Fluticasone lotion having improved vasoconstrictor activity
View Patent ↗A fluticasone lotion having improved vasoconstrictor and anti-inflammatory activity and higher than expected potency. The fluticasone lotion contains 0.05 weight percent fluticasone propionate and an oil-in-water vehicle that includes excipients. The fluticasone lotion is unexpectedly efficacious while exhibiting an improved safety profile.
1. A topical lotion, comprising:
about 0.005 to 1.0 wt. % fluticasone, or a pharmaceutically acceptable salt or ester thereof;
about 4.0 to 6.0 wt. % of a C 14 -C 20 fatty alcohol or mixtures thereof;
about 1.0 to 5.0 wt. % of at least one first skin conditioning agent;
about 5.0 to 15.0 wt. % propylene glycol; and
the balance in water;
wherein the lotion is free of mineral oil and white soft paraffin, and
wherein the lotion causes more vasoconstriction when applied to living human skin than does application of a cream containing mineral oil or soft white paraffin, or both, the cream containing the same amount of the fluticasone or the pharmaceutically acceptable salt or ester thereof.
2. The lotion of claim 1 further comprising about 0.25 to 3.0 wt. % of at least one surfactant.
3. The lotion of claim 1 further comprising about 0.5 to 2.0 wt. % of at least one surfactant.
4. The lotion of claim 1 further comprising dimethicone in an amount up to about 5.0 wt. %.
5. The lotion of claim 4 further comprising about 0.5 to 3.0 wt. % of dimethicone.
6. The lotion of claim 4 further comprising about 1.0 to 2.0 wt. % of dimethicone.
7. The lotion of claim 5 wherein said C 14 -C 20 fatty alcohol or mixtures thereof is cetostearyl alcohol.
8. The lotion of claim 7 wherein said first skin conditioning agent is isopropyl myristate.
9. The lotion of claim 8 further comprising about 0.25 to 3.0 wt. % of at least one surfactant.
10. The lotion of claim 8 further comprising about 0.5 to 2.0 wt. % of at least one surfactant.
11. The lotion of claim 10 wherein said surfactant is Cetomacrogol.
12. The lotion of claim 11 further comprising one or more buffers.
13. The lotion of claim 12 further comprising one or more preservatives.
14. The lotion of claim 13 wherein said fluticasone, or a pharmaceutically acceptable salt or ester thereof is fluticasone propionate.
15. The lotion of claim 14 wherein said one or more buffer is selected from the group consisting of: sodium citrate and citric acid.
16. The lotion of claim 15 wherein said one or more preservative is selected from the group consisting of: imidurea, methylparaben, and propylparaben.
17. A method of treating a skin condition treatable by fluticasone, comprising topically administering to a patient in need thereof a lotion according to claim 14 .
18. The method of claim 15 wherein said skin condition is selected from the group consisting of: corticosteroid-responsive dermatosis, atopic dermatitis, inflammation, eczema, erythema, papulation, scaling, erosion, oozing, crusting and pruritis.
19. A topical lotion, comprising:
about 0.05 wt. % fluticasone, or a pharmaceutically acceptable salt or ester thereof;
about 4.0 to 6.0 wt. % of cetostearyl alcohol;
about 1.0 to 2.0 wt. % of isopropyl myristate;
about 5.0 to 15.0 wt. % propylene glycol;
about 0.5 to 3.0 wt. % of dimethicone;
about 0.25 to 3.0 wt. % of at least one surfactant; and
the balance in water;
wherein the lotion is free of mineral oil and white soft paraffin, and
wherein the lotion causes more vasoconstriction when applied to living human skin than does application of a cream containing mineral oil or soft white paraffin, or both, the cream containing the same amount of the fluticasone or the pharmaceutically acceptable salt or ester thereof.