Fluocinonide topical solution scalp

How should I take fluocinonide?

You can get fluocinonide as an ointment, cream, solution or gel. It comes in different strengths. Most people apply it two to four times a day, but check with your doctor to see how often they want you to apply it. Do not use it more or less than prescribed or on a different part of your body.

Unless washing irritates your skin, carefully wash or soak the area you are treating. Next, sparingly apply the medicine and gently rub it into your skin. Part your hair first, if you are applying it to your scalp.

Do not rub or wash the treated area until the medicine dries. After that you can wash your hair as usual.

Do not use fluocinonide for long periods of time on your face, genitals, rectum, skin creases or armpits unless your doctor has directed you to do so. Avoid your eyes.

Do not use tight-fitting diapers or plastic pants over the area where you have applied fluocinonide.

Before applying cosmetics or other skin treatments where you have applied fluocinonide, talk to your doctor.

Use the following directions if your doctor has directed you to put a bandage or wrap over the treated area:

  • Thoroughly wash or soak the area.
  • Rub the medication gently into the area while it is still moist.
  • Cover the area. You can use ordinary kitchen plastic wrap held in place with adhesive tape or a bandage. For your hands, you can use plastic gloves instead. For the feet, you can use plastic bags. For the scalp you can use a shower cap.
  • Tape the edges of the plastic. But if the area you are treating is moist, leave some edges unsealed or puncture the wrap to let the area dry.
  • The amount of time you should leave the wrap in place depends on your doctor’s instructions, but most people remove the wrap after 12 hours each day.
  • Clean the area and apply more fluocinonide each time a new plastic wrapping is applied.
  • If the treated area gets worse or burns, oozes or swells, call your doctor. But do not discontinue without talking to a doctor first.

Summit Medical Group Web Site


What are other names for this medicine?

Type of medicine: corticosteroid

Generic and brand names: fluocinolone acetonide, topical; Capex Shampoo

What is this medicine used for?

This medicine is used on the skin to help relieve itching, swelling, redness, and rash.

This medicine may be used to treat other conditions as determined by your healthcare provider.

What should my healthcare provider know before I take this medicine?

Before taking this medicine, tell your healthcare provider if you have ever had:

  • An allergic reaction to any medicine
  • Acne or rosacea
  • Diabetes

Tell your provider if you are going to have surgery. Also tell your provider if you have any kind of infection, including skin infections.

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider’s approval.

How do I use it?

This medicine is for external use (on the skin) only. Do not use it on the face, underarms, or groin area, unless directed to do so by a healthcare provider. Keep it away from the eyes, nose, and mouth. Check the label on the medicine for directions about your specific dose. Wash your hands before and after using this medicine.

This medicine comes in the form of a cream, oil, ointment, solution, or shampoo.

If you have the solution, wash the hair with a mild shampoo. Rinse well with warm water and pat dry with a soft towel. Part the hair and apply the solution directly to the scalp. Gently massage the medicine into the scalp. Follow your healthcare provider’s instructions about how often and for how long you should apply this medicine.

If you have the shampoo, shake the bottle well before using. Wet the hair and apply no more than 1 ounce (2 tablespoonfuls) once daily. Work the medicine into a lather and let it stay on the hair and scalp for about 5 minutes. Do not cover your head during the 5 minutes unless your healthcare provider tells you to do so. Then rinse the hair and scalp thoroughly with warm water. Pat the hair and scalp dry with a towel.

Use it only as often as your healthcare provider prescribes. Using too much medicine or using it too often can increase the risk of side effects from absorption into your body. Stop using the medicine when the skin condition clears up.

Do not bandage or cover the area where you put the medicine unless your healthcare provider tells you to do so. Do not wear tight fitting clothing over the area being treated.

What if I miss a dose?

If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and use the next one as directed. Do not use double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.

What if I overdose?

An acute overdose of this medicine is not likely to cause life-threatening symptoms. If you think that you or anyone else may have taken too much of this medicine, call the poison control center at 800-222-1222.

What should I watch out for?

Do not give this medicine to children unless directed to do so by a healthcare provider. An adult must supervise the use of this medicine by a child. Do not use this medicine for diaper rash. Do not put tight-fitting diapers or plastic pants on a child when the skin problem is in the groin area.

Do not use this medicine for other skin problems unless your healthcare provider approves. Do not give this medicine to others who may seem to have a similar skin problem.

If your condition does not improve within 2 weeks, contact your healthcare provider.

This medicine may cause brief and mild stinging when you first put it on. If you develop any new irritation or swelling while using this medicine, stop using it and contact your healthcare provider right away.

If you need emergency care, surgery, or dental work, tell the healthcare provider or dentist you are using this medicine.

What are the possible side effects?

Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help.): Allergic reaction (hives; itching; rash; trouble breathing; chest pain or tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report these to your healthcare provider right away): Increased skin irritation, pain, or signs of infection (such as blisters with pus).

Other: Acne, rounding (fattening) of the face, light spots on the skin, increased hair growth, hair loss, mild stinging or burning, dry skin, itching.

What products might interact with this medicine?

No significant drug interactions have been reported.

If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

How should I store this medicine?

Store this medicine at room temperature. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.

Do not allow this medicine to freeze. Discard any leftover medicine after 3 months.

This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.

Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.

Keep all medicines out of the reach of children.

Do not share medicines with other people.


Fluocinonide is a topical medicine used to treat psoriasis, eczema, dermatitis, and other skin conditions.

It’s sold under the brand name Vanos.

Fluocinonide is a steroid. It works by preventing the release of certain substances in the body that cause inflammation.

The Food and Drug Administration (FDA) approved this prescription medicine in 1971. It’s manufactured by various pharmaceutical companies.

Fluocinonide Warnings

Before using fluocinonide, tell your doctor if you have, or have ever had:

  • Diabetes
  • A skin infection
  • Rosacea, perioral dermatitis, or another skin condition
  • An immune disorder
  • Circulation problems
  • Glaucoma or cataracts (eye conditions)
  • Cushing’s syndrome (an adrenal gland disorder)
  • A recent vaccination
  • Measles
  • Tuberculosis (TB)
  • Chickenpox or shingles
  • Intracranial hypertension (increased pressure in the head)
  • Allergies to medicines

Tell your doctor if your condition doesn’t improve, or if it worsens, after two weeks of treatment with fluocinonide.

This medicine should only be used for two weeks at a time.

Using too much fluocinonide — or using this medicine for a long period of time — may increase your risk of developing adrenal gland problems.

Tell your doctor right away if you experience any of the following symptoms:

  • Blurred vision
  • Dizziness or fainting
  • Fast or irregular heartbeat
  • Irritability, depression, or anxiety
  • Unusual tiredness or weakness
  • Increased thirst or urination
  • Muscle weakness
  • Unusual weight gain
  • Facial swelling
  • New or worsening high blood pressure
  • Loss of appetite or weight loss

If you have diabetes, fluocinonide may affect your blood sugar levels. Be sure to monitor your condition carefully.

Let your healthcare provider know you’re using fluocinonide before having any type of medical or dental procedure.

Talk to your doctor before receiving any vaccinations while using this medicine.

Steroids can affect growth in some children and teens. Talk to your doctor if this is a concern.

Don’t use this medicine on a child under age 12 without consulting with a doctor.

Pregnancy and Fluocinonide

It’s not known whether this medicine could harm an unborn baby if taken during pregnancy.

Tell your doctor if you become pregnant, or might become pregnant, while using fluocinonide.

It’s also unknown whether fluocinonide passes into breast milk. Don’t breastfeed a baby while using this medicine.


Medical Editor: John P. Cunha, DO, FACOEP

Last reviewed on RxList 12/27/2017

Lidex (fluocinonide) is a topical (for the skin) steroid used to treat the inflammation and itching caused by a number of skin conditions such as allergic reactions, eczema, and psoriasis. Common side effects of Lidex include:

  • skin burning,
  • itching,
  • irritation,
  • peeling or dryness;
  • headache,
  • stuffy nose,
  • sore throat,
  • thinning or softening of your skin,
  • skin rash or irritation around your mouth,
  • swollen hair follicles,
  • changes in color of treated skin,
  • blisters,
  • pimples,
  • crusting of treated skin, or
  • stretch marks.

Skin infections can become worse when Lidex is used. Notify your doctor if redness, swelling, or irritation does not improve.

Lidex Cream 0.05% is applied to the affected area as a thin film two to four times daily depending on the severity of the condition. It is not likely that other drugs you take orally or inject will have an effect on topically applied Lidex. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor. During pregnancy Lidex should be used only when prescribed. It is not known whether this drug passes into breast milk when applied to the skin. Similar medications pass into breast milk when taken by mouth. Consult your doctor before breastfeeding.

Our Lidex Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

  • Unless you are advised to do so by your doctor, do not apply a bandage or dressing to the area being treated, as this will increase absorption of the steroid and increase the risk of side-effects.
  • Continue to use fluocinonide until the flare-up has gone, and then stop it. A course of treatment for 7-14 days is often sufficient. If your symptoms have not improved after this time (or if they get worse), speak again with your doctor for further advice. Topical corticosteroids like fluocinonide should not be used for long periods of time or on large areas of the body.
  • After you finish using fluocinonide, continue to use your moisturiser every day as this will help to prevent a further flare-up. You may also be given a less potent topical steroid to use for a while after you stop using fluocinonide to make sure your symptoms go completely.
  • Can fluocinonide cause problems?

    Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. You can reduce the risk of side-effects from fluocinonide, by applying the preparation thinly, no more than twice a day, and to the affected areas only.

    Side-effects of fluocinonide What can I do if I experience this?
    A feeling of burning or smarting This may occur in the first few days but usually gets better after this
    Thinning of the skin, permanent stretch marks, allergic contact dermatitis, acne, rosacea, and hair growth at the site of application These would normally only affect you if you use fluocinonide for a long period of time
    The steroid may get through your skin and into your bloodstream This usually causes no problem unless you use fluocinonide regularly on large areas of your skin

    Speak with your doctor or pharmacist for further advice if you experience these or any other side-effects which you think may be due to using fluocinonide.

    How to store fluocinonide

    • Keep all medicines out of the reach and sight of children.
    • Store in a cool, dry place, away from direct heat and light.

    Important information about all medicines

    Make sure that the person prescribing this medicine knows about any other medicines that you are taking or using. This includes medicines you buy and herbal and homeopathic medicines.

    Before using this medicine tell your doctor if you have ever had an allergic reaction after taking or using any medicine.

    Never use more than the prescribed dose. If you suspect that someone has swallowed some of the medicine by accident, contact the accident and emergency department of your local hospital for advice.

    If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking or using.

    If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.

    This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

    Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

    If you have any questions about this medicine ask your pharmacist.

    Fluocinonide for Hair Growth: Benefits, Side Effects and Uses

    In this article, I’ll explore issues surrounding the use of fluocinonide for hair loss, including how hair loss can be addressed with this drug, the potential side effects, and, most importantly, natural alternatives that are safe and effective.

    You’ll also learn why fluocinonide is only useful for this one type of hair loss.

    There are many kinds of hair loss. By age 80, more than 80% of the population may experience loss or thinning due to one or more factors.

    While hair loss can be age-related, some types of loss can be caused or triggered by fungal infections like ringworm or skin problems such as seborrheic dermatitis, a disease characterized by scaly and sometimes oily skin patches that are painful to touch.

    Still others have a genetic or auto-immune component.

    One such type of hair loss is alopecia areata – a type that correlates with auto-immune disfunction.

    Alopecia simply means ‘hair loss’. People who suffer from alopecia can present symptoms in many ways:

      • Alopecia areata (hair loss in patches).
      • Alopecia totalis (lose all hair on the scalp)
      • Alopecia universalis (lose all hair on the body)
      • Diffuse Alopecia areata (hair thinning throughout the scalp)
      • Ophiasis alopecia (loss in the sides and lower scalp in the shape of a band)

    With alopecia areata, the immune system attacks hair follicles, causing hair to fall out in round patches. Hair may grow back, but fallout can recur. This process of loss and regrowth can be a one-time event, or continue throughout a person’s life.

    If you suffer from this type of hair loss, you’re in good company: It affects millions of people in the United States alone. It does not discriminate: people of all genders and ethnic backgrounds can be affected.

    The good news is that your hair follicles remain alive, no matter how many times your hair may fall and regrow.

    And there is a drug that might help you regrow your mane if you suffer from this type of hair loss.

    It’s called fluocinonide.

    Fluocinonide: A Powerful Corticosteroid

    Fluocinonide belongs to a group of drugs called corticosteroids. Corticosteroids are hormones naturally produced in your body by your adrenal glands.

    Corticosteroids work by reducing inflammation and modulating your body’s immune response.

    During a period of inflammation, the body’s white blood cells and other chemicals act to protect against infections and foreign substances such as bacteria and viruses.

    But sometimes, your immune system doesn’t function properly, causing inflammation to work against the body’s tissues, causing damage rather than repairing it.

    Inflammation is most noticeable when there is redness, pain, swelling, and warmth, but some inflammation is ‘silent’, meaning symptoms are not obvious.

    Corticosteroids, whether natural or synthetically produced, reduce the production of inflammation-causing chemicals to help your body limit tissue damage. They also “power down” your immune system by affecting the way white blood cells work.

    When your immune system is attacking your scalp or hair follicles, a corticosteroid can help to minimize and even reverse the damage.

    Topical vs. Systemic Corticosteroid Treatments for Hair Loss

    Topical and systemic corticosteroids are synthetic copies of the substances your body creates naturally.


    Topical corticosteroids are generally used to treat diseases of the skin such as psoriasis, eczema, and other rashes. They have a powerful anti-inflammatory action and can help suppress the immune response in conditions with an auto-immune component.

    Fluocinonide is classified as a Very High Potency corticosteroid. Despite their strength, fluocinonide and similar drugs have limited side effects and drug interactions, so they are considered among the most benign treatments for hair loss.

    The drug is available in creams, ointments, gels, oils, solutions and even shampoos. Each derivative has its own potency with creams, ointments and gels being more efficacious than shampoos and solutions.

    One study that examined the efficacy of fluocinonide on patients with cutaneous lupus erythematosus, an autoimmune disease that can affect the skin of the body and scalp, showed patients improved most on high potency corticosteroids like fluocinonide as opposed to low potency ones at a rate of 27% versus 10%.

    This success is due to the powerful anti-inflammatory actions of the drug, which is why your dermatologist may recommend it for alopecia areata and other skin-disease related hair loss.

    Topical corticosteroids are considered the base-line treatment for this type of hair loss, due to the ease of application, low cost, and safety. In addition, alopecia areata often requires continual treatment to prevent relapse, so a drug that is easy to use and has long-term safety is of primary importance.


    Corticosteroids can be used systemically to treat auto-immunity at a deep level. Drugs like cyclosporine are given over a long period of time, one to 6 months or more, but the rate of relapse and the probability of side effects is much higher when used in this manner.

    Cautions and Side Effects

    As with any drug-centered treatment, proper medical supervision is necessary. Topical corticosteroids, if used improperly, can cause thinning of the skin, a host of skin problems such as spider veins and acne, and worst of all, damage to your hair follicles.

    Even if your doctor prescribes fluocinonide for your hair loss, keep an eye on any changes to the health of your scalp and communicate these to your physician as soon as possible.

    Other side effects of fluocinonide include blisters, peeling, rash, hypo- or hyper-pigmentation, swollen hair follicles, headache, and stuffy nose.

    When using any kind of medication for hair loss, it’s wise to stick to the lowest dosage that allows you to see results in order to minimize side effects.

    It’s important to note that the topical fluocinonide is fatal if swallowed, so precautions must be taken to keep all sources away from children and pets. Good hygiene should be practiced to keep unintended traces of the substance from lingering on hands or areas that could come in contact with food.


    Although fluocinonide can be useful in treating some forms of alopecia, there are natural alternatives that may be just as useful and much safer. These come with the additional consideration of few, if any, side effects.

    One popular natural remedy is the use of rosemary oil and other essential oils to stimulate hair growth.

    One study focusing on alopecia areata in particular showed that 44% of patients that massaged a mixture of thyme, rosemary, lavender, and cedarwood in jojoba and grapeseed carrier oils into their scalps daily saw hair regrowth.

    They experienced no unpleasant side effects and there was no danger associated with long-term use of the therapy.

    A man named Francesc Casadó Galcerá even patented a hair loss lotion made from rosemary oil, hops, and swertia that reduced loss, increased new growth by over 20%, and increased microcirculation in the scalp.


    If you have a known auto-immune disease or have noticed patches of hair loss on your scalp or other areas of your body, you may be suffering from alopecia areata.

    Your doctor may prescribe topical corticosteroids like fluocinonide to encourage regrowth in these patchy areas. If you don’t see results or if you are wary of side effects, an essential oil mixture that includes rosemary, lavender, thyme and cedarwood may give you the regrowth you desire with less risk and side effects.

    Using natural, effective products is a great way to experience hair regrowth without exposing your scalp and body to toxic side effects.

    ​Read next:

    Information contained on this website has not been evaluated by any medical body such as the Food & Drug Administration. All information is for educational purposes only. We do not aim to diagnose, treat, cure or prevent and disease or illness. You must consult a medical professional before acting on any content on this website.

    Fluocinonide skin cream, gel, ointment, or topical solution

    What is this medicine?

    FLUOCINONIDE (floo oh SIN oh lone) is a corticosteroid. It is used on the skin to reduce swelling, redness, itching, and allergic reactions.

    This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

    COMMON BRAND NAME(S): Lidex, Lidex -E, Vanos

    What should I tell my health care provider before I take this medicine?

    They need to know if you have any of these conditions:

    • any active infection

    • diabetes

    • large areas of burned or damaged skin

    • skin wasting or thinning

    • an unusual or allergic reaction to fluocinonide, corticosteroids, sulfites, other medicines, foods, dyes, or preservatives

    • pregnant or trying to get pregnant

    • breast-feeding

    How should I use this medicine?

    This medicine is for external use only. Do not take by mouth. Follow the directions on the prescription label. You should wear a glove when applying the medicine. Apply a thin film of medicine to the affected area as directed, and rub in gently. Do not use on healthy skin or over large areas of skin. Do not get this medicine in your eyes. If you do, rinse out with plenty of cool tap water. It is important not to use more medicine than prescribed. Do not use for more than 14 days.

    Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. If applying this medicine to the diaper area of a child, do not cover with tight-fitting diapers or plastic pants. This may increase the amount of medicine that passes through the skin and increase the risk of serious side effects.

    Elderly patients are more likely to have damaged skin through aging, and this may increase side effects. This medicine should only be used for brief periods and infrequently in older patients.

    Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

    NOTE: This medicine is only for you. Do not share this medicine with others.

    What if I miss a dose?

    If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

    What may interact with this medicine?

    Interactions are not expected. Do not use any other skin products without telling your doctor or health care professional.

    This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

    What should I watch for while using this medicine?

    Tell your doctor or health care professional if your symptoms do not start to get better within one week. Tell your doctor or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

    What side effects may I notice from receiving this medicine?

    Side effects that you should report to your doctor or health care professional as soon as possible:

    • burning or itching of the skin

    • dark red spots on the skin

    • infection

    • painful, red, pus filled blisters in hair follicles

    • thinning of the skin, sunburn more likely especially on the face

    Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

    • dry skin, irritation

    • unusual increased growth of hair on the face or body

    This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Where should I keep my medicine?

    Keep out of the reach of children.

    Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Avoid excessive heat above 30 degrees C (86 degrees F). Do not freeze. Throw away any unused medicine after the expiration date.

    NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

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