clobetasol topical

Adult Dosing .

Dosage forms:  OINT: 0.05%; CRM: 0.05%; CRM (emollient): 0.5%; GEL: 0.05%; LOTION: 0.05%; FOAM: 0.05%; FOAM (emulsion): 0.05%; SHMP: 0.05%; SOL: 0.05%; SPRAY: 0.05%

Special Note

[strength clarification]

Info: clobetasol 0.05% ointment, cream, cream (emollient), gel, lotion, foam, foam (emulsion), shampoo, solution, spray = highest potency

[additional info]

Info: search Topical Corticosteroid Potencies for Rx and OTC products classified by potency w/ dosage forms and strengths

dermatoses, steroid-responsive

[apply ointment, cream, cream (emollient), gel, lotion, foam (emulsion) bid]

Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

scalp dermatoses, moderate-severe steroid-responsive

[apply solution bid]

Max: 50 mL/wk; Info: taper dose gradually to D/C if long-term use

psoriasis, mild-moderate plaque

[apply foam bid for up to 4wk]

Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

psoriasis, moderate-severe plaque

[cream (emollient) or lotion form]

Dose: apply bid for up to 4wk; Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

[spray form]

Dose: apply bid for up to 4wk; Max: 26 sprays/application up to 52 sprays/day, 50 g/wk; Info: tx area should not exceed 20% BSA; taper dose gradually to D/C if long-term use

psoriasis, plaque

[apply ointment, cream, gel, foam (emulsion) bid for up to 4wk]

Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

psoriasis, moderate-severe scalp

[foam or solution form]

Dose: apply bid for at least 4wk; Max: 50 g/wk foam; 50 mL/wk solution; Info: taper dose gradually to D/C if long-term use

[shampoo form]

Dose: apply to dry scalp qd for at least 4wk; Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

atopic dermatitis

[ointment, cream, cream (emollient), gel, lotion, or foam (emulsion) form]

Dose: apply qd-bid; Max: 50 g/wk; Info: consider applying medium potency product 2x/wk after clinical effect achieved for maintenance tx; taper dose gradually to D/C if long-term use

[foam or spray form (off-label)]

Dose: apply qd-bid; Max: 50 g/wk; 26 sprays/application up to 52 sprays/day; Info: tx area for spray should not exceed 20% BSA; consider applying medium potency product 2x/wk after clinical effect achieved for maintenance tx; taper dose gradually to D/C if long-term use

Peds Dosing .

Dosage forms:  OINT: 0.05%; CRM: 0.05%; CRM (emollient): 0.05%; GEL: 0.05%; FOAM: 0.05%; FOAM (emulsion): 0.05%; SOL: 0.05%

Special Note

[strength clarification]

Info: clobetasol 0.05% ointment, cream, cream (emollient), gel, foam, foam (emulsion), solution = highest potency

[additional info]

Info: search Topical Corticosteroid Potencies for Rx and OTC products classified by potency w/ dosage forms and strengths

dermatoses, steroid-responsive

[12 yo and older]

Dose: apply ointment, cream, cream (emollient), gel, foam (emulsion) bid; Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

scalp dermatoses, moderate-severe steroid-responsive

[12 yo and older]

Dose: apply solution bid; Max: 50 mL/wk; Info: taper dose gradually to D/C if long-term use

psoriasis, mild-moderate plaque

[12 yo and older]

Dose: apply foam bid for up to 2wk; Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

psoriasis, moderate-severe plaque

[16 yo and older]

Dose: apply cream (emollient) bid for up to 4wk; Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

psoriasis, plaque

[12 yo and older]

Dose: apply ointment, cream, gel, foam (emulsion) bid for up to 2wk; Max: 50 g/wk; Info: taper dose gradually to D/C if long-term use

psoriasis, moderate-severe scalp

[12 yo and older]

Dose: apply foam or solution bid for up to 2wk; Max: 50 g/wk foam; 50 mL/wk solution; Info: taper dose gradually to D/C if long-term use

atopic dermatitis

[ointment, cream, cream (emollient), gel, or foam (emulsion) form, 12 yo and older]

Dose: apply qd-bid; Max: 50 g/wk; Info: consider applying medium potency product 2x/wk after clinical effect achieved for maintenance tx; taper dose gradually to D/C if long-term use

[foam form, 12 yo and older (off-label)]

Dose; apply qd-bid; Max: 50 g/wk; Info: consider applying medium potency product 2x/wk after clinical effect achieved for maintenance tx; taper dose gradually to D/C if long-term use