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Data Sheet

Foban

Fusidic acid 2% cream & sodium fusidate 2% ointment

Presentation

Foban cream is smooth and white cream which contains fusidic acid 20 mg each gram.

Foban ointment is colourless ointment which contains sodium fusidate 20 mg each gram.

Uses

Actions

Fusidic acid is a potent antibacterial agent. Fusidic acid and its salts show fat and water solubility and strong surface activity and exhibit unusual ability to penetrate intact skin. Concentrations of 0.03 - 0.12 mcg fusidic acid per ml inhibit nearly all strains of Staphylococcus aureus. Topical application of fusidic acid is also effective against streptococci, corynebacteria, neisseria and certain clostridia.

Pharmacokinetics

In Vitro studies show that fusidic acid can penetrate intact human skin. The degree of penetration depends on factors such as the duration of exposure to fusidic acid and the condition of the skin. Fusidic acid is excreted mainly in the bile with little excreted in the urine.

Indications

Indicated either alone or in combination with systemic therapy, in the treatment of primary and secondary skin infections caused by sensitive strains of Staphylococcus aureus, Streptococcus spp and Corynebacterium minutissimum. Primary skin infections that may be expected to respond to treatment with fusidic acid applied topically include: impetigo contagiosa, superficial folliculitis, sycosis barbae, paronychia and erythrasma; also such secondary skin infections as infected eczematoid dermatitis, infected contact dermatitis and infected cuts / abrasions.

Dosage and Administration

Adults and Children:

Uncovered lesions - apply gently three or four times daily.

Covered lesions - less frequent applications may be adequate.

Contraindications

Infection caused by non-susceptible organisms, in particular, Pseudomonas aeruginosa.

Foban Cream and Ointment is contraindicated in patients with hypersensitivity to fusidic acid and its salts.

Warnings and Precautions

Bacterial resistance has been reported to occur with the use of fusidic acid applied topically. As with all topical antibiotics, extended or recurrent application may increase the risk of contact sensitisation and the development of antibiotic resistance.

The sodium salt of fusidic acid has been shown to cause conjunctival irritation. The ointment should not be used near the eye.

Fusidic acid does not appear to cause conjunctival irritation in experimental animals. Caution should be exercised, however, when Foban Cream is used near the eyes.

Preclinical Safety Data

There are no pre-clinical data of relevance to the prescriber which are additional to that already included in other sections of the SPC.

Use during Pregnancy and Lactation

There is inadequate evidence of safety in human pregnancy. Animal studies and many years of clinical experience have suggested that fusidic acid is devoid of teratogenic effect. There is evidence to suggest that when given systemically, fusidic acid can penetrate the placental barrier. The use of topical Foban in pregnancy requires that the potential benefits be weighed against the possible hazards to the foetus.

Safety in nursing mothers has not been established. When fusidic acid (as the sodium salt) has been given systemically, levels have been detected in breast milk, but with topical use the possible amount of drug present is unlikely to affect the infant.

Effects on ability to drive and use machines

Not applicable.

Adverse Effects

Hypersensitivity reactions to the active ingredient in the form of skin rashes; mild stinging and irritation on application have been reported rarely.

Interactions

Not applicable.

Overdosage

Not applicable.

Pharmaceutical Precautions

Store below 30 °C, protect from light and moisture, keep away from children.

Medicines Classification

Prescription Medicine

Package Quantities

Aluminium tubes of 15 gram

Further Information

List of Excipient(s)

Foban cream: Liquid paraffin, white soft paraffin, cetomacogol 1000, cetostearyl alcohol, propylene glycol, methyl paraben, propyl paraben and water

Foban ointment: Liquid paraffin, white soft paraffin

Name and Address

AFT Pharmaceuticals Ltd
PO Box 33-203
Takapuna
Auckland
Tel: (09) 488-0232

Email:customer.service@aftpharm.com

Date of Preparation

4 October 2006