Elocom Plus

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Elocom Plus

Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Elocom Plus

Quick Facts

Property Description
Active ingredients Mometasone Furoate, Sodium Salicylate
Form Topical Solution
Pharmacological class Potent Corticosteroid and Keratolytic Agent
Common use (General) Symptomatic relief of inflammatory skin disorders
Origin Synthetic Compound

Defining Elocom Plus: A Topical Combination Product

Elocom Plus is a prescription-only dermatological preparation categorized as a fixed-dose combination product designed for cutaneous application. It is primarily formulated as a clear topical solution, a liquid preparation specifically suited for effective application to areas with hair, such as the scalp. This strategic approach combines two distinct active pharmacological agents into a single synthetic preparation. This dual-component format is clinically recognized for addressing a specific cluster of inflammatory skin symptoms simultaneously, offering a consolidated therapeutic approach compared to applying two separate topical monotherapies sequentially.

Composition and Pharmacological Classification

The preparation's identity rests on its two core active ingredients [INN]: Mometasone Furoate and Sodium Salicylate. Mometasone Furoate is a synthetic compound classified as a potent topical glucocorticoid (corticosteroid), providing anti-inflammatory and immunosuppressive effects. Sodium Salicylate, a derivative of Salicylic Acid, primarily functions as a keratolytic agent, known for its descaling action. This places the product in the combined corticosteroid and keratolytic therapeutic class. The combination provides an effective synergy for enhanced surface action.

General Purpose and Therapeutic Rationale

The general purpose of this combination medicine is to provide focused, dual-action symptomatic relief for specific inflammatory skin disorders characterized by concurrent hyperkeratosis (skin scaling or thickening). The rationale relies on the synergy of the two active ingredients: the anti-inflammatory property of the potent Mometasone Furoate quickly alleviates symptoms such as pruritus (itching) and redness. Concurrently, the Sodium Salicylate component acts on the skin's surface, softening and loosening the thick, scaly outer layer, which enhances the penetration and effectiveness of the corticosteroid into the affected tissue. This systematic approach ensures comprehensive management of both the underlying inflammation and the superficial scaling.

Regulatory References

  1. NIH, Mometasone Furoate Topical Solution

What side effects are possible with Elocom Plus?

Possible Side Effects and Safety Information

The official safety profile for Elocom Plus (Mometasone Furoate and Sodium Salicylate Topical Solution) is primarily defined by the documented risks associated with its potent corticosteroid and keratolytic components, as classified in government regulatory sources.


Local and Systemic Adverse Reactions

Adverse reactions are classified by frequency, with the most common being local application site reactions.

Classification Examples of Reactions (by SOC)
Common Burning, stinging, and pruritus (itching) [Skin and Subcutaneous Tissue Disorders]
Uncommon Skin atrophy (thinning), striae (stretch marks), folliculitis [Skin and Subcutaneous Tissue Disorders]
Frequency Not Known HPA axis suppression [Endocrine Disorders], Salicylism [Nervous System Disorders], Irritation, Hypopigmentation [Skin and Subcutaneous Tissue Disorders]

Serious adverse reactions documented in regulatory sources include Adrenal Suppression (due to Hypothalamic-Pituitary-Adrenal, or HPA, axis suppression) and manifestations of Cushing’s Syndrome, which result from systemic absorption of the potent corticosteroid. Severe Salicylism (salicylate toxicity) is also a documented serious risk.


Safety Patterns and Constraints

Safety is strongly tied to the duration and extent of exposure. Systemic effects and local changes like skin atrophy are explicitly associated with prolonged use, extensive application to large areas, or application under occlusion.

Regulatory documentation highlights specific population-based safety considerations. Pediatric patients are identified as having a greater susceptibility to systemic toxicity, including HPA axis suppression. Additionally, use in the third trimester of pregnancy presents risks to the fetus due to the salicylate component. Application is restricted and must be avoided near the eyes, mucosae, or on broken skin to mitigate absorption risk.

Overdose and Emergency Response

Overdose and when to seek help

The official regulatory documents state that the overdose profile for this combination product is defined by two primary systemic risks resulting from excessive absorption of the active ingredients.

Documented Overdose Presentations and Actions

The most common presentation of systemic toxicity is salicylism, which is associated with the sodium salicylate component following prolonged use or application over large surface areas. Signs of salicylism documented in prescribing information include tinnitus (ringing in the ears), dizziness, vomiting, hyperventilation, and acid-base disturbance. Accidental ingestion of the solution is a separate circumstance requiring urgent action. If ingestion occurs or if salicylate symptoms appear, regulators mandate that the patient contact a doctor immediately or visit the nearest hospital.

Officially described supportive measures for acute salicylate toxicity include measuring plasma salicylate concentration and employing urinary alkalinisation for enhanced elimination.

Chronic Risk and Specific Considerations

Chronic overdose of the potent mometasone furoate component can lead to Hypothalamic-Pituitary-Adrenal (HPA) axis suppression and the clinical features of Cushing's syndrome. Patients with these chronic systemic signs may require medical monitoring. Population-specific notes indicate that in children aged 4 years or younger, systemic salicylate poisoning may exhibit a dominant metabolic acidosis.

Therapeutic Uses of Elocom Plus

What Elocom Plus Treats: Main Uses and Benefits

Targeting Inflammatory and Hyperkeratotic Skin Plaque

This medication is commonly used in patients managing conditions characterized by both significant inflammation and noticeable scaling, such as plaque psoriasis and certain forms of eczema. The product is applied in settings marked by heightened patient distress caused by the concurrent symptoms of intense itching and pronounced redness. This dual-component approach is considered relevant for easing symptoms that become more disruptive during flare-ups.

Relief of Dual Symptom Burden

The primary therapeutic benefit involves supportive management of two distinct symptom groups: pruritus and erythema, alongside hyperkeratosis and induration. It is commonly used to help with symptom clusters that may become intense or disruptive, and may support patients in managing symptoms during difficult episodes. The primary indications are conditions involving inflammatory or irritative processes that present with marked scaling and inflammation.

Application for Chronic, Localized Lesions

The solution is commonly applied in scenarios involving chronic, localized skin plaques, including those found in hair-bearing areas such as the scalp. This supportive management is appropriate for conditions where symptoms that interfere with daily functioning are present or where symptoms create noticeable physiological strain.


Quick Fact: Relief for Dual Symptom Burden Description
Primary Symptom Domains Inflammation (itching, redness) and Hyperkeratosis (scaling, thickening)
Typical Use Context Management of chronic, localized, and hyperkeratotic plaques
General Benefit Supports general well-being and contributes to easing overall symptom load

Regulatory References

  1. NIH's ClinicalTrials.gov

Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Elocom Plus — Official Regulatory Information

The eligibility profile for Elocom Plus (Mometasone Furoate and Sodium Salicylate) is strictly defined by regulatory documents based on contraindications and population restrictions.


Populations for Whom Use is Prohibited or Restricted

Classification Eligible Population Prohibited/Restricted Populations
Age-Related Adults and adolescents 12 years of age and older (for solution form). Children below 12 years of age (use is not established or not recommended).
Physiological Status Generally allowed in non-pregnant, non-lactating adults. Pregnant patients in the last trimester (contraindicated due to Salicylic Acid). Lactating patients (use with caution).
Comorbidities N/A Patients with Liver Failure or Diabetes Mellitus (use requires caution due to systemic absorption risk).

Absolute Contraindications

The medicine must not be used in patients with a known hypersensitivity to the active ingredients or excipients. Use is also prohibited in individuals with untreated viral skin infections (e.g., Herpes Simplex, Varicella), fungal infections, or bacterial infections. Furthermore, the medicine is contraindicated for specific skin conditions, including rosacea, acne vulgaris, perioral dermatitis, skin atrophy, and application to ulcers or wounds.

What should I know about interactions with other medicines?

Interactions with other medicines and products

This section outlines the officially documented interaction patterns for Elocom Plus, a combination product containing Mometasone Furoate and Sodium Salicylate, based on government regulatory documents.


Interaction Scope

The most significant restriction is a population-specific contraindication: use of the salicylate component is formally prohibited for children and teenagers experiencing a viral illness, such as varicella (chickenpox) or influenza (flu), due to the documented risk of Reye's syndrome.

For the Mometasone Furoate component, co-administration with strong CYP3A4 inhibitors (e.g., Ritonavir) may lead to increased systemic exposure and enhanced corticosteroid effects, a pharmacokinetic interaction.


Exposure-Modifying and Pharmacodynamic Interactions

Interactions primarily involve the salicylate component and concern exposure modification or pharmacodynamic interference:

  • Oral Anticoagulants (e.g., Heparin) pose a risk of pharmacodynamic interference; the salicylate may decrease platelet adhesiveness and interfere with hemostasis.
  • Methotrexate co-administration may result in clinical toxicity due to competition that decreases its tubular reabsorption.
  • Sulfonylureas may be affected by competition for serum albumin binding, potentially resulting in potentiated hypoglycemia.
  • Corticosteroids (including the Mometasone component itself) may decrease plasma salicylate levels; conversely, tapering a corticosteroid dose may promote salicylism.
  • Acidifying Agents may increase plasma salicylate levels, while Alkalinizing Agents may decrease these levels.

No mandatory timing separation requirements or documented interactions with food, alcohol, or herbal products are explicitly stated in the regulatory label text.

Mechanism of Action

Elocom Plus utilizes a dual-action mechanism to exert anti-inflammatory and antipruritic effects. Mometasone furoate, a synthetic corticosteroid, penetrates the target cell membrane and binds to the cytosolic glucocorticoid receptor . This receptor-ligand complex translocates to the nucleus where it modulates gene expression, resulting in the inhibition of prostaglandin and leukotriene synthesis pathways. This mechanistic consequence attenuates local vasodilation and tissue edema. The second active ingredient, salicylic acid, acts as a keratolytic agent by solubilizing the intercellular cement substance in the stratum corneum. This keratolytic activity facilitates the transdermal delivery and subsequent absorption of mometasone furoate. The combination of these molecular and biophysical effects contributes to the overall pharmacological activity of the formulation and influences epidermal homeostasis.

Dosage and Administration Information

How to Use Elocom Plus

The administration guidelines for Elocom Plus, a topical solution containing Mometasone Furoate and a Salicylate compound, define a structured regimen for cutaneous use.


Administration Scope

Parameter Instruction
Route of administration Strictly Topical (Cutaneous) application for external use only.
Dosing schedule Apply a thin film or a few drops to the affected area. Treatment should not exceed 30% of the Body Surface Area (BSA).
Frequency and Timing Applied once daily or, in some regimens, up to twice daily. Applications should be discontinued when control is achieved.
Age-group administration rules Adolescents (12 years and older): Standard adult dosing. Pediatric Patients (2 to 12 years): Use is limited, generally not longer than 5 days. Children Under 2 Years: Not recommended.
Special procedural conditions Occlusive dressings are not recommended. Application must avoid the face, groin, and axillae. A flammability warning advises to avoid flames after use.

Resulting Procedural Structure

Administration involves massaging the solution gently into the skin. Treatment duration should generally not exceed 3 continuous weeks. If therapy is prolonged, the applications should be gradually tapered down to avoid abrupt cessation patterns. This framework structures how the medicine is administered to the skin, including age-based time limitations and strict quantitative limits.

Recent Clinical Evidence

Research evidence / Overview of studies for Elocom Plus

The research record for Elocom Plus—the fixed-dose combination of Mometasone Furoate and Sodium Salicylate—primarily focuses on how this combination product was studied for specific inflammatory skin conditions characterized by significant scaling. The evidence base is largely built upon the findings of randomized controlled trials (RCTs) that studies explored the combination against one of its components used alone.


Evidence for Use in Plaque Psoriasis

The largest volume of authoritative data for this combination product relates to the context of Plaque Psoriasis, specifically lesions involving notable hyperkeratosis (skin scaling and thickening). These studies explored short-term symptom changes in adult patients with mild-to-severe forms of the condition, where symptoms may vary in intensity.

Outcomes Measured in Primary Trials

Trials reported measurements related to the change in severity of skin plaques and symptom scores following treatment periods lasting typically three to six weeks. These studies monitored several types of outcomes that were relevant in evidence describing how symptoms are measured, including Total Disease Sign Scores and Patient-Reported Outcomes (PROs). Reports described that studies found differences in the measured changes of specific physical signs, particularly scaling and induration, when the keratolytic component was used compared to the corticosteroid alone.


Long-Term Studies and Follow-Up Data

The primary comparative efficacy trials research explored short-term symptom changes, with most core studies observing responses over defined time intervals lasting three to six weeks. However, the follow-up durations were limited in these pivotal trials. Consequently, the long-term effects are not fully established, and there is limited information for long-term outcomes beyond the initial treatment phase.


Evidence Gaps and Areas of Uncertainty

The research highlights what is known—and what is still uncertain—about this combination product. The evidence data show patterns related to Plaque Psoriasis, but subgroup findings are uncertain or insufficient for determining how the product may perform in other less common inflammatory and hyperkeratotic skin conditions. Data for certain groups remain insufficient, particularly for pediatric patients (children and adolescents), due to the focus on adults in the key comparative studies. Study results reflect the specific conditions under which they were conducted.

Frequently Asked Questions (FAQ)

Common questions about Elocom Plus (FAQ)

Q: What is the difference between Elocom Plus and plain Elocom?

A: Elocom Plus is classified as a fixed-dose combination product. It contains two active ingredients: the potent corticosteroid Mometasone Furoate and a salicylate derivative. In contrast, plain Elocom is defined in regulatory documents as containing only Mometasone Furoate. The combination formulation is intended to provide anti-inflammatory action alongside keratolysis (scaling reduction).

Q: Is Elocom Plus a steroid cream?

A: Official product documentation describes Elocom Plus as a topical solution rather than a cream. It contains the active ingredient Mometasone Furoate, which is classified as a potent glucocorticoid or corticosteroid due to its anti-inflammatory effects.

Q: Why does Elocom Plus also contain a fungal treatment?

A: This product does not contain an antifungal agent. The 'plus' component is a salicylate derivative that acts as a keratolytic agent, meaning it helps soften and loosen the thickened, scaly outer layer of the skin. This specific component is included to enhance the penetration and effectiveness of the corticosteroid. In fact, official documents prohibit use on existing fungal infections.

Q: How long does it typically take to see a difference when using Elocom Plus?

A: Pivotal randomized controlled trials (RCTs) that studied this product explored changes in symptoms over defined treatment intervals, often lasting three to six weeks. Regulatory documents generally report on overall trial outcomes and do not offer a predicted or standardized time frame for individual results.

Q: Are there any common over-the-counter creams that interact with Elocom Plus?

A: Official regulatory documents primarily list defined pharmacokinetic and pharmacodynamic interactions with specific systemic drug classes, such as oral anticoagulants and strong CYP3A4 inhibitors. Specific interactions with common over-the-counter topical creams or moisturizers are not detailed in the labeling, though co-administration of other topical products requires consideration.

Q: Does Elocom Plus have an effect on the immune system?

A: The Mometasone Furoate component is classified as a potent corticosteroid. This class of medicine works by modulating gene expression within cells, which produces both anti-inflammatory and immunosuppressive effects at the site of application. The potential for any broader effect is generally related to the extent of systemic absorption.

Q: Can older adults use Elocom Plus without special considerations?

A: The official eligibility map defines age restrictions primarily for children and pregnancy. While specific cautions for the geriatric population are not explicitly detailed, the potential risk of systemic absorption of the potent corticosteroid ingredient warrants careful consideration for all adult patients.

Q: What conditions does Elocom Plus treat that Elocom alone does not?

A: The combination product Elocom Plus is indicated for specific inflammatory skin conditions characterized by concurrent hyperkeratosis, which means significant scaling and thickening. The keratolytic component (salicylate) specifically addresses this scaling, which is the therapeutic difference compared to Mometasone monotherapy (plain Elocom).

Q: Is there a risk of withdrawal symptoms when stopping Elocom Plus?

A: Official administration instructions emphasize that if therapy is prolonged, applications should be gradually tapered down to avoid abrupt cessation patterns. The requirement to taper gradually is intended to avoid potential reactions associated with abrupt cessation.

Q: Can I apply makeup or moisturizer over Elocom Plus?

A: The administration rules for this topical solution strictly emphasize that the treated area must not be covered, bandaged, or otherwise occluded. The application of other topical products should factor in the risk of inadvertently creating an occlusive effect, which is known to increase systemic absorption and potential side effects.

Q: Are there studies on the long-term effects of using Elocom Plus intermittently?

A: The authoritative research record states that the core comparative efficacy trials were short-term, generally lasting only three to six weeks. Consequently, regulatory documents indicate that the long-term effects are not fully established, and this uncertainty applies to both continuous and intermittent application schedules.

Q: Has Elocom Plus been studied in people with kidney or liver issues?

A: The Eligibility Map notes that patients with Liver Failure are a population for whom use requires special caution due to the risk of increased systemic absorption. While this indicates regulatory consideration, specific details or results from clinical trials focused entirely on patients with kidney or liver impairment are not provided in the summary data.

Q: Is it necessary to finish the entire tube of Elocom Plus if symptoms improve quickly?

A: Official administration guidelines state that applications should be discontinued when control of the condition is achieved. This means that stopping the medication is required once symptoms are managed, regardless of the amount of solution remaining in the container.

Q: What patient counseling information is generally provided with Elocom Plus prescriptions?

A: General counseling information, synthesized from regulatory warnings, highlights the need to avoid application on the face, groin, and underarms, and to not exceed the prescribed duration. Additionally, a flammability warning is included, which instructs avoiding fire or smoking after applying the product.

Q: Are there official reports of drug dependence with Elocom Plus?

A: Official labeling does not use the specific term 'drug dependence' to describe reactions to this product. However, regulatory instructions require the dose to be gradually tapered down if therapy is prolonged to avoid abrupt cessation patterns. The procedural requirement to taper gradually acknowledges potential reactions associated with an abrupt cessation.

Q: Are there different strengths of Elocom Plus available?

A: The official product documentation refers to Elocom Plus Topical Solution as a fixed-dose combination product. This implies that the concentrations of Mometasone Furoate and the salicylate derivative are set and generally not available in varying strengths under this specific product name.

Q: Are there documented cases of Elocom Plus affecting the results of blood tests?

A: Official information describes potential systemic absorption leading to conditions like HPA axis suppression, as well as interactions with medications that affect blood parameters, such as sulfonylureas (which may cause hypoglycemia). These effects suggest that laboratory monitoring, including blood tests, may be relevant during use.

How should Elocom Plus be stored and disposed of?

How to Store and Dispose of Elocom Plus?

This section describes the official storage, handling, and disposal requirements for the product, as mandated by regulatory documents.


Storage and Handling

  • Temperature Control: Store the product at controlled room temperature, typically between 20 C to 25 C (68 F to 77 F). Do not refrigerate or freeze the medicine, and keep it in a cool, dry place.
  • Prohibited Environments: Avoid storing the product in high-moisture areas (e.g., bathroom, near a sink) or places prone to temperature extremes (e.g., window sills, cars).
  • Child Safety: The medication must be kept out of the sight and reach of children and pets.
  • Fire Warning: Official guidance warns against smoking or going near naked flames after application, as fabrics (like clothing or bedding) that come into contact with the product may burn more easily.

️ Disposal Requirements

  • Do not use the medicine after the expiry date printed on the packaging.
  • Do not dispose of any medicines via household waste or by flushing down a toilet or sink.
  • Expired or unused medication must be returned to a pharmacist for safe disposal.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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