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NERISONE OILY CREAM

Active substance(s): DIFLUCORTOLONE VALERATE

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2585A-4

REG 1

0019

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Nerisona

Great Britain (Meadow)

82026130

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Patient information Leaflet

Nerisone Ointment
Nerisone Cream
Nerisone Oily Cream
®
®
®

(diflucortolone valerate)

Read all of this leaflet carefully before you start using this
medicine.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you. Do not pass it on
to others. It may harm them, even if their symptoms are the
same as yours.
• If any of the side effects gets serious, or if you notice any side
effects not listed in this leaflet, please tell your doctor or
pharmacist.
In this leaflet:
1. What Nerisone is and what it is used for
2. Before you use Nerisone
3. How to use Nerisone
4. Possible side effects
5. How to store Nerisone
6. Further information

1. What Nerisone is and what it is used for
Nerisone contains the active ingredient diflucortolone valerate,
which is a type of medicine known as a topical corticosteroid
(or steroid). “Topical” means applied to the skin. Topical
corticosteroids are used to reduce the redness and itchiness
caused by certain skin problems.
Nerisone is used to treat skin conditions such as eczema,
dermatitis and some types of psoriasis, where there is no infection
and where milder treatments have not been effective.
Nerisone comes in three forms to suit different conditions of the
skin:
Nerisone Ointment is suitable for very dry skin conditions. It

provides a layer of oil to prevent water loss, helping to heal
dryness and scaling.
Nerisone Cream is suitable for weeping skin conditions. It allows
secretions from the skin to drain away. Nerisone Cream is also
suitable for moist, exposed and hairy areas of skin.
Nerisone Oily Cream is suitable for skin conditions which are
neither weeping nor very dry. Nerisone Oily Cream makes the
skin slightly greasy without retaining heat or fluid.
Your doctor will prescribe the correct product to treat your
specific condition. In this leaflet they are referred to jointly as
Nerisone.

2. Before you use Nerisone
Do not use Nerisone if you:
• are allergic (hypersensitive) to any of its ingredients (see
section 6)
• have rosacea (an inflammatory skin disease causing facial
redness)
• suffer from inflammation around the mouth (peri-oral dermatitis)
• suffer from an eye disease
• have acne
• have a condition in the genital/anal area (unless recommended
by your doctor)
• suffer from a viral skin condition such as cold sores, herpes,
shingles or chicken pox
• have a skin reaction after a vaccination in the area to be
treated
• have a bacterial or fungal infection for which you are not
receiving treatment
• are pregnant
• are breast-feeding and have a skin condition on your breast
Tell your doctor if you believe any of the above conditions apply
to you.
Nerisone should not be used to treat children under 1 year of
age and should not be used to treat nappy rash.
Take special care with Nerisone:
Tell your doctor if:
• you have a skin irritation on the lower legs related to circulatory
problems called stasis dermatitis or leg ulcers as you may
have an increased risk of allergic reaction to Nerisone.

• a new infection occurs during the treatment as your doctor
may also prescribe a medicine to treat the infection.
• you suffer from psoriasis, because Nerisone may make some
types of psoriasis worse.
• you have a skin infection, since this may also worsen.
• you suffer from glaucoma - high pressure in the eye which
may cause loss of vision
Do not apply more Nerisone or use it for longer than your doctor
tells you.
Nerisone must not come into contact with your eyes. Rinse with
cold water if accidental contact occurs.
Infants and Children
Nerisone must not used in children less than 1 year of age.
Avoid long term continuous treatment with this medicine. Nerisone
may reduce the activity of the adrenal glands causing a lower
resistance to disease. Similar effects may occur in a baby after
extensive use of Nerisone by its mother during the last weeks
of pregnancy or when she is breast-feeding the baby.
Using dressings over the treatment area
If your doctor has recommended that the affected areas of your
skin on which Nerisone is used are also covered with a dressing,
you must follow his/her instructions on how often the dressing
needs to be changed and how much Nerisone you should use.
Generally, each dressing should not be left for more than 24
hours. In some cases your doctor may recommend that the
dressing is changed every 12 hours. Do not leave the dressing
for longer that you have been told to. Always look carefully at
the skin when you change the dressing. If your skin looks more
inflamed than before or if any pimples containing pus have
appeared, stop using the dressing and contact your doctor as
soon as possible.
Taking other medicines
Nerisone has not been shown to interact negatively with any
other medicines. As a general precaution you should always tell
your doctor or pharmacist if you are taking or have recently taken
any other medicines, including medicines obtained without a
prescription.
Pregnancy and breast-feeding
Even at the usual dose, the possibility of a very small risk to the

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development of a baby in pregnant women treated with Nerisone
cannot be entirely ruled out. Therefore, this medicine should
not be used if you are pregnant, trying to become pregnant
or are breast-feeding unless considered essential by your
doctor.
If you are breast-feeding Nerisone should not be applied to your
breasts.
Driving and using machines
Nerisone has not been shown to have any effect on your ability
to drive or operate machinery.
Important information about some of the ingredients of
Nerisone
Nerisone Cream contains stearyl alcohol and may cause local
skin reactions (e.g. contact dermatitis). It also contains methyl
parahydroxybenzoate (E218) and propyl parahydroxybenzoate
(E216) which may cause allergic reactions (possibly delayed).

3. How to use Nerisone
Always use your medication exactly as directed by your doctor.
Wash your hands before and after using Nerisone.
Gently spread a thin layer of Nerisone onto the affected area of
your skin. Do not use large amounts or apply more frequently
then your doctor has advised.
Dosage
Adults:
Typical dosage: apply thinly twice a day. When your condition
improves your doctor may suggest using Nerisone once a day.
Do not use Nerisone longer than 4 weeks unless your doctor
tells you to.
If used on the face, Nerisone should not be used for more than
5 days and should never be covered with a dressing.
Children over 5 years of age and adolescents
Typical dosage: apply thinly twice a day. When the condition
improves the doctor may suggest using Nerisone once a day.
Use Nerisone with care and for no longer than 1-2 weeks.
If used on the face, Nerisone should not be used for more than
5 days and should never be covered with a dressing.
Children from 1 to 4 years of age
Typical dosage: apply thinly twice a day. Use Nerisone with care
and for no longer than 5 days. Do not use dressings to cover the

affected areas during the treatment.
Children under 1 year of age
Nerisone must not used in children less than 1 year of age.
If accidentally swallowed
If you or someone else swallows Nerisone it is unlikely to be
harmful but contact you doctor or pharmacist if you are
concerned.
If you forget to use Nerisone
If you have forgotten to use your medicine, do not make up for
it by using extra. When you remember, use the next prescribed
dose and continue with your treatment schedule.

4. Possible side effects
Like all medicine Nerisone can cause side effects, although not
everybody gets them.
Rarely an allergic reaction to Nerisone may occur. If you feel
you have experienced an allergic reaction, stop using this
medicine and inform your doctor or pharmacist immediately.
Sometimes after using Nerisone, your skin might feel like it is
burning, itching or irritated. Your skin may also look red or
flushed. If you experience the following symptoms while you are
using this medicine contact your doctor:
• thinning of the skin on or around the treated area
• acne-like spots
• stretch marks (striae)
• inflammation of the skin around the mouth (peri-oral dermatitis)
• groupings of fine blood vessels becoming prominent under
the skin (telangiectasia)
• increased hair growth (hypertrichosis)
• glaucoma (increased pressure in the eye)
Side effects are more likely to occur when Nerisone is applied
to large areas (10% or more) of the body and used for long
periods of time (more than 4 weeks), especially if waterproof
dressings are used. The risk of glaucoma is also increased if
Nerisone is applied to the skin around the eyes.
Extremely rarely Nerisone can cause side effects such as a
decrease in the production of natural hormones by the adrenal
glands, which can lead to illness such as Cushing’s syndrome
(hypercorticism).
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or
nurse. This includes any possible side effects not listed in this

leaflet. You can also report side effects directly via the Yellow
Card Scheme at: www.mhra.gov.uk/yellowcard. By reporting
side effects you can help provide more information on the safety
of this medicine.

5. How to store Nerisone
Keep out of the reach and sight of children.
Do not use after the expiry date on the pack.
Do not store above 25° C.

6. Further information
What Nerisone contains:
Nerisone Ointment, Nerisone Cream and Nerisone Oily Cream
contain 0.1% of the active ingredient diflucortolone valerate.
Inactive ingredients:
Nerisone Ointment: heavy liquid paraffin, white soft paraffin,
microcrystalline wax, castor oil (hydrogenated).
Nerisone Cream: polyoxyl-40-stearate [E431], stearyl alcohol,
heavy liquid paraffin, white soft paraffin, disodium edetate,
carbomer, sodium hydroxide, methyl parahydroxybenzoate [E218],
propyl parahydroxybenzoate [E216] and purified water.
Nerisone Oily Cream: white beeswax, heavy liquid paraffin,
white soft paraffin, Dehymuls E and purified water.
What Nerisone looks like and contents of the pack:
Nerisone Ointment, Nerisone Cream and Nerisone Oily Cream
are available in aluminium tubes containing 30 g.
Marketing authorisation holder:
Meadow Laboratories Limited
Unit 13, Falcon Business Centre
Ashton Road
Romford
Essex RM3 8UR
United Kingdom
Manufacturer:
Bayer Healthcare Manufacturing S.r.l.
Via E. Schering 21
20090 Segrate (MI)
Italy
This leaflet was last revised in December 2014.
REG 1

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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