This information is intended for use by health professionals
Locoid Scalp Lotion contains 0.1% w/v hydrocortisone butyrate.
For the full list of excipients, see section 6.1
The product is a clear, colourless solution.
Locoid Scalp Lotion is indicated in adults, children and infants. The product is recommended for clinical use in the treatment of scalp conditions responsive to topical corticosteroids e.g. eczema, dermatitis and psoriasis.
Topical corticosteroids are not generally indicated in psoriasis but may be acceptable in psoriasis excluding widespread plaque psoriasis provided warnings are given; see section 4.4 Special warnings and precautions for use.
Adults and older people
The same dose is used for adults and older people, as clinical evidence would indicate that no special dosage regimen is necessary in older people.
Long term treatment should be avoided where possible.
Therapy should be limited if possible to a maximum of seven days.
Method of administration
For cutaneous use on the scalp.
Dosage: To be applied evenly and sparingly no more than twice daily
Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.
This preparation is contraindicated in the presence of untreated viral or fungal infections, tubercular or syphilitic lesions, peri-oral dermatitis, acne vulgaris and rosacea and in bacterial infections unless used in connection with appropriate chemotherapy.
As with all corticosteroids, application to the face, flexures and other areas of thin skin may cause skin atrophy and increased absorption and should be avoided.
Topical corticosteroids may be hazardous in psoriasis for a number of reasons including rebound relapses following development of tolerance, risk of generalised pustular psoriasis and local and systemic toxicity due to impaired barrier function of the skin. Steroids may have a place in psoriasis of the scalp and chronic plaque psoriasis of the hands and feet. Careful patient supervision is important.
Although generally regarded as safe, even for long-term administration in adults, there is a potential for adverse effects if over used in infancy. Extreme caution is required in dermatoses of infancy. In such patients courses of treatment should not normally exceed 7 days.
Keep away from eyes.
No interaction studies have been performed.
There are no or limited amount of data from the use of hydrocortisone butyrate in pregnant women. Studies in animals have shown reproductive toxicity (see section 5.3).
Hydrocortisone butyrate/metabolites are excreted in human milk, but at therapeutic doses of Locoid Scalp Lotion no effects on the breast-fed newborns/infants are anticipated.
Tabulated list of adverse reactions
| System Organ Class
|| Rare >/10,000,<1/1000
|| Very rare </10,000
|| Not known
| Immune system disorders
| Endocrine disorders
|| Adrenal suppression
| Skin and subcutaneous tissue disorders
|| Skin atrophy, often irreversible, with thinning of the epidermis
Dermatitis and eczema, including contact dermatitis
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
Excessive use under occlusive dressings may produce adrenal suppression. No special procedures or antidote. Treat any adverse effects symptomatically.
Pharmacotherapeutic group: Corticosteroid, ATC code: D07AB02
Hydrocortisone butyrate is a potent topical corticosteroid.
The topical activity has been demonstrated in vivo
using the McKenzie-Stoughton test.
Topical administration of corticosteroids to pregnant animals can cause abnormalities of foetal development including cleft palate and intra-uterine growth retardation. There may therefore be a very small risk of such effects in the human foetus.
Theoretically, there is the possibility that if maternal systemic absorption occurred the infant's adrenal function could be affected.
Isopropyl alcohol, glycerol (85%), Povidone K90, anhydrous citric acid, anhydrous sodium citrate, purified water.
Plastic, dropper-necked screw cap vial.
Pack sizes: 30 ml and 100 ml.
Not all pack sizes may be marketed.
LEO Pharma A/S
Date of first authorisation: 28 September 1973
Date of latest renewal: 24 August 2010