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Locacorten Vioform is a well-established fixed-dose combination therapy containing flumethasone pivalate (0.02%) and clioquinol (1% or 3%). Flumethasone pivalate is a moderately potent, difluorinated corticosteroid that acts as a glucocorticoid receptor agonist, providing localized anti-inflammatory, antipruritic, and vasoconstrictive effects. Clioquinol (iodochlorhydroxyquin) is a halogenated hydroxyquinoline with broad-spectrum antibacterial and antifungal properties, acting primarily as a metal chelator and DNA intercalator to disrupt microbial replication and cell wall integrity. Originally developed by Ciba-Geigy (now Novartis), the combination is approved for treating external ear infections (otitis externa), fungal ear infections (otomycosis), and various corticosteroid-responsive inflammatory dermatoses complicated by secondary bacterial or fungal infections. It is currently marketed and distributed globally by several specialty pharmaceutical companies, including Daleco Pharma in the Netherlands.
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