Mometasone Cream (Hivate / Elocon): Uses, Dosage & Side Effects in Pakistan

Mometasone Cream (Hivate/Elocon) Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

2. What is Mometasone Cream? (Mometasone Cream kya hai)

Mometasone Cream (Hivate / Elocon) is a potent topical corticosteroid used in Pakistan for inflammatory skin conditions such as eczema, psoriasis, and contact dermatitis. Its active ingredient, mometasone furoate 0.1%, works by binding to glucocorticoid receptors, suppressing inflammatory cytokines (IL-1, IL-2, TNF-alpha) and phospholipase A2, reducing inflammation, erythema, pruritus, and oedema. It is classified as a potent (Class III in UK/WHO, Class IV in US) corticosteroid — more potent than hydrocortisone 1% but less than clobetasol propionate 0.05%. It requires a prescription and careful dermatologist supervision — misuse is very common in Pakistan.

3. Uses (Fayde / Kis kaam aati hai)

• Eczema / Atopic Dermatitis
• Psoriasis
• Seborrhoeic Dermatitis
• Contact Dermatitis
• Lichen planus
• Other corticosteroid-responsive dermatoses as diagnosed by a dermatologist

4. Who Should Take (Kis ko leni chahiye)

• Adults and children with eczema, psoriasis, or contact dermatitis diagnosed by a dermatologist
• Patients with inflammatory skin conditions that have not responded to mild steroids (hydrocortisone 1%)
• Used under dermatologist supervision — not for self-treatment of unknown rashes

5. When NOT to Take (Kab nahi leni chahiye)

• Do NOT apply to infected skin (bacterial, fungal, viral) without specific anti-infective treatment — steroid will worsen infection
• Do NOT apply to ring-shaped, spreading, or worsening rash — tinea (ringworm) must first be excluded by a dermatologist (tinea incognito risk)
• Do NOT use on face, eyelids, groin, or underarms without dermatologist supervision
• If you are allergic to mometasone furoate or any cream ingredient
• Rosacea, perioral dermatitis, acne, or skin infections — NOT indicated

6. Dosage (Kitni leni hai)

• Apply a thin layer to affected area once daily

• Once daily application — do not rub in completely; apply as a thin film

• Do not apply more than once daily; do not cover with occlusive dressings without doctor's advice (increases absorption significantly)

• 2-4 weeks continuous use maximum per body area; longer or repeat use requires dermatologist review

7. How to Take (Kaise leni hai)

• Gently clean and dry the affected area

• Apply a thin layer of cream — applying more is not necessary and increases the risk of side effects

• Once daily is sufficient — do not apply more frequently

• Always wash hands after application

8. Best Time (Kab leni chahiye)

• Applying before bedtime at night is often advised — allows prolonged contact time

• If moisturiser and steroid cream are prescribed together, apply the moisturiser first, then the steroid cream 15-20 minutes later

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

This is a topical cream — it has no relation to food intake. Apply only to the skin as directed. Avoid contact with eyes or mouth.

10. Warnings (Ihtiyat)

If the rash is ring-shaped, spreading, or worsening with skin trauma — first have a dermatologist rule out tinea (ringworm). Applying mometasone to ringworm may initially relieve itching but the infection spreads, changes appearance, and becomes harder to diagnose. Tinea incognito is very common in Pakistan because people apply steroids to unknown rashes.

Use on the face, eyelids, genitals, or underarms only under dermatologist guidance — skin is thinner and absorption is higher in these areas.

Use for the shortest possible duration in children. Avoid on the scalp or face. The risk of systemic absorption is higher in children.

11. Precautions (Ahm ehtiyaat)

• Below 30°C; keep tube tightly closed
• Keep away from direct sunlight and heat
• Keep out of the reach of children

12. Side Effects (Nuksanat)

• Skin atrophy
• Telangiectasia
• Perioral dermatitis
• Hypopigmentation on dark skin (pale patches)
• Acne-form eruption, increased hair growth at application site

• HPA axis suppression (systemic absorption — children/large area/prolonged use)
• Tinea incognito
• Cushing's syndrome (very prolonged or extensive use)
• Glaucoma / cataracts (periorbital use)
• Striae — stretch marks (irreversible)

13. Drug Interactions (Dawaon ke sath reaction)

• Interactions are minimal with topical use
• Large surface area application + occlusion: CYP3A4 inhibitors (ketoconazole) can increase systemic mometasone levels
• Other topical steroids — do not apply multiple steroids to the same area at the same time

14. When to See Doctor (Kab doctor ke paas jayein)

• Rash spreading, worsening, or becoming ring-shaped
• Weight gain, moon face, buffalo hump (Cushing's — systemic absorption)
• Skin becoming very thin or starting to tear
• Pressure or blurring in the eyes (glaucoma — periorbital use)
• Poor growth or fatigue in children (HPA axis suppression)

15. Alternatives (Sasti Dusri Dawaein)

16. Price in Pakistan (Price kitni hai)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Mometasone cream kis kaam aata hai?

A: Mometasone cream is used for eczema, psoriasis, contact dermatitis, and other corticosteroid-responsive skin conditions. It is a potent steroid cream — do not use without a doctor's prescription and guidance.

Q: Mometasone cream ke side effects kya hain?

A: Using it for too long or on the wrong area can cause skin thinning, telangiectasia, perioral dermatitis, and HPA axis suppression in children. Applying it to tinea (ringworm) can cause the infection to spread.

Q: Mometasone cream chehra par laga sakte hain?

A: Only under strict dermatologist guidance. Avoid ordinary use on the face — there is a risk of skin atrophy, perioral dermatitis, and glaucoma near the eyes.

Q: Mometasone price Pakistan mein kya hai?

A: Price varies by brand (Hivate, Elocon) and pharmacy. Confirm the latest price at your local pharmacy or dawaai.pk.

Q: Mometasone cream zyada der tak use karna safe hai?

A: No — do not use continuously on the same area for more than 2-4 weeks. Irreversible stretch marks, skin thinning, and systemic effects can occur. Have your dermatologist review the situation.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-06-17

19. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.