor before use.

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

A: Apply the missed dose 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 double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine on my face?
  • How long can I use this medicine?
  • Is this medicine safe for children?
  • Can I use this medicine if I am pregnant?
  • What if I accidentally swallow this medicine?
  • Does this medicine interact with other topical products?

🔄 Substitutes for fusidox 20mg cream

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Fusidic acid cream can cure all skin infections.
    Fact: It is only effective against bacterial infections and not viral or fungal infections.
  • Myth: You can stop using the cream as soon as symptoms improve.
    Fact: You should complete the full course as prescribed to prevent recurrence and resistance.
  • Myth: Fusidic acid cream is safe for long-term use.
    Fact: Prolonged use can lead to antibiotic resistance and should be avoided unless directed by a doctor.

🔄 Alternative Options

Generic Alternatives

  • Fusidic acid cream 2%

Brand Alternatives

  • Dicfu 20mg cream

📊 Comparison with Similar Medicines

[{"medicine":"Fusidic acid cream","class":"Fusidane antibiotic","route":"Topical","common_use":"Bacterial skin infections"},{"medicine":"Mupirocin cream","class":"Mupirocin antibiotic","route":"Topical","common_use":"Impetigo, infected wounds"},{"medicine":"Neomycin cream","class":"Aminoglycoside antibiotic","route":"Topical","common_use":"Minor skin infections"}]

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