TERRA-CORTRIL

After thorough cleansing of the affected skin areas, a small amount of the ointment should be applied gently. Applications should be made two to four times daily. Terra-Cortril Ointment is for topical administration only. Use in the elderly No special precautions.

Use in children Not recommended. (See ‘Contra-indications’). Use in renal or hepatic impairment No special precautions.

Hydrocortisone and oxytetracycline are well tolerated by the epithelial tissues and may be used topically with minimal untoward effects. Allergic reactions, including contact dermatitis may occur occasionally, but are rare. Reactions occurring most often from the presence of the anti-infective ingredients are allergic sensitisations.

The following local side effects have been reported with topical corticosteroids, especially under occlusive dressings; burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, maceration of the skin, secondary infection, skin atrophy, striae, miliaria.

The use of Terra-Cortril Ointment should be discontinued if such reactions occur. Secondary infection The development of secondary bacterial or fungal infection has occurred after use of combinations containing steroids and antimicrobials.

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. uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

Terra-Cortril Ointment should not be continued for more than seven days in the absence of any clinical improvement, since in this situation occult extension of infection may occur due to the masking effect of the steroid. Extended or recurrent application may increase the risk of contact sensitisation and should be avoided.

The use of oxytetracycline and other antibiotics may result in an overgrowth of resistant organisms - particularly Candida and staphylococci. Careful observation of the patient for this possibility is essential. If new infections due to nonsusceptible bacteria of fungi appear during therapy, Terra-Cortril should be discontinued.

If extensive areas are treated or if the occlusive technique is used, there may be increased systemic absorption of the corticosteroid and suitable precautions should be taken. If irritation develops, the product should be discontinued.

Terra-Cortril Ointment is not recommended for ophthalmic use. The label will state mild steroid. Topical steroid withdrawal syndrome Long term use of topical steroids can result in the development of rebound flares after stopping treatment (topical steroid withdrawal syndrome).

A severe form of rebound flare can develop which takes the form of a dermatitis with intense redness, stinging and burning that can spread beyond the initial treatment area. It is more likely to occur when delicate skin sites such as the face and flexures are treated.

Should there be a reoccurrence of the condition within days to weeks after successful treatment a withdrawal reaction should be suspected. Reapplication should be with caution and specialist advise is recommended in these cases or other treatment options should be considered.

Hypersensitivity to one of the components of the preparation. Primary bacterial infections eg impetigo, pyoderma, furunculosis. Pregnancy, lactation and in infants and small children because of the theoretical risk of damage to permanent dentition