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Enstilar Foam 60g
  • Enstilar Foam 60g
  • Enstilar Cutaneous Foam
  • Enstilar Cutaneous Foam
  • Enstilar Cutaneous Foam
  • Enstilar Cutaneous Foam

Enstilar Cutaneous Foam

From £75.99

Medication features

  • Proven effective treatment for psoriasis skin symptoms
  • Easy to use spray foam - can be used on the scalp
  • Calcipotriol helps to bring the rate of skin cell growth back to normal
  • Topical vitamin D medications slow down the overproduction of skin cells
  • Relieves condition where your skin develops scaly patches
  • Suitable for adults and children 12 years of age and above
  • Most patients see obvious results after 2 weeks

Overview

Psoriasis Doctor Service 

Enstilar® 50micrograms/g + 0.5mg/g Cutaneous Foam - Calcipotriol/Betamethasone.

Enstilar foam is a prescription medication for plaque psoriasis that contains both topical corticosteroids and vitamin D medications in one effective spray foam.

Enstilar is used on the skin to treat psoriasis vulgaris in adults. Psoriasis is caused by your skin cells being produced too quickly. This causes redness, scaling and thickness of your skin.

Enstilar contains Calcipotriol and Betamethasone.

  • Calcipotriol helps to bring the rate of skin cell growth back to normal.
  • Betamethasone helps to reduce the inflammation.

Enstilar Is Not Recommended For The Use In Children Below The Age Of 12 Years

Effectiveness

  • In a clinical trial, a majority of patients 53% were “Clear” or “Almost Clear” at Week 4.
  • In a clinical trial, more than 25% of patients were “Clear” or “Almost Clear” at Week 2.

You can order Enstilar online from our UK registered online pharmacy and doctor service. To see if you are suitable for this treatment, complete the online assessment and checkout. Our UK registered doctors will review the order and after approval pass the prescription to the Pharmacy team. We will then dispense and dispatch your order to your chosen address.

About Psoriasis

If the cells in your skin grow too much you may get psoriasis. Psoriasis is a condition where your skin develops raised red patches and silver coloured scaly patches. The scaly patches are dead cells that would normally fall off your skin without you noticing.

These patches normally appear on your elbows, knees, scalp and lower back, but can appear anywhere on your body.  Most people are only affected with small patches. In some cases, the patches can be itchy or sore.

Psoriasis affects around 2% of people in the UK. It can start at any age, but most often develops in adults under 35 years old, and affects men and women equally.

The severity of psoriasis varies greatly from person to person. For some it's just a minor irritation, but for others it can majorly affect their quality of life.

Psoriasis is a long-lasting (chronic) disease that usually involves periods when you have no symptoms or mild symptoms, followed by periods when symptoms are more severe.

A good self care guide and information for psoriasis is available on the NHS website. 

NHS - Psoriasis

FAQ

Psoriasis Triggers

Many people's psoriasis symptoms start or get worse because of a certain event, called a trigger. Knowing your triggers may help you avoid a flare-up.

Common Psoriasis Triggers Include:

  • an injury to your skin, such as a cut, scrape, insect bite or sunburn – this is called the Koebner response
  • drinking excessive amounts of alcohol
  • smoking
  • stress
  • hormonal changes, particularly in women – for example, during puberty and the menopause
  • certain medicines – such as lithium, some antimalarial medicines, anti-inflammatory medicines including
  • ibuprofen, and ACE inhibitors (used to treat high blood pressure)
    throat infections – in some people, usually children and young adults, a form of psoriasis called guttate
  • psoriasis develops after a streptococcal throat infection, but most people who have streptococcal throat infections don't develop psoriasis
  • other immune disorders, such as HIV, which cause psoriasis to flare up or appear for the first time.

Psoriasis is not contagious, so it cannot be spread from person to person.

Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.Side effects that have been observed for Enstilar:

Uncommon side effects (may affect up to 1 in 100 people):

  • allergic reaction. Symptoms may include skin rash and swelling of the skin, face or mouth
  • worsening or 'flare up' of your psoriasis after treatment has stopped
  • arise in calcium levels in the blood
  • skin irritation which might include itching, pain, burning and stinging and/or redness of the skin
  • redness, pain or swelling of the hair roots of the skin(folliculitis)
  • loss of skin colour (depigmentation). Frequency not known (frequency cannot be estimated from the available data):â–ªblurred vision.

Enstilar contains Betamethasone (a strong steroid) and Calcipotriol. You may therefore experience the following side effects.

These side effects are more likely to happen if Enstilar is used for a long time, if used under dressings or in skin folds (e.g. groin, armpits or under breasts), or if used on large skin areas:

  • allergic reactions with swelling of the face or other parts of the body such as the hands or feet. Swelling of the mouth/throat and trouble breathing may also occur
  • calcium levels in your blood or urine may increase so much that you get symptoms. Signsare frequent urination, constipation, muscle weakness, and confusion. When the treatment is stopped, the calcium levels return to normal
  • your adrenal glands may stop working properly. Signs are tiredness, depression, anxiety
  • cloudy vision, difficulty seeing at night, sensitivity to light (this could be a sign of cataracts)
  • eye pain, red eye, decreased or cloudy vision (this could be a sign of increased pressure inside the eye)
  • infections (because your immune system is weakened)
  • pustular psoriasis (a red area of psoriasis with yellowish pustules (pimples))
  • you may experience fluctuations in blood sugar levels.If you experience any of the above side effects you should contact your doctor immediately.

Less serious side effects known to be caused by calcipotriol or betamethasone include the following:

  • thinning of the skin
  • stretch marks
  • blood vessels under your skin may become more noticeable
  • changes in hair growth
  • red rash around the mouth (perioral dermatitis)
  • worsening of your psoriasis
  • sensitivity of the skin to light resulting in a rash
  • itchy skin rash (eczema)
  • white or grey hair can transiently change to a yellowish colour at the application site when used on the scalp.

For a full list of side effects, please read the Patient Information Leaflet.

If you get any side effects, talk to your doctor, our Rightdose pharmacists or nurse. This includes any possible side effects not listed in this leaflet.

You can help to make medicines safer by reporting any side-effects to the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

 

 

Info Leaflet

Before taking any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org, or by contacting us.

Patient Information Leaflet Enstilar Cutaneous Foam 60g/120g

Other medicines and Enstilar

Tell your doctor, pharmacist or nurse if you are using, have recently used, or might use any other medicines.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before using this medicine. If your doctor has agreed that you can breastfeed, take care and do not apply Enstilar to the breast area.

Driving and using machines

This medicine should not have any effect on your ability to drive or use machines.

Enstilar contains butylhydroxytoluene (E321). This may cause local skin reactions (e.g. contact dermatitis), or irritation to the eyes and mucous membranes.

How to store Enstilar foam

Caution:

Extremely flammable aerosol. Pressurised container: May burst if heated. Protect from sunlight. Do not expose to temperatures exceeding 50°C. Do not pierce or burn, even after use. Do not spray on an open flame or other ignition source. Keep away from sparks, open flames and other ignition sources. No smoking near the can.

  • Do not use this medicine after the expiry date, which is stated on the carton and can after EXP. The expiry date refers to the last day of that month.
  • Do not store above 30°C.
  • The can should be discarded 6 months after first opening.
  • Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Keep this medicine out of the sight and reach of children.

Directions

Before use, read the patient information, even if you have used Enstilar before. Enstilar is designed for direct application (spray-on) to your skin affected by psoriasis vulgaris.

Enstilar is not recommended for the use in children below the age of 12 years.

How to use Enstilar foam

Always use this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

This medicine is only for using on your skin. Use only on your psoriasis and do not use it on skin which does not have psoriasis.

Directions when used on the scalp:

  1. Shake the can for a few seconds before use.
  2. Comb the hair to remove any loose scales.
  3. Hold the can at least 3 cm away. Spray directly into the palm of your hand. The foam can be sprayed holding the can in any orientation except horizontally.
  4. Scoop the foam onto your finger and apply it directly to the affected areas. Minimize applying into the hair to make it easier to wash it out.
  5. Gently rub the foam into the scalp.
  6. After applying the foam, put the cap on the can to prevent accidental spraying when not in use.
  7. Wash your hands well after using Enstilar. This will avoid accidentally spreading the foam to other parts of your body (especially the face, mouth and eyes).
  8. Let the foam remain on the scalp during the night or during the day.

In order to achieve optimal effect, it is recommended that the hair is not washed immediately after application of Enstilar.

When you wash your hair, the following instructions might be useful:

Apply a mild, non medicated shampoo to the dry hair, focusing on the areas where the foam was applied. It is easier to remove Enstilar when shampoo is applied to dry hair as water dilutes the cleansing effect of the shampoo.

Massage the shampoo into the dry hair/scalp.Leave the shampoo on the scalp for a couple of minutes before washing. 3.Rinse thoroughly with water.4.Repeat normal shampooing if necessary.Further information for proper use:

  • use only on your psoriasis and do not use it on skin which does not have psoriasis.
  • wash or rinsewell if, by accident, you have applied foam to your eyes, mouth, sexual organs or breasts if you are breastfeeding
  • do not worry if some foam accidentally gets on normal skin near your psoriasis, but wipe it off if it spreads too far
  • do not bandage, tightly cover or wrap the treated skin area
  • in order to achieve optimal effect, it is recommended not to take a shower or bath immediately after applying the foam
  • after applying the foam, avoid contact with textiles which are easily stained by grease (e.g. silk).

Duration of treatment

Apply the foam once daily. It may be more convenient to use the foam in the evening.

The normal treatment period is 4 weeks but your doctor may decide on a different treatment period. You may be told by your doctor to use Enstilar twice weekly once your psoriasis has cleared or almost cleared.

  • Enstilar should be applied twice weekly on two non-consecutive days (e.g. Wednesday and Saturday) to areas previously affected by psoriasis.
  • Between applications there should be 2-3 days without Enstilar treatment.
  • If symptoms reappear you should use Enstilar once daily as outlined above and contact your doctor to review your treatment.

If you use more Enstilar than you should

Important: One 60g can of Enstilar should last for at least 4 days. If you use other Calcipotriol containing medicines, the total amount of calcipotriol medicines, including Enstilar, must not exceed 15 grams per day. Contact your doctor if you have used more than the recommended dose.

Excessive use of Enstilar may cause a problem with calcium in your blood, which usually returns to normal when treatment is discontinued.

Excessive prolonged use can also cause your adrenal glands to stop working properly (the adrenal glands are found near the kidneys and produce hormones).

If you forget to use Enstilar

Do not use a double dose to make up for a forgotten dose.

If you stop using Enstilar

The use of Enstilar should be stopped as indicated by your doctor. It may be necessary for you to stop this medicine gradually, especially if you have used it for a long time.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

Warnings

Enstilar is not recommended for the use in children below the age of 12 years.

Do not use Enstilar:

  • if you are allergic to calcipotriol, betamethasone or any of the other ingredients of this medicine
  • if you have problems with calcium levels in your blood (ask your doctor)
  • if you have certain types of psoriasis called: erythrodermic psoriasis or pustular psoriasis( ask your doctor if you are unsure).

As Enstilar contains a strong steroid, do NOT use Enstilar on skin areas affected by:

  • skin infections caused by viruses (e.g. cold sores or chicken pox)
  • skin infections caused by a fungus (e.g. athlete’s foot and ringworm)
  • skin infections caused by bacteria
  • skin infections caused by parasites (e.g. scabies)
  • tuberculosis(TB)
  • perioral dermatitis (red rash around the mouth)
  • thin skin, easily damaged veins, stretch marks
  • ichthyosis (dry skin with fish-like scales)
  • acne (pimples)
  • rosacea (severe flushing or redness of the skin on the face)
  • ulcers and wounds.

Warnings and precautions

Talk to your doctor, pharmacist or nurse before using Enstilar if:

  • you are using other medicines that contain steroids, as you may get side effects
  • you have diabetes mellitus (diabetes), as your blood sugar level may be affected by the steroid
  • you have a certain type of psoriasis called guttate psoriasis.

Talk to your doctor, pharmacist or nurse during treatment if:

  • you have used this medicine for a long period of time and plan to stop (as there is a risk your psoriasis will get worse or ‘flare up’ when steroids are stopped suddenly)
  • your skin becomes infected, as you may need to stop your treatment
  • the calcium level in your blood changes
  • you experience blurred vision or other visual disturbances.

Special Precautions:

  • Avoid use under bandages or dressings as this increases the absorption of the steroid.

Avoid use of more than 15 grams per day. This means that one 60g can of Enstilar should last for at least 4 days. 15g is dispensed if you fully depress the actuator for approximately 1 minute. Spraying for 2 seconds provides approximately 0.5g of Enstilar. As a guide, 0.5g of foam should cover an area of skin roughly corresponding to the surface area of an adult hand.

  • Avoid use on more than 30% of your body.
  • Avoid use on large areas of damaged skin, on mucous membranes or in skin folds (groin, armpits, under breasts) as this increases the absorption of the steroid.
  • Avoid use on the face or on genitals (sexual organs) as they are very sensitive to steroids.
  • Do not smoke or go near naked flames - risk of severe burns. Fabric (clothing, bedding, dressings etc) that has been in contact with this product burns more easily and is a serious fire hazard. Washing clothing and bedding may reduce product build-up but not totally remove it.

Ingredients

What Enstilar contains

The active substances are: Calcipotriol and Betamethasone. One gram of cutaneous foam contains 50 micrograms of calcipotriol (as monohydrate) and 0.5mg of betamethasone (as dipropionate).

The other ingredients are: Liquid paraffin, Polyoxypropylene stearyl ether, All-rac-α-tocopherol, White soft paraffin, Butylhydroxytoluene (E321), Butane, Dimethyl ether.

What Enstilar looks like and contents of the pack

Enstilar is a cutaneous foam. After spraying, a white to off-white foam is formed. The foam has the appearance of a non-expanding foam that gradually collapses after spraying.

Aluminium can with a polyamide-imide inner lacquer, equipped with a continuous valve and actuator.

The can contains 60g of foam, not including the amount of propellants. Pack sizes: 60g, 2 x 60g. Not all pack sizes may be marketed.

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