Doxibetasol

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Doxibetasol

Chemical structure of Doxibetasol

Doxibetasol is a synthetic corticosteroid used primarily in the treatment of various inflammatory skin conditions. It is a potent glucocorticoid that exerts its effects by modulating the expression of inflammatory mediators and suppressing the immune response.

Pharmacology

Doxibetasol functions by binding to the glucocorticoid receptor, which leads to the translocation of the receptor-ligand complex into the cell nucleus. This complex then interacts with specific DNA sequences, influencing the transcription of anti-inflammatory proteins and inhibiting the transcription of pro-inflammatory cytokines.

Mechanism of Action

The primary mechanism of action of Doxibetasol involves the suppression of phospholipase A2 activity, which reduces the production of arachidonic acid and its subsequent conversion into prostaglandins and leukotrienes. This results in decreased inflammation and immune response.

Clinical Uses

Doxibetasol is indicated for the treatment of various dermatological conditions, including:

It is typically applied topically in the form of creams or ointments.

Side Effects

Common side effects of Doxibetasol include:

  • Skin irritation
  • Dryness
  • Burning sensation

Prolonged use can lead to more serious effects such as skin atrophy, telangiectasia, and adrenal suppression.

Contraindications

Doxibetasol should not be used in patients with:

  • Known hypersensitivity to corticosteroids
  • Viral, fungal, or bacterial skin infections

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Contributors: Prab R. Tumpati, MD