Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Tell all health professionals involved in your care that you have been using topical (skin-applied) corticosteroids.
Absorption: When amcinonide is used over extensive areas for prolonged periods or under dressings that don't breathe, it is possible that enough medication will absorb into the bloodstream to cause unwanted side effects. Use amcinonide for brief periods only and stop using it as soon as the problem clears.
Adverse effects: Although adverse effects associated with the use of this medication are uncommon and not to be expected from ordinary use, sensitization, irritation, and failure of the skin condition to improve have been noticed in rare instances.
Circulation problems: Poor circulation may increase the risk of developing infections or developing sensitivity to this medication. If you have poor circulation, or leg ulcers caused by poor circulation, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Eyes: Use this medication carefully on lesions close to the eye. Take care to ensure that it does not enter the eye, as glaucoma may result. Cataracts have been reported following internal use of corticosteroids. If you notice any changes to your vision while using amcinonide, contact your doctor as soon as possible.
Infection: Topical corticosteroids may increase the risk of developing a skin infection. Contact your doctor if you notice any increased redness, swelling, heat, or pain around the area where the medication is applied as these are possible signs of infection.
Thinning of skin: The use of topical corticosteroid medications for a long period of time can cause changes to the skin. It may thin, soften, or develop stretch marks. Suddenly stopping corticosteroid medication may cause psoriasis to return. Talk to your doctor about the best way to stop this medication if this is recommended, as your doctor may suggest you stop using this medication once in a while or to apply to one area of the body at a time.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using this medication, contact your doctor immediately.
Breast-feeding: It is not known if amcinonide passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The active ingredient in this medication, amcinonide, belongs to the family of medications known as corticosteroids. Children may be more likely to experience the side effects encountered by using large amounts this class medication for long periods of time (e.g., slowing down of growth, delayed weight gain). This medication is not recommended for use in children under the age of 18 years of age.
Seniors: Seniors may be more at risk of absorbing this medication and developing side effects from this medication. The smallest quantity of amcinonide should be used for the shortest possible duration.