Ketrel Special Precautions

Be careful with this medicine: Increasing the amount used will not improve the effectiveness or speed of action of the product and could cause redness, flaking (peeling skin) and discomfort.
Because of its activity, this cream is normally irritant to the skin. A certain number of precautions should be taken to reduce this effect: Ensure that the cream does not come into contact with the eyes, eyelids, nostrils or mouth. If contact accidentally occurs, carefully wash off with water.
If, before using this cream, the patient has already been treated with other topical exfoliating products (to smooth the skin), wait until the skin irritation disappears before beginning treatment.
Exposure to the sun and UV lamps will cause additional irritation. This being so, avoid exposure as much as possible during treatment. Treatment can nevertheless continue if exposure is reduced to a minimum (ensure protection by wearing a hat and using sunblock) and the number of applications is adjusted.
If exposed to the sun for longer than usual (e.g. spending a day at the beach), do not apply the cream the day before, on the day itself or the next day. If prior exposure has caused burning ("sunburn"), wait until it has fully settled before using the cream again.
When using this treatment, avoid using astringent (which dry the skin), drying or irritant cosmetic cleansers, perfumed products or products containing alcohol which could cause further irritation.
Patient can use her choice of makeup products for the lips and eyes, however, they should have an aqueous base only (contain water). Makeup such as powders and blushers may be used.
Regarding moisturising products, only those that do not contain oily components should be used to soothe facial dryness.
Advise patient to ask a doctor or pharmacist for advice before using this medicine, if in doubt.
Important information about some of the ingredients of this medicine: This medicine contains butylated hydroxyanisole (E320) and butylated hydroxytoluene (E321) which can cause local skin reactions (e.g. eczema) or irritate the skin, eyes and mucous membranes.
Because of the presence of methyl and propyl parahydroxybenzoates, there is a risk of eczema and, in exceptional cases, allergic reactions including urticaria (red, itchy plaques on the skin) and respiratory difficulties.