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At a glance

Clobetasone Butyrate 0.05% Topical is a moderately potent topical corticosteroid used for the treatment of eczema, dermatitis, and other inflammatory skin conditions.

Indications
  • Inflammatory skin disorders
  • Eczema
  • Dermatitis
  • Atopic eczema
  • Photodermatitis
  • Otitis externa
  • Primary irritant & allergic dermatitis (napkin rash)
  • Prurigo nodularis
  • Seborrhoeic dermatitis
  • Insect bite reactions
Pharmacology

Clobetasone butyrate is classed as a moderately potent topical corticosteroid. Corticosteroids decrease inflammation by stabilizing leukocyte lysosomal membranes, preventing release of destructive acid hydrolases from leukocytes; inhibiting macrophage accumulation in inflamed areas; reducing leukocyte adhesion to capillary endothelium; reducing capillary wall permeability and edema formation; decreasing complement components; antagonizing histamine activity and release of kinin from substrates; and reducing fibroblast proliferation, collagen deposition, and subsequent scar tissue formation.

Dosage

Adult Dose (Topical): Use as 0.05% cream or ointment to be applied thinly once or twice daily on affected areas. Should not be used every day for more than 4 weeks at a time.

Side effects

Common Side Effects:

  • Local atrophic changes (skin thinning)
  • Pigmentation changes
  • Hypertrichosis (excessive hair growth)
  • Increased liability to infection
  • Infections may be masked
  • Acute adrenal insufficiency
  • Growth retardation in children
  • Cushingoid symptoms
  • Amenorrhoea
  • Hyperhidrosis (excessive sweating)
Use in pregnancy

Safety data on clobetasone in pregnant women is not available. Published data report a significantly increased risk of low birthweight with the use of greater than 300 grams of potent or very potent topical corticosteroid during pregnancy. Pregnancy Category C.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • May be absorbed in sufficient amounts to cause systemic effects when applied topically to large areas, broken skin or under occlusive dressings.
  • Use with caution in peptic ulcer, osteoporosis, psychoses or severe psychoneuroses.
  • Not to be used indiscriminately for pruritus.
  • Caution in CHF or hypertension, diabetes mellitus, epilepsy, glaucoma, infectious diseases, ocular herpes simplex, chronic renal failure and uraemia.
  • Caution in active or doubtfully quiescent tuberculosis.
  • Not for local treatment of eye disorders.
  • Avoid prolonged use on the face.
  • Caution during pregnancy and lactation.
Overdose effects

Acute overdosage is very unlikely to occur. In the case of chronic overdosage or misuse, features of hypercortisolism may appear; topical steroids should be discontinued gradually.

Storage conditions

Store in a cool and dry place, away from light and out of reach of children.

Clobetasone Butyrate 0.05% Topical — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.