Generic
Betamethasone + Clotrimazole + Gentamicin Topical
5 brands available in the market
At a glance
Betamethasone + Clotrimazole + Gentamicin Topical is a combination preparation used for the treatment of acute and chronic eczema, dermatitis, psoriasis, skin mycosis, and skin diseases complicated by secondary bacterial and fungal infections.
Description
Betamethasone + Clotrimazole + Gentamicin Topical is a combination preparation indicated for acute and chronic eczema, contact dermatitis, atopic dermatitis, seborrheic dermatitis, chronic simple lichen, intertrigo, exfoliative dermatitis, papular urticaria, psoriasis, pruritus vulvae, pruritus ani, dermatitis solaris; skin mycosis (athlete's foot, trichophytia), tinea versicolor; insect bite, and skin disease complicated by secondary bacterial infection.
Betamethasone dipropionate is a synthetic fluorinated corticosteroid that is active topically and produces a rapid and sustained response in inflammatory dermatoses. Gentamicin sulfate is a bactericidal antibiotic active against gram-negative and gram-positive bacteria. Clotrimazole is a broad-spectrum antifungal that also exhibits activity against Trichomonas, Staphylococci, Streptococci and Bacteroides.
Apply a thin film to affected skin areas twice daily. Limit treatment to less than 45g per week.
Indications
- Acute & chronic eczema
- Contact dermatitis
- Atopic dermatitis
- Seborrheic dermatitis
- Chronic simple lichen
- Intertrigo
- Exfoliative dermatitis
- Papular urticaria
- Psoriasis
- Pruritus vulvae
- Pruritus ani
- Dermatitis solaris
- Skin mycosis (athlete's foot, trichophytia)
- Tinea versicolor
- Insect bite
- Skin disease complicated by secondary bacterial infection
Therapeutic class
Topical Antibiotic + Antifungal + Corticosteroid
Pharmacological class
Corticosteroid + Antibiotic + Antifungal
Pharmacology
Betamethasone dipropionate is a synthetic fluorinated corticosteroid. It is active topically and produces a rapid and sustained response in inflammatory dermatoses. Gentamicin sulfate is a bactericidal antibiotic active against a wide variety of pathogenic gram-negative and gram-positive bacteria. Clotrimazole is a broad-spectrum antifungal that also exhibits activity against Trichomonas, Staphylococci, Streptococci and Bacteroides.
In combination, this preparation offers superior anti-inflammatory, antipruritic, bactericidal and fungicidal action for treatment of inflammatory and allergic dermatological conditions threatened or complicated by bacterial and/or common fungal infections.
Mechanism of action
Betamethasone reduces inflammation and itching, Gentamicin stops bacterial growth, and Clotrimazole stops fungal growth. Together, they provide effective treatment for complicated skin infections.
Dosage
Adults: Apply a thin film to affected skin areas twice daily. Limit treatment to less than 45g per week. Duration of therapy varies depending upon the extent and location of disease and patient response. If clinical improvement is not achieved by 3-4 weeks, diagnosis should be reviewed.
Administration
For external use only. Clean and dry the affected area and apply a small amount of cream. Wash hands after application. Avoid contact with eyes. Do not use occlusive dressings.
Missed dose
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double the dose.
Side effects
- Local skin atrophy
- Striae
- Superficial vascular dilation
- Mild burning or irritation
- Skin atrophy
- Facial erythema
- Itching, flare, vesicle, urticaria
Serious (on large burned areas or prolonged use): Ototoxicity, nephrotoxicity (especially in renal insufficiency or with other ototoxic/nephrotoxic drugs)
Precautions & warnings
- Large amount use or long-term occlusive dressing therapy may cause systemic steroid effects
- If severe irritation or allergy occurs, discontinue use
- Do not use in the eyes
- Discontinue use if no improvement or condition worsens
- Caution during pregnancy and lactation
- Avoid prolonged use without medical advice
Contraindications
- Hypersensitivity to betamethasone, clotrimazole, gentamicin, or any component
- Tuberculosis and viral skin lesions (herpes simplex, vaccinia, varicella)
Drug interactions
No significant interactions with other topical medications are known. Caution with other ototoxic or nephrotoxic drugs.
Food interactions
No food-related restrictions (topical application).
Use in pregnancy
[CONSULT YOUR DOCTOR] Limited safety data during pregnancy. Corticosteroids should be avoided in the first trimester if possible. Use only if clearly needed and under medical supervision.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Use in lactation
[CONSULT YOUR DOCTOR] Corticosteroids may be excreted in breast milk. Use with caution in nursing mothers.
Pediatric use
Use as directed by a physician for children. Avoid prolonged use in neonates and infants.
Geriatric use
No dose adjustment needed for elderly patients, but caution is advised.
Renal / hepatic impairment
Systemic absorption with topical application is minimal, but caution is advised with prolonged use on large areas in renal impairment.
Overdose effects
Overuse may cause skin atrophy and systemic steroid effects. Discontinue use and consult a doctor if symptoms occur.
Storage conditions
Store below 30°C, away from light and moisture. Keep out of reach of children.
Chemical structure
Betamethasone Dipropionate + Clotrimazole + Gentamicin Sulphate