LOMELA CREAM – IS IT SAFE? USES, SIDE-EFFECTS, DOSAGE

Monday, January 14, 2019

WHAT IS LOMELA CREAM?

Lomela cream is a topical skin cream used in the treatment of Melasma, hyperpigmentation, and other associated discolouration of the skin for various reasons. It is also used in the treatment of scars and dark circles. This is a medicinal cream and needs a prescription of a dermatologist. It comes in a packaging tube of 18 gm. The manufacturer of this cream is Intas Pharmaceutical Ltd.

LOMELA CREAM – IS IT SAFE? USES, SIDE-EFFECTS, DOSAGE

What is the Generic name(s)?
What is its composition?
How does it work?
What are its uses?
How effective is this medicine?
Is it addictive?
HOW TO USE THIS?
WHAT IS THE DOSAGE?
WHAT IF I MISS A DOSE?
WHAT TO DO IN CASE OF OVERDOSAGE?
WHAT TO DO IF THERE IS AN ALLERGIC REACTION?
WHAT ARE THE SIDE-EFFECTS?
DOES THIS MEDICINE HAS ANY DRUG INTERACTIONS?
PRECAUTIONS
IS IT SAFE TO USE IF I AM PREGNANT?
IS IT SAFE TO USE IF I AM BREASTFEEDING?
CAN THIS MEDICINE BE USED FOR CHILDREN AND INFANTS?
IS THIS MEDICINE AVAILABLE AS OVER THE COUNTER(OTC) PRODUCT?
FREQUENTLY ASKED QUESTIONS
Reference

WHAT IS THE GENERIC NAME(S)?

The generic names of Lomela cream are:

Hydroquinone[1]
Mometasone[2]
Tretinoin[3]

The brand name is:

Lomela cream

WHAT IS ITS COMPOSITION?

Lomela cream comes in a tube of the 18 gm cream base which is a composition of active ingredients like:

Hydroquinone – 2%w/w
Mometasone Furoate IP – 0.1%w/w
Tretinoin – 0.025%w/w

HOW DOES IT WORK?

This cream is a combination of three active ingredients which works best for the treatment of skin-related diseases.

The work of Hydroquinone is to reduce the melanin[4] which is a skin[5] pigment[6] responsible for the darkening of the skin. It works as a skin lightener by inhibiting the enzyme Tyrosinase[7]. It treats the hyperpigmentation[8] by suppressing the process of Melanocyte Metabolism[9].
Mometasone is an active ingredient in this cream which is a steroid[10]. It works to block the Prostaglandins[11] are the chemical messengers which cause the redness and swelling of the skin. Mometasone also prevents the itchiness in your skin caused by Melasma[12] and Hyperpigmentation. It increases the turnover of follicular epithelial cells[13].
Tretinoin is Vitamin A[14] which works for the quick renewal and fast regeneration of skin degraded by all the skin problems mentioned above.

WHAT ARE IT’S USES?

Lomela cream is used for the improvement, treatment, controlling, and prevention for diseases like:

Melasma and Hyperpigmentation caused due to hormonal changes.
Acne[15] and Acne Vulgaris caused by the clogging of hair follicles on the skin
Dark spots on cheeks and forehead(facial skin)
Dermatitis caused by the reaction of foreign agents on the skin
Age-related skin conditions like age spot and wrinkles
The discolouration of the skin caused in pregnancy
Dermatitis of the scalp caused by dandruff
Freckles caused due to excess exposure to the sun
Lightening of the skin
Light brown colour patches

HOW EFFECTIVE IS THIS MEDICINE?

This cream is a prescription drug and very effective if used as per the direction of a dermatologist. It works best if used every day in a specific time until you have advised by your doctor to use.

All the active ingredients have the potentiality to lighten the skin phase by phase effectively. 1st it softens the skin of the affected area, then works as an anti-inflammatory agent and treats the discolouration of the skin by reducing the dark spots.

It helps in the lightening of the scars and acne scars by making their appearance less perceptible.

IS IT ADDICTIVE?

There is no ingredient present in this cream which can be addictive or potential to habit forming. Rather it is recommended not to make this cream a habit.

This is not a fairness cream. It may create several skin disorders if used for a long time. It is recommended to stay in touch with your dermatologist during the treatment.

HOW TO USE THIS?

As per the dermatologist, this medicine should be used only over the affected areas instead of all over the face.

Wash your hand with an antiseptic cleanser with warm water.
Remove all the dirt, oil, and makeup using a mild face wash with lukewarm water.
Pat dry properly with a sterilised napkin or towel.
Never rub the skin while drying.
Now take the dose of the cream as per the prescription of the dermatologist.
Apply gently over the affected areas in a thin layer.
Massage the cream smoothly without rubbing.
Avoid the touching of this medicine to your eyes, lips, and nose.
Do not use it on any open scars or broken skin.
Let the cream dry before wearing clothes.
Now wash your hands again properly.
Strictly avoid the exposure of sun after applying this cream if you are using it in the day time.
If using at night time also avoid exposure to the sun. Hide the affected area properly when you are going outside in the daytime.

Though we have given the usage formula of this medicinal cream after thorough research, it is recommended to follow the instructions of your doctor about how to use this.

WHAT IS THE DOSAGE?

You must note that the dosage of this medicine is always decided by a dermatologist as per the condition of your disease.

The normal dosage of the application of this medicine is not to exceed more than 45mg which comes in one fingertip after squeezing.

Generally, it is used a bedtime 30 minutes before going to bed. You can divide the dosage into two parts to use twice daily or as per the instruction of your doctor.

Do not self medicate or change your doctor in the middle of the treatment. The dosage can vary and cause adverse effects on your skin.

WHAT IF I MISS A DOSE?

Lomela cream is a medicinal cream used for the removal of dark spots after continuous use. If you will miss a dose, it may hamper the treatment process.

Apply the cream as soon as you remember it and wait for the next schedule. Do not use it if the timing of the next dosage is nearer.

If you are missing the application of dosages regularly, it is advised to set the alarm for your benefit.

You must contact your dermatologist if it happens with you regularly. He/she will reset your schedule of dosages for this cream.

WHAT TO DO IN CASE OF OVERDOSAGE?

An overdose of this cream means using too much or using more than the prescribed schedule.

This cream becomes invisible immediately after the application. If still, you see the cream remained on your skin, it means that you have used the cream more than you need.

It will not give any extra benefit to your skin. Rather you may go through peeling of skin in case of overdosage.

WHAT TO DO IF THERE IS AN ALLERGIC REACTION?

This cream is used for the treatment of all the skin irritations caused by Melasma, Hyperpigmentation, Freckles, etc. Therefore, it does not create any allergic reactions if used as per the doctor’s advise.

If in case, there is an allergic reaction on your skin follow the instructions below.

Wash the affected area with lukewarm water. Never use hot water.
Pat dry the area with a sterilised towel gently without rubbing.
Then again wash with some ice water. Don’t use the ice cubes directly to the affected area.
Pat dry again.
Apply some Aloe Vera juice over the area and spread gently.
If still, the reaction persists, it is the time to consult your doctor immediately.

If any other allergic reactions like an excess burning sensation, an immediate change in the colour of your skin after applying this cream it is strictly recommended to consult the doctor immediately without applying the remedies mentioned above.

WHAT ARE THE SIDE-EFFECTS?

Lomela cream contains Mometasone as an active ingredient which is a steroid. Though the percentage of this ingredient is quite less, it may create some adverse side-effects in some cases like:

Erythema
Blisters
Skin irritation
Tingling sensation.
Burning sensation on affected areas
Blue coloured skin
Stinging sensation
Severe Itching
Numbness of skin
Scars
Redness of skin
Thinning of skin
Dryness of skin
Swelling of mouth
Infection in hair follicles like acne and blisters
Sweating
Acneiform irruptions
Pruritus
Hypersensitivity of affected areas
Facial hair growth
Photosensitivity
Rosacea
Stretch marks
Staining and Corneal Opacities
Convulsions and Tremors after absorbed by the system

DOES THIS MEDICINE HAS ANY DRUG INTERACTIONS?

The major interaction of this cream with the drugs and chemicals are:

Benzoyl peroxide
Minoxidil
Itraconazole
Prednisone
Prednisolone
Omacetaxine
Retinol
Resorcinol
Sulphur
Salicylic acid
AcidSynribo

PRECAUTIONS

Before using this cream, you must inform your doctor about all the current diseases and medications you are going through.
Inform the doctor if you are taking any over the counter products such as herbal supplements, vitamins, etc.
Do not use this cream as a fairness cream or all over the face. It is a medicinal cream and only meant for the skin treatment.
Always apply this only over the affected areas.
Avoid the using of certain products which irritate your skin like, soaps, astringents, make up products, toiletries etc.
You must avoid some food items which can interact during the using of this cream like shrimps, crabs, spiced and oily foods, deep fried foods, root vegetables, etc.
Keep this medicine out of children and pets.
Keep this cream in a room temperature of 25 degrees, away from sunlight and heat.
Do not let this cream touch to the corners of your eyes, lips, and nose while applying.
Do not give this medicine to anybody else even if they have the same condition as yours.

Before the use of this cream inform your doctor if you have the active or a history of diseases like:

Eczema
Asthma
Psoriasis
Any skin infections
Bronchitis
Nasal polyps
A cough
Wheezing
Hives
Allergy to Hydroquinone
Skin cancer
Active bristles
Nasal surgery
Cosmetic surgery
Swelling of facial organs
Oedema
Laser therapy on face
Vesicle formation

IS IT SAFE TO USE IF I AM PREGNANT?

According to the research on animals, it is shown that the use of this cream during pregnancy can affect the foetus. Though there are not enough researches on the human, it is recommended not to use this cream when you are pregnant.

It is strictly recommended to stop the using of this cream before one month if you are planning for a pregnancy.

If you are suffering from severe Melasma you must consult a dermatologist and then your gynaecologist whether to use this cream or not.

IS IT SAFE TO USE IF I AM BREASTFEEDING?

This cream is not recommended for those who are breastfeeding. It causes toxicity to the baby.

If you are suffering from acute Melasma, it is advised to consult your doctor for any alternative treatments.

CAN THIS MEDICINE BE USED FOR CHILDREN AND INFANTS?

According to the composition of the active ingredients, this cream is not suggested for the children and the infants.

Do not use this cream in infants for the treatment of diaper rash. It may worsen the condition of the baby.

Extreme precaution is needed before using this cream for children under 12 years in the treatment of acne.

Never self medicate a child without the prescription of a doctor.

IS THIS MEDICINE AVAILABLE AS OVER THE COUNTER(OTC) PRODUCT?

Lomela cream is a topical cream and only for external use. As we have mentioned above, it needs the prescription of a doctor before use. Therefore, it is not used as an over the counter product for any disease.

Rather it is advised to give proper information about the medicines to your doctor if you are taking currently.

FREQUENTLY ASKED QUESTIONS

Does Lomela cream cause contact sensitization?

Ans – Yes, in few cases, Lomela cream causes contact sensitisation which may be a side-effect of this drug. If you experience severe contact sensitisation after applying it immediately contact your dermatologist.

What is the safety period of using this cream?

Ans – Do not use this cream for more than three months or so as per your doctor’s instructions.

Can I discontinue this cream on my own?

Ans – This is a prescription drug. So do not discontinue it without the commendation of your doctor. The doctor will put off this drug slowly by prescribing some alternative creams to decrease the addition of steroids to your skin.

Does this cream contain steroids?

Ans – Yes, this medicine contains steroids which are used to give you relief from skin irritations like itching and swelling.

Is it safe to take alcohol during the medication of this cream?

Ans – No, it is not recommended to take alcohol while using this cream. This may cause adverse effects on your skin.

Can this cream cause dryness of skin?

Ans – Yes, it causes dryness of skin in some cases. It is a mild side-effect of this medicine. You can apply some petroleum jelly if it occurs. It is advised to contact your doctor in such cases.

Can I use this cream to remove the dark circles under my eyes?

Ans – You must consult with your doctor about using it as an undereye treatment cream.

Reference

Wikipedia page on Human skin

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