Indication
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| Clinical Information | Administration Information |
|---|---|
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Indication: Plaque psoriasis Age: Adult Condition: Normal hepatic function |
Dose: Topical - Apply once daily to affected areas Frequency: once daily Note: Rub in completely. Indicated for plaque psoriasis, including intertriginous areas. |
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Indication: Plaque psoriasis Age: Adult Condition: Moderate-to-severe hepatic impairment (Child-Pugh B or C) |
Dose: Topical - Contraindicated Note: Contraindicated with moderate-to-severe impairment (Child-Pugh B or C). No studies conducted with topical roflumilast in patients with hepatic impairment. In oral studies (250 mcg/day), AUC of roflumilast and roflumilast N-oxide increased by 51% and 24% in Child-Pugh A and 92% and 41% in Child-Pugh B. Peak plasma concentrations increased by 3% and 26% in Child-Pugh A and 26% and 40% in Child-Pugh B. |
| Clinical Information | Administration Information |
|---|---|
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Indication: Plaque psoriasis (including intertriginous areas) Age: <12 years |
Dose: Topical Note: Safety and efficacy not established. |
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Indication: Plaque psoriasis (including intertriginous areas) Age: >12 years |
Dose: Topical application Frequency: once daily Note: Apply to affected areas and rub in completely. |
Apply a thin layer of roflumilast cream or foam once daily to affected areas of the skin or scalp. For the foam, shake the container well before dispensing a small amount with the can held upside down. Rub the preparation in completely and wash hands immediately after application. This medication is for topical use only; avoid contact with eyes, mouth, or vaginal areas. The foam is flammable, so patients must avoid fire, flames, and smoking during and immediately after application. Roflumilast is contraindicated in patients with moderate to severe hepatic impairment. Safety and dosage vary by age and indication, with specific cream strengths indicated for pediatric patients as young as 2 years for atopic dermatitis.
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