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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 26, 2024 | 7:07 PM IST
Fourderm Cream is used to reduce swelling, itching, and redness caused by certain skin infections caused by bacteria and fungus. It works by killing the micro-organisms and also acts inside skin cells and inhibits the release of certain chemical messengers in the body that cause redness, itching, and swelling. Some people may experience side effects such as dry skin, skin rash, thinning of the skin, itching, swelling, redness, or burning sensation at the site of application. Before using this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer

Cipla Ltd

Consume Type

TOPICAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Fourderm Cream

Fourderm Cream is used to reduce swelling, itching, and redness caused by certain skin infections caused by bacteria and fungus. Fungal infection is a skin disease in which a fungus attacks the tissue and causes infection. Fungal infections may be contagious (spread from one person to another). Bacterial infection is a condition in which harmful bacteria grow in the body and cause infection. It can infect any part of the body and multiply very quickly.

Fourderm Cream is a combination of four drugs: Chlorhexidine (antiseptic), Clobetasol (corticosteroid), Miconazole (antifungal), and Neomycin (antibiotic). Chlorhexidine belongs to the class of antiseptics that works by killing the micro-organisms. It prevents infection. Clobetasol belongs to the class of corticosteroids that work by acting inside skin cells and inhibiting the release of certain chemical messengers in the body that cause redness, itching, and swelling. Miconazole belongs to the class of antifungals that works by causing holes in the fungal cell membranes and killing fungi. Neomycin belongs to the class of antibiotics that works by inhibiting the production of essential proteins that are necessary for bacteria to grow, multiply and increase in numbers. Thus, it kills the bacteria and fungi, preventing skin infection. 

Fourderm Cream is only for external use. Use Fourderm Cream as prescribed. Avoid contact of Fourderm Cream with nose, ears, mouth, or eyes. In case Fourderm Cream comes in contact with these areas accidentally, rinse with water thoroughly. Some people may experience dry skin, skin rash, thinning of the skin, itching, swelling, redness, or burning sensation at the site of application. Most of these side effects of Fourderm Cream do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are known to be allergic to Fourderm Cream or any other medicines, please tell your doctor. If you are pregnant or a nursing mother, consult a doctor before using Fourderm Cream. Fourderm Cream should be used with caution in infants below 2 months old if prescribed by a doctor, as it may cause chemical burns or severe irritation in babies. Do not use Fourderm Cream in more than prescribed doses, or for a prolonged time as it may cause adverse effects. Avoid using Fourderm Cream on open skin wounds, deep cuts, or scrapes. Do not wrap or cover the treated area with bandages unless advised by your doctor. Do not swallow Fourderm Cream. In case of accidental swallowing, contact a nearby poison control centre or consult a doctor immediately. If you have adrenal gland or liver problems and any skin infection, inform your doctor before taking Fourderm Cream.

Uses of Fourderm Cream

Treatment of Skin infections

Medicinal Benefits

Fourderm Cream is a combination of four drugs: Chlorhexidine, Clobetasol, Miconazole, and Neomycin. Chlorhexidine is an antiseptic that kills microorganisms and prevents infection. Clobetasol is a corticosteroid that works by acting inside skin cells and inhibits the release of certain chemical messengers in the body that cause redness, itching, and swelling. Miconazole is an antifungal that works by causing holes in the fungal cell membranes and kills fungi. Neomycin is an antibiotic that works by inhibiting the production of essential proteins that are necessary for bacteria to grow, multiply and increase in numbers. Thus, it kills the bacteria and fungi, preventing the spread of the skin infection. 

Directions for Use

Fourderm Cream is only for external use. Take a small amount of Fourderm Cream on the finger and apply as a thin layer on the clean and dry affected area and surrounding skin. Avoid contact of Fourderm Cream with nose, mouth, or eyes. In case Fourderm Cream comes in contact with these areas accidentally, rinse with water thoroughly. Wash your hands before and after using Fourderm Cream if your hands are not the affected area to prevent the spread of infection.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Fourderm Cream

  • Dry skin

  • Skin rash

  • Thinning of the skin

  • Itching, swelling, redness or burning sensation at the site of application

Drug Warnings

If you are known to be allergic to Fourderm Cream or any other medicines, please tell your doctor. If you are pregnant or a nursing mother, it is advised to consult a doctor before using Fourderm Cream. Fourderm Cream should be used with caution in infants below 2 months old if prescribed by a doctor as it may cause chemical burns or severe irritation on babies. Do not use Fourderm Cream in more than prescribed doses, or for a prolonged time as it may cause adverse effects. Avoid using Fourderm Cream on open skin wounds, deep cuts, or scrapes. Do not wrap or cover the treated area with bandages unless advised by your doctor. Do not swallow Fourderm Cream. In case of accidental swallowing, contact a nearby poison control center or consult a doctor immediately. If you have adrenal gland or liver problems and any skin infection, inform your doctor before taking Fourderm Cream.

Drug Interactions

Drug-Drug Interaction: Fourderm Cream may interact with anticoagulants/blood thinner (warfarin, dicumarol, anisindione), antidiabetic drugs (metformin), antibiotics (bacitracin, polymyxin B), water pills/direutics (furosemide).

Drug-Food Interaction: Fourderm Cream may interact with grapefruit and grapefruit juice. Thus, avoid intake of grapefruit juice while using Fourderm Cream as it may lead to adverse effects. Also, inform your doctor if you are taking any herbal supplements, vitamins, or OTC medicines.

Drug-Disease Interaction: If you have adrenal gland or liver problems and any skin infection, inform your doctor before taking Fourderm Cream.

Drug-Drug Interactions Checker List

  • WARFARIN
  • DICUMAROL
  • ANISINDIONE
  • METFORMIN
  • BACITRACIN
  • POLYMYXIN B
  • FUROSEMIDE

Habit Forming

No

Diet & Lifestyle Advise

  • Regularly change your socks and wash your feet. Avoid shoes that make your feet sweaty and hot.

  • In wet places such as changing rooms and gym showers, don’t walk on barefoot. Wear flip-flops or sandals to prevent fungal infections.

  • Do not scratch the affected area of skin as it can spread the infection to other body parts.

  • Avoid sharing towels, combs, bedsheets, shoes or socks with others to prevent the spread of infection.

  • Wash your bed sheets and towels regularly.

  • Eat foods rich in quercetin (a flavonoid) such as apples, cherry, broccoli, spinach and blueberries.

  • Consuming food rich in probiotics helps in developing the immune system against allergies.

  • Limit intake of food that might trigger allergies such as dairy products, soy, eggs, and nuts.

  • Avoid consumption of foods with excess sugar as it may flare-up inflammation.

  • Include fruits, vegetables, whole grains, healthy fats and fish in your diet.

  • Avoiding getting in contact with harsh soaps, detergents and rough fabrics.

Special Advise

Please consult a dermatologist if your skin infection persists for more than 1 month.

Disease/Condition Glossary

Fungal infection: It is a skin disease in which a fungus attacks the tissue and causes infection. Fungal infections may be contagious (spread from one person to another). The symptoms of a fungal infection include scaly skin, blisters, itching, swelling, irritation, and redness.

Bacterial infection: It is a condition in which harmful bacteria grow in the body and cause infection. It can target any part of the body and multiply very quickly. Bacteria come in three basic shapes, namely spherical, rod, or spiral-shaped. Bacteria may be gram-positive (have thick cell walls) or gram-negative (do not have cell walls). Appropriate tests are done to identify bacterial strains, and based on the results, proper medication is prescribed. Some common symptoms of bacterial infection include cough, fever, and tiredness.

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Alcohol

Caution

Interaction of Fourderm Cream with alcohol is unknown. Please consult a doctor before consuming alcohol while using Fourderm Cream.

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Pregnancy

Caution

The safety of Fourderm Cream in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks benefits outweigh risks.

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Breast Feeding

Caution

It is unknown whether Fourderm Cream is excreted in human milk. Please consult a doctor before using Fourderm Cream while breastfeeding.

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Driving

Safe if prescribed

Fourderm Cream usually does not affect your ability to drive or operate machinery.

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Liver

Caution

If you have any concerns regarding the use of Fourderm Cream in patients with Liver problems, please consult a doctor.

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Kidney

Caution

If you have any concerns regarding the use of Fourderm Cream in patients with Kidney problems, please consult a doctor.

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Children

Caution

The safety of Fourderm Cream in children is unknown. Please consult a doctor.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - FOU0024

Author Details

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FAQs

Fourderm Cream is used to treat bacterial and fungal skin infections. It helps reduce swelling, itching, and redness.
Fourderm Cream contains Chlorhexidine, Clobetasol, Miconazole and Neomycin. Chlorhexidine is an antiseptic that kills the micro-organisms and prevents infection. Clobetasol is a corticosteroid that works by acting inside skin cells and inhibits the release of certain chemical messengers in the body that cause redness, itching and swelling. When the skin reacts to any type of allergens, such chemicals are released normally. Miconazole is an antifungal that works by causing holes in the fungal cell membranes that are essential for their survival as they prevent the entry of unwanted substances into the cells and stops the leakage of cell contents. Thereby, kills fungi. Neomycin is an antibiotic that works by inhibiting the production of essential proteins that are necessary for bacteria to grow, multiply and increase in numbers. Thereby, kills the bacteria and clears the infection.
Yes, Fourderm Cream may cause staining of clothes. Therefore, avoid contact of Fourderm Cream with clothes or fabric and also avoid bleach to wash fabric that is in contact with Fourderm Cream as it may cause permanent stain.
No, you are not recommended to use Fourderm Cream on the face as the skin on the face is sensitive and thins easily. However, please consult a doctor before using Fourderm Cream on the face.
Fourderm Cream should be used with caution in children if prescribed by a doctor as Fourderm Cream contains a steroid and may increase the risk of Cushing’s syndrome, HPA axis suppression (suppression of inflammatory and immune responses), adrenal insufficiency, delayed growth and weight gain. However, please consult a doctor before using Fourderm Cream in children.
You are recommended to use Fourderm Cream for as long as your doctor has prescribed it. However, if the condition persists or worsens after 1 week of treatment with Fourderm Cream, please consult a doctor.
You are recommended to cover the treated area of skin with bandages or dressings only if advised by your doctor else it may increase the risk of side effects.
Yes, fungal infection is a contagious skin condition which spreads from one person to another through direct skin to skin contact or by contact with contaminated soil or surfaces and infected animals. Therefore, it is recommended to avoid close direct contact until the infection is clear and avoid sharing things with the infected person as it can also spread the infection.
No, you are not recommended to stop using Fourderm Cream without consulting your doctor as it may worsen the condition or cause recurring infection. Therefore, take Fourderm Cream for as long as your doctor has prescribed it, and if you experience any difficulty while taking Fourderm Cream, please consult your doctor.
Fourderm Cream may cause side effects such as skin rash, dry skin, thinning of skin and swelling, itching, redness or burning sensation at the application site. If these side effects persist or worsen, please consult your doctor.
Use Fourderm Cream as advised by the doctor. Take a small amount of Fourderm Cream on the finger and apply as a thin layer on the clean and dry affected area and surrounding skin. Avoid contact of Fourderm Cream with nose, mouth, or eyes. In case Fourderm Cream comes in contact with these areas accidentally, rinse with water thoroughly. Wash your hands before and after using Fourderm Cream if your hands are not the affected area to prevent the spread of infection.
Avoid using Fourderm Cream on face and contact with eyes. Do not apply a bandage or dressing on the treated area, as this will increase absorption of Fourderm Cream and increase the risk of side effects. Fourderm Cream should only be used for the condition it is prescribed for and should not be used for any other condition without consulting your doctor. Do not give it to others even if their condition appears to be similar.
Fourderm Cream should be used as per the dosage and duration advised by your doctor. Fourderm Cream contains Clobetasol which when used in higher doses and for prolonged duration can get absorbed in the blood circulation and cause Cushing's syndrome and adrenal suppression. It can cause high blood pressure, weight gain,, rounding of the face and increased hair growth. Also, it can cause a change in skin color at the application site. Veins beneath the skin become visible due to the weakening and thinning of the skin. If your symptoms worsen, please consult your doctor.
Store Fourderm Cream at room temperature. Do not freeze. Replace the cap tightly after use. Keep it out of reach of children.
Fourderm Cream is contraindicated in patients with known allergy to any its components or excipients. If you have any viral infections (herpes or chickenpox) or fungal infections (ringworm or athlete's foot), avoid using Fourderm Cream. It should not be used in the treatment of rosacea or acne. Consult your doctor before using Fourderm Cream for any condition.

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