Fourderm Cream: Uses, Side Effects, Composition & Dosages

Fourderm Cream is an ointment manufactured by the Indian multinational pharmaceutical company Cipla. Fourderm is a cream that is used to manage and cure cutaneous infections.

Nature Antifungal ointment
Composition Chlorhexidine Gluconate, Clobetasol, Miconazole, Neomycin
Uses Skin infections
Side-effects Itching , thinning of the skin, burning sensation, irritation
Precautions Avoid direct contact with the eye, patient suffering from systemic parasitic contamination must avoid the application of Fourderm Cream

Fourderm Cream can control any kind of yeast, fungal and bacterial infection that occurs on the skin.

Fourderm Cream

Uses and Benifits of Fourderm Cream:

Fourderm Cream is used in the treatment of the following types of skin infections:

  • Tinea pedis or Athlete’s foot- a fungal infection occurring between the toes caused by accumulated moisture.
  • Cutaneous candidiasis; a yeast infection caused on the skin as a result of an immune system weakening disorder or consumption of antibiotics.
  • Fungal or bacterial infection of any type on the skin
  • Tinea cruris, popularly known as Jock’s itch that occurs at the groin area
  • Tinea Versicolor, a common type of yeast infection on the skin
  • Dermatoses caused by corticosteroids
  • Tinea corporis caused by ringworms
  • Any type of microbial infection on the skin.
  • General redness, itchiness and inflammation of the skin.
  • Jock itch (fungal infection of the skin)
  • Skin injuries and wounds
  • Psoriasis (an autoimmune disease that causes red, scaly skin)
  • Vaginal yeast infections
  • Athlete's foot
  • Napkin rash
  • Contusions (bruises of the skin)
  • Skin cuts and burns

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Side Effects of Fourderm Cream:

Usually Fourderm Cream does not cause any side effects, and even if it does the effects are mild and subside in a few days. If by chance they do not subside, the patient must seek medical assistance immediately. In rare cases the side effects could be severe.

Here is a list of the probable side effects of Fourderm Cream:

  • Skin thinning or skin atrophy due to long term use
  • Redness, Itchiness and swelling on the affected area
  • Symptoms like Telangiectasia, whereby spider veins develop on the skin and the eyes
  • Allergic reaction
  • Muscle weakness
  • Aggravated menstrual cramps
  • A sensation of numbness in the fingers
  • Increased hair growth
  • Discoloration on the area of application
  • Aggravated case of itching in the genitals in females
  • Numbness in the fingers
  • Folliculitis (inflammation of the hair follicles)
  • Discomfort at the site of application
  • Patients experiencing side effects apart from the ones mentioned above should consult a doctor immediately.

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Common Dosage of Fourderm Cream:

Fourderm Cream is to be used topically and not to be administered orally; neither should it be inhaled. The amount of ointment that a patient needs to use and the number of times it is to be applied per day both depend on the severity of the condition, and the instructions of the concerned dermatologist.

To get a clear idea, patient should read the direction of use. Patients should wash their hands after applying Fourderm Cream on the affected area; unless the hands are the affected area.

  • Missed Dose : This cream is prescribed to patients suffering from yeast, or bacterial infections to treat the skin infections. It is important that the cream is applied on the affected area without missing any dose. Skipping the application of the cream may lead to reoccurrence of the infection.

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Composition and Nature of Fourderm Cream:

The key ingredients that Fourderm Cream is made up of are:

  • Chlorhexidine Gluconate
  • Miconazole Topical
  • Neomycin Topical
  • Clobetasol Topical

Fourderm Cream Price in India:

Quantity Company Name INR
10 gm Cipla Ltd 98

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How to use Fourderm Cream?

  • The patients should wash the affected area before applying the ointment.
  • To avoid contamination, the patients must wash their hands before applying Fourderm.
  • Fourderm Cream must be applied in a thin layer over the affected area and gently massaged for a few seconds.
  • The hands must be washed immediately after Fourderm Cream is applied; unless the hands are the affected area where the medicine is to be used.
  • Fourderm Cream must not be applied on sensitive areas such as the near the genitals, eyes or nose.
  • Fourderm must not be applied in excess amounts to avoid undesirable side effects.
  • It is advisable that the patients must carefully read the leaflet inside the package before applying Fourderm.

How Fourderm Cream works?

The key components of Fourderm Cream ointment are Chlorhexidine Gluconate, Clobetasol Topical, Miconazole Topical and Neomycin Topical. . Fourderm Cream works like an antiseptic and a disinfectant. It prevents certain chemicals (prostaglandins) from generating after an allergic reaction or infection.

Each of the components of Fourderm Cream carries out specific functions. Chlorhexidine Gluconate eases out cuts, lesions and burns and prevents infection. Miconazole Topical prevents the proliferation of fungi, and it does so by preventing them from protecting themselves. Neomycin Topical destroys bacteria by inhibiting protein synthesis, which is used in the carrying out of crucial functions.

Warning and Precaution - When to Avoid Fourderm Cream?

Before Fourderm Cream is prescribed patients must make sure that the doctor has knowledge of the following things:

  • Vitamins, herbal supplements and all the medicines that the patient takes on a daily basis at present.
  • The current medical condition of the patient, or pre-existing diseases (if any).
  • Whether the patient is allergic or had an allergic reaction in the recent past.
  • If the patient is scheduled for a surgery or has had a surgery in the recent past.
  • If the patient is pregnant or planning to get pregnant.
  • Whether the patient is breastfeeding.

Due consideration should be given about whether Fourderm Cream should be administered or not in case the patient has:

  • Perioral dermatitis (a kind of a skin rash of severe nature)
  • An allergy
  • Contract with meninges
  • Hypersensitivity
  • Severe case of genital infection in the case of which other treatment methods might have to be prescribed.
  • Lesion or a burn on the affected area.

Other precautionary measures:

  • Wash your hands before and after use. However, do not wash them off if the hands are the affected area.
  • Make sure that the Fourderm Cream does not go inside the eyes or mouth.
  • Fourderm Cream might not work in case of systematic parasitic contamination.
  • Avoid sun exposure while you are on Fourderm Cream.
  • Do not wash the affected area immediately after use, and do not apply any other product on that area.
  • Apply a thin layer of the Fourderm Cream, as piling can lead to skin thinning
  • Women who have undergone a thyroid test lately should be cautious about using Fourderm Cream.
  • If the Fourderm Cream causes skin irritation initially, use it every alternate day instead of using it regularly.
  • Do not stop the Fourderm Cream abruptly if you have used it for a long time. Wean yourself out of it gradually.
  • Monitor your condition carefully after the Fourderm Cream begins. Inform the doctor if you do not see any improvement, or your condition deteriorates.

Fourderm Cream Interaction with Other Drugs:

If you are taking certain medications (alternative or allopathic), let your doctor know about those as one drug can alter the functions of another drug thereby leading to the aggravation of side effects. Fourderm Cream might render latex contraceptives (condoms) ineffective. Therefore, other preventive measures might have to be sought post the administration of Fourderm Cream.

Substitutes for Fourderm Cream:

These are some of the substitutes of Fourderm Cream (5 mg):

  • Tolsol
  • Tinaderm (10 mg)
  • Tanacidal
  • Tolnaftate
  • Tinaderm Cream manufactured by Unipharma Pharmaceutical Industries.
  • Tinavate Cream manufactured by Dabur India Ltd.
  • Tolsol Lotion manufactured by Jagsonpal Pharmaceuticals Ltd.

How to store Fourderm Cream?

  • The Fourderm cream should be stored at a dry and moisture free place.
  • The temperature at which the Fourderm cream will be kept must be below 25 degree Celsius.
  • It is advisable to keep the medicine away from the reach of children and pets.
  • The medicine must not be kept at a freezing temperature.


1) What are the storage instructions for Fourderm cream?

Ans: The Fourderm Cream should be stored at room temperature. Fourderm should not be refrigerated; neither should it be kept under high temperature conditions.

2) How many times does one have to apply Fourderm ointment?

Ans: The frequency of application depends on the type of the condition and its severity. But in general, most patients use it once daily. In some cases Fourderm might have to be applied twice.

3) Can one use Fourderm Cream to prevent excessive sweating in the private parts and thereby infections?

Ans: It is better to not use Fourderm Cream as a preventive measure because Fourderm contains steroids. In these cases one can use creams like Candid, Onabet or Abzorb powder. For further information you should consult a dermatologist.

4) How much time gap should be there between the two applications of Fourderm cream?

Ans: An ideal gap between the two applications of Fourderm cream is approximately 10 minutes. However, it is advised that the ointment must be applied at time intervals as directed by the physician. Overuse of the Fourderm cream may lead to side effects.

5) Is Fourderm cream safe to be applied to children?

Ans: Yes, Fourderm cream can be applied to children. Children have more sensitive skin as compared to adults, therefore, as a precautionary measure, the doctor must be consulted.

6) When should the use of Fourderm cream be avoided?

Ans: Fourderm cream must not be used by the patients suffering from conditions such as allergy and hypersensitivity. Also, caution must be exercised while applying the ointment.

7) How long does it take for Fourderm Cream to show its effect?

Ans: Fourderm cream generally exhibits its effects within the first week of its use. However, the patients are advised not to discontinue its application without consulting a doctor.

8) Can Fourderm Cream be used for the treatment of tinea pedis and cutaneous candidiasis?

Ans: Yes, Fourderm Cream can be used for the treatment of cutaneous candidiasis (a type of fungal infection of the skin) and tinea pedis (fungal infection of the soles of the feet). However, it is advised that patients must use this ointment only on the advice of a doctor.

9) At what frequency should Fourderm Cream be used?

Ans: The most common frequency of applying Fourderm Cream is once or twice a day. However, it is advised that the patients must apply the ointment as prescribed by the doctor.

10) Can I stop using this cream immediately or do I have to slowly wean off its use?

Ans: No, it is not advisable to immediately stop the use of Fourderm cream. If a patient finds instant relief from using Fourderm cream, its use must be continued until the time prescribed by the doctor.

11) Do I need to avoid a particular food item while applying Fourderm cream?

Ans: No, there is no need to avoid a particular food item while applying Fourderm cream.

12) Can Fourderm be used by pregnant women?

Ans: No, the use of Fourderm Cream is not suggested for pregnant women.  Animal studies have shown that the application of Fourderm cream causes harm to the developing fetus. However, the doctor may advise the patients to use Fourderm cream if the benefits outweigh the risks.

13) Is Fourderm Cream safe for lactating mothers?

Ans: Yes, the Fourderm Cream is safe for lactating mothers.  However, the ointment must only be used on the advice of a doctor.

14) What will happen if a patient continuously misses the application of Fourderm?

Ans: The ointment may become less effective if not applied continuously. The patients are advised to apply the ointment as soon as they remember about it. However, overuse of the cream must be avoided as it may lead to severe side effects.

15) What will happen if a patient uses an expired Fourderm Cream?

Ans: An expired Fourderm Cream will become less effective and may not be able to cure the condition. In case some undesirable symptoms appear due to the use of expired Fourderm Cream, the doctor must be immediately consulted.

16) Is it safe to drive or operate heavy machinery after applying Fourderm Cream?

Ans: Yes, it is completely safe to drive or operate heavy machinery after applying Fourderm Cream.  In case a patient experiences any side effects, it is advisable to immediately consult a doctor .

16) Can Fourderm cause drowsiness?

Ans: No. The use of Fourderm cream does not cause drowsiness. However, if a patient experiences drowsiness, he/she must consult a doctor.

17) Can Fourderm cream be used for the treatment of ringworm?

Ans: Yes, the ointment can be prescribed for alleviating the symptoms related to ringworm. Fourderm has antifungal properties which can reduce the ringworm infection.

18) Can Fourderm cream be used to reduce pimples from the face?

Ans: No, it not advisable to apply Fourderm cream on the face to eliminate pimples caused by bacteria. This is because Fourderm cream contains clobetasol which is a topical steroid and may increase the number of pimples.

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Last updated on : 26-09-2019

Disclaimer : Docprime doesn’t endorse or take any guarantee of the accuracy or completeness of information provided under this article and these are the views strictly of the writer. Docprime shall not be held responsible for any aspect of healthcare services administered with the information provided on this article.

User Comments (1)



Tue Jul 09 2019

Fourderm is a sterode cream or not


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