Brand name Dovonex

Used in the following combined preparations None

GENERAL INFORMATION

Calcipotriol is used in the treatment of mild to moderate psoriasis as well as in plaque psoriasis affecting up to 40 per cent of the patient’s skin area.

Calcipotriol is a derivative of vitamin D. It is thought to work by reducing production of the skin cells that cause the symptoms of skin thickening and scaling, which are the most common symptoms of psoriasis. Because this drug is
related to vitamin D, excessive widespread use can lead to a rise in calcium levels in the body; otherwise calcipotriol is unlikely to cause any serious adverse effects.

The drug is applied to the affected areas in the form of cream, ointment, or scalp solution. It should not be used on the face, and it is important that the hands are washed following application of this ointment to avoid accidental
transfer to unaffected areas. Local irritation may occur during the early stages of treatment.

INFORMATION FOR USERS

Your drug prescription is tailored for you. Do not alter dosage without checking with your doctor.

How taken

Cream, ointment, scalp solution.

Frequency and timing of doses

2 x daily.

Adult dosage range

Applied twice daily; maximum 100g each week. Scalp solution, maximum 60ml each week.

Onset of effect

Improvement is seen within a few days.

Diet advice

None.

Storage

Store at room temperature out of the reach of children.

Missed dose

Apply the next dose at the scheduled time. Stopping the drug

Do not stop taking the drug without consulting your doctor; symptoms may recur.

Exceeding the dose

Excessive prolonged use may lead to an increase in blood calcium levels, which can cause nausea, constipation, thirst, and frequent urination. Notify your doctor.

Duration of action

One application lasts up to 12 hours. Beneficial effects are longer lasting.

POSSIBLE ADVERSE EFFECTS

A temporary local irritation may occur when treatment is started. The other effects are usually due to heavy or prolonged use, leading to high calcium levels in the
blood.

INTERACTIONS

None known.

QUICK REFERENCE

Drug group Drug for psoriasis

Overdose danger rating Low

Dependence rating Low

Prescription needed Yes

Available as generic No

SPECIAL PRECAUTIONS

Be sure to tell your doctor if:

You have a metabolic disorder.

You have previously had a hypersensitivity reaction to the drug.

You are taking other medications.

Pregnancy

No evidence of risk, but discuss with your doctor.

Breast-feeding

No evidence of risk, but discuss with your doctor.

Infants and children

Not recommended.

Over 60

No problems expected.

Driving and hazardous work

No problems expected.

Alcohol

No problems expected.

PROLONGED USE

The drug is not normally used for longer than 6 weeks.

Monitoring Regular checks on calcium levels in the blood are required during prolonged or heavy use.

December 28, 2010 · Posted in Practical advice for non-medical people