Dr. Gbemudu received her B.S. in Biochemistry from Nova Southeastern University, her PharmD degree from University of Maryland, and MBA degree from University of Baltimore. She completed a one year post-doctoral fellowship with Rutgers University and Bristol Myers Squibb.
Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.
DRUG CLASS AND MECHANISM: Mometasone is a synthetic (man-made)
glucocorticoid (steroid) that is used on the skin to relieve itching and
inflammation of eczema, dermatitis, allergy and other
skin rashes. The
naturally-occurring glucocorticoid is cortisol or hydrocortisone which is
produced in the body by the adrenal glands. Drugs within the same class as
mometasone include betamethasone dipropionate
(Diprosone), triamcinolone (Aristocort), diflorasone diacetate (Florone), and others.
Application of glucocorticoids such as mometasone to the skin may suppress the
body's own production of cortisol by the adrenal glands; however mometasone and
others within its class are considered intermediate in potency and are less
likely to have this effect as compared to highly potent glucocorticoids.
Mometasone works by suppressing inflammation and the immune response associated
with inflammation. Mometasone was approved by the FDA in 1987.
PRESCRIPTION: Yes
GENERIC AVAILABLE: No
PREPARATIONS: Ointment, cream, and lotion, all in a 0.1%
concentration.
STORAGE: All preparations should be kept between 2-25 C (36-77 F).
The lotion should be shaken before each use.
PRESCRIBED FOR: Uses of mometasone include allergic dermatitis,
atopic
dermatitis, contact dermatitis, cutaneous T-cell lymphoma, discoid
lupus
erythematosus, genital organ pruritus, granuloma annulare, lichen simplex
chronicus, plaque psoriasis, pruritus ani
(anal itching), psoriasis of the scalp, and
seborrheic dermatitis.
DOSING: To use mometasone cream or ointment, a thin film should be
applied to the affected skin once daily. To apply the lotion, a few drops should
be place on the affected areas once daily and massaged lightly until it
disappears.
DRUG INTERACTIONS: The combination of mometasone and anthralin
topicals (used to treat psoriasis) should not be used since concomitant use may
increase the symptoms of psoriasis. It is therefore advisable to discontinue
topical steroids one week before starting anthralin.
PREGNANCY: There are no adequate studies in
pregnant women. Therefore,
topical corticosteroids should be used during pregnancy only if the potential
benefit justifies the potential risk to the fetus.
NURSING MOTHERS: It is not known if mometasone is secreted in
breast
milk therefore caution should be exercised when administered to a nursing woman.
SIDE EFFECTS: The most commonly noted side effects associated with
mometasone are stinging, burning, itching, irritation, dryness, or redness of
the skin which may occur when this medication is first applied to the skin.
The word "rash" means an outbreak of red bumps on the body. The way people use this term, "a rash" can refer to many different skin conditions. The most common of these are scaly patches of skin and red, itchy bumps or patches all over the place.
Eczema, also known as dermatitis, is a general term for many types of skin inflammation. The most common form of eczema is atopic dermatitis. The other forms of eczema include: contact eczema, seborrheic eczema, Nummular eczema, Neurodermatitis, stasis dermatitis, and dyshidrotic eczema. Symptoms, diagnosis, and treatment of eczema may vary from person to person and may depend on the type of eczema.
Psoriasis is a long-term skin condition that may cause large plaques of red, raised skin, flakes of dry skin, and skin scales. There are several types of psoriasis, including psoriasis vulgaris, guttate psoriasis, inverse psoriasis, and pustular psoriasis. Symptoms vary depending on the type of psoriasis the patient has. Treatment of psoriasis may include creams, lotions, oral medications, injections and infusions of biologics, and light therapy. There is no cure for psoriasis.
Anal itching is the irritation of the skin at the exit of the rectum, known as the anus, accompanied by the desire to scratch. Causes include everything from irritating foods we eat, to certain disease and infections. Treatment options include local anesthetics, vasoconstrictors, protectants, astringents, antiseptics, keratolytics, analgesics, and corticosteroids. If condition persists, a doctor examination may be needed to identify an underlying cause.
Systemic lupus erythematosus is a condition characterized by chronic inflammation of body tissues caused by autoimmune disease. Lupus can cause disease of the skin, heart, lungs, kidneys, joints, and nervous
system. When only the skin is involved, the condition is called discoid lupus.
When internal organs are involved, the condition is called systemic lupus
erythematosus (SLE).
Eczema is a general term for many types dermatitis (skin inflammation). Atopic dermatitis is the most common of the many types of eczema. Other types of eczema include: contact eczema, allergic contact eczema, seborrheic eczema, nummular eczema, stasis dermatitis, and. dyshidrotic eczema.
An allergy refers to a misguided reaction by our immune system in response to bodily contact with certain foreign substances. When these allergens come in contact with the body, it causes the immune system to develop an allergic reaction in people who are allergic to it. It is estimated that 50 million North Americans are affected by allergic conditions. The parts of the body that are prone to react to allergies include the eyes, nose, lungs, skin, and stomach. Common allergic disorders include hay fever, asthma, allergic eyes, allergic eczema, hives, and allergic shock.
Dandruff (seborrhea) is a skin disorder that results from neither too much moisture nor too much oil. Dandruff can be treated with shampoos that contain tar, salicylic acid, zinc, selenium sulfide, or ketoconazole.
The tendency toward developing psoriasis is
inherited in genes.
Psoriasis is not contagious.
Psoriasis gets better and
worse spontaneously and can have periodic remissions (clear skin).
Psoriasis is controllable with medication.
Psoriasis is currently not curable.
There are many promising therapies, including newer biologic drugs.
Future research for psoriasis is promising.
What is psoriasis?
Psoriasis is a noncontagious skin condition that produces red, dry plaques of thickened skin. The dry flakes and skin scales are thought to result from the rapid proliferation of skin cells that is triggered by abnormal lymphocytes from the blood . Psoriasis commonly affects the skin of the elbows, knees, and scalp.
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