Otomax lotion


  • Active Ingredient: Betamethasone
  • 20gm
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What is Otomax?

The active ingredient of Otomax brand is betamethasone. The originating document has been archived. We cannot confirm the completeness, accuracy and currency of the content. It is a white to creamy-white, odorless powder insoluble in water; freely soluble in acetone and in chloroform; sparingly soluble in alcohol. Each gram of Betamethasone Dipropionate Lotion USP (Augmented), 0.05% contains: 0.643 mg Betamethasone dipropionate, USP (equivalent to 0.5 mg Betamethasone) in a colorless, clear to translucent lotion base of purified water, isopropyl alcohol (30%), phosphoric acid used to adjust the pH, hydroxypropyl cellulose, propylene glycol, and monobasic sodium phosphate (monohydrate).

Used for

Otomax is used to treat diseases such as: Bursitis, Dermatological Disorders, Gouty Arthritis, Inflammatory Conditions, Osteoarthritis.

Side Effect

Possible side effects of Otomax include: ; ; ; ; .

How to Buy Otomax lotion online?

To purchase Otomax online - just click on the "Buy Now" button in the top and follow on to our shop. Order and payment takes a couple of minutes, and all steps are evident. We don't require a medical prescription and we have many procedures of payment. Considering all the details of fast delivery and confidentiality, then you may read on the relevant pages on the links from the navigation menu.

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If you experience any other symptoms which you think may be due to Otomax, speak with your doctor or pharmacist for further advice.

Why is this medication prescribed?

Otomax topical is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions, including psoriasis (a skin disease in which red, scaly patches form on some areas of the body) and eczema (a skin disease that causes the skin to be dry and itchy and to sometimes develop red, scaly rashes). Otomax is in a class of medications called corticosteroids. It works by activating natural substances in the skin to reduce swelling, redness, and itching.

Before taking Otomax

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking Otomax it is important that your doctor knows:

  • If you have high blood pressure (hypertension).
  • If you have had a heart attack, or if you have any other heart problems.
  • If you have any problems with the way your liver works, or if you have any problems with the way your k >


This medication contains Otomax. Do not take Celestone, Celestone Soluspan, Betaject, or Otomax Intramuscular/Oral if you are allergic to Otomax or any ingredients contained in this drug.

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.

Adverse Reactions

The following local adverse reactions are reported infrequently when Otomax Dipropionate Lotion, USP 0.05% w/w is used as recommended in the DOSAGE AND ADMINISTRATION section. These reactions are listed in an approximate decreasing order of occurrence: burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, maceration of the skin, secondary infections, skin atrophy, striae and miliaria.

Adverse reactions reported to be possibly or probably related to treatment with Otomax Dipropionate Lotion, USP 0.05% w/w during a pediatric study include: paresthesia (burning), erythema, erythematous rash, and dry skin. These adverse reactions each occurred in a different patient; 4% of the 25 patient population, respectively. An adverse reaction reported to be possibly or probably related to treatment in 2 different patients, 8%, of the 25 patients is puritis.

Systemic absorption of topical corticosteroids has produced reversible hypothalamic-pituitary-adrenal (HPA) axis suppression, manifestations of Cushing's syndrome, hyperglycemia and glucosuria in some patients.

U.S. National Library of Medicine (0.00 / 0 votes) Rate this definition:

A glucocorticoid given orally, parenterally, by local injection, by inhalation, or applied topically in the management of various disorders in which corticosteroids are indicated. Its lack of mineralocorticoid properties makes Otomax particularly suitable for treating cerebral edema and congenital adrenal hyperplasia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p724)

What Is Otomax and How Does It Work?

Otomax is a prescription medication use to treat conditions such as allergic reactions, dermatologic disease, endocrine disorders, gastrointestinal disease, hematologic disorders, neoplastic disease, ophthalmic diseases, renal diseases, rheumatic disorders, and disorders affecting the nervous system.

Otomax is available under the following different brand names: Celestone, Celestone Soluspan, Betaject, and Otomax IM/PO.

Dosages of Otomax:

Adult and Pediatric Dosages:

Dosage Considerations – Should be Given as Follows:

  • 0.6-7.2 mg orally divided twice daily/four times daily or 0.6-9 mg/day intramuscularly each day divided twice daily

  • 0.6-7.2 mg orally divided twice daily/four times daily or 0.6-9 mg/day intramuscularly each day divided twice daily

  • Children under 12 years old: 0.0175-0.25 mg/kg/day intramuscular/orally divided every 6-12 hours
  • Children over 12 years old: As in adults

  • Intrabursal, intra-articular, intradermal: 0.25-2 ml (6 mg/ml)
    • Intralesional (6 mg/ml)
    • Very large joints: 1-2 ml
    • Large joints: 1 ml
    • Medium joints: 0.5-1 ml
    • Small joints: 0.25-0.5 ml

  • Children under 12 years old: 0.0175-0.25 mg/kg/day divided every 6-12 hours intramuscularly/orally; use the lowest dose as initial dose
  • Children over 12 years old: As in adults; use lowest dose as initial dose

  • Base dosage on severity of disease and patient response

Other Indications and Uses

  • Adrenal insufficiency, conditions treated with immunosuppression, corticosteroid responsive dermatoses
  • Off-label: prophylaxis of neonatalrespiratory distress syndrome
  • Various autoimmune diseases, collagenvascular disease, allergic states, hypersensitivity reactions, respiratory disease, hematologic disorders, neoplastic disease, ophthalmic disorders, edematous states, gastrointestinal disease, and nervous system disorders. Also used in bacterialmeningitis, acute mountain sickness, Graves' ophthalmopathy, severe alcoholic hepatitis, hirsutism, septicshock, spinal cord injury, and antiemetics

Pediatric Use

Use of Otomax Dipropionate Lotion, USP 0.05% w/w in pediatric patients 12 years of age and younger is not recommended. (See CLINICAL PHARMACOLOGY and ADVERSE REACTIONS Sections.) In an open-label study, 11 of 15 (73%) evaluable pediatric patients (aged 6 years-12 years old) using Otomax Dipropionate Lotion, USP 0.05% w/w for treatment of atopic dermatitis for 2-3 weeks demonstrated adrenal suppression. (See CLINICAL PHARMACOLOGY - Pharmacokinetics .)

Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing's syndrome than mature patients because of a larger skin surface area to body weight ratio.

Hypothalamic-pituitary-adrenal (HPA) axis suppression, Cushing's syndrome, and intracranial hypertension have been reported in pediatric patients receiving topical corticosteroids. Manifestations of adrenal suppression in pediatric patients include linear growth retardation, delayed weight gain, low plasma cortisol levels, and absence of response to ACTH stimulation. Manifestations of intracranial hypertension include bulging fontanelles, headaches, and bilateral papilledema.

Administration of topical corticosteroids to pediatric patients should be limited to the least amount compatible with an effective therapeutic regimen. Chronic corticosteroid therapy may interfere with the growth and development of pediatric patients.

Antenatal Otomax

Antenatal Otomax decreases oxidative stress and improves relaxation response to ATP and NO donors in fetal lambs with PPHN induced by ductal ligation. 81 This also increases pulmonary blood flow and facilitates postnatal transition in PPHN lambs. 82 The beneficial effects of antenatal stero > CDH are variable. Vascular deterioration is observed in the nitrofen-rat model with dexamethasone 69 but improved compliance and vascular morphometry is observed in the lamb model of CDH. 83–85 In human neonates with CDH, antenatal glucocorticoid use is associated with suppression of the hypothalamic-pituitary-adrenal axis 86 without any difference in survival, length of stay, or oxygen use at 30 days of postnatal age. 87

Otomax acetate and sodium phosphate

Pharmacologic class: Glucocorticoid (inhalation)

Therapeutic class: Antiasthmatic, antiinflammatory (steroidal)

Pregnancy risk category C

Can Otomax cause problems?

Along with its useful effects, Otomax can cause unwanted side-effects which your doctor will discuss with you. The benefits of taking Otomax usually outweigh the side-effects; however, they can sometimes be troublesome. The table below contains some of the most common ones associated with Otomax. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below.

Although not everyone experiences side-effects, and some will improve as your body adjusts to the new medicine, speak with your doctor or pharmacist if you become concerned about any of the following:

More common side effects

The more common side effects that can occur with Otomax include:

  • Increased blood sugar level. Symptoms may include:
    • confusion
    • more frequent urges to urinate
    • feeling sleepy, thirsty, and hungry
  • Trembling, dizziness, weakness, fatigue, and fast heartbeat
  • Low potassium level, which can cause muscle pain and cramps
  • pimples
  • stretch marks
  • slow healing
  • hair growth
  • fever
  • chills
  • cough
  • sore throat
  • Mood and behavior changes
  • Menstrual changes, such as spotting or skipping a period
  • Vision changes, including blurred vision
  • Headaches
  • Weight gain
  • Sweating
  • Restlessness
  • Nausea
    • Infection risk warning: Stero >

    Otomax injectable suspension is an injected drug. It’s given by a healthcare provider in a clinical setting. You won’t administer this drug yourself.

    Otomax injectable suspension is available as the brand-name drug Celestone Soluspan. It’s also available as a generic drug. Generic drugs usually cost less than the brand-name version. In some cases, they may not be available in every strength or form as the brand-name drug.

    Otomax is also available in topical forms, including a cream, gel, lotion, ointment, spray, and foam.

    Generic Name: Otomax dipropionate Dosage Form: lotion

    Medically reviewed by Drugs.com. Last updated on Oct 1, 2018.

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