Drug

Classificati
on
I. Steriods
Mild
Steroids

Generic
Name

Mechanism of
Action

Contraindicatio
n

Aclometasone
0.05%

Alclometasone
reduces
the
swelling, itching,
and redness

1. Do not use if
there
is
an
infection or sore in
the area to be
treated.

Brand name:
Aclovate Cream
Aclovate
Ointment

2.During
pregnancy,
this
medication should
be used only when
clearly needed
It is not known
whether this drug
passes into breast
milk when applied
to the skin. Similar
medications pass
into breast milk
when
taken
by
mouth.

Adverse
reactions
Seek medical
attention right away
if any of these
SEVERE side effects
occur while taking
alclometasone
topical:
Severe allergic
reactions (rash;
hives; difficulty
breathing; tightness
in the chest; swelling
of the mouth, face,
lips, or tongue);
burning, itching,
redness, skin
thinning and
discoloration, or
swelling not present
before using
alclometasone
cream.

Nursing consideration

1.This medication is to be
used as directed by the
physician. It is for external
use only. Avoid contact
with the eyes.
2.This medication should
not be used for any
disorder other than that for
which it was prescribed.
3.The treated skin area
should not be bandaged,
otherwise covered or
wrapped so as to be
occlusive, unless directed
by the physician.
4.Patients should report to
their physician any signs of
local adverse reactions.
5.Parents of pediatric
patients should be advised
not to use Alclometasone
dipropionate cream or
ointment in the treatment
of diaper dermatitis.
Alclometasone
dipropionate cream or
ointment should not be
applied in the diaper area
as diapers or plastic pants
may constitute occlusive
dressing
6.This medication should
not be used on the face,
underarms, or groin areas
unless directed by the
physician.
7.As with other
corticosteroids, therapy
should be discontinued
when control is achieved. If

Usual Adult Dose for

Dermatitis&Eczema
Apply a thin film to the
affected area two or three
times a day
Comments: Massage
gently until the drug
disappears
Use: Relief of the
inflammatory and pruritic
manifestations of
corticosteroid-responsive
dermatoses
Usual Pediatric Dose for
Dermatitis&Eczema
1 year or older:
Apply a thin film to the
affected area two or three
times a day
-Safety and efficacy of
drug use in pediatric
patients for longer than 3
weeks have not been
established.
Use: Relief of the
inflammatory and pruritic
manifestations of
corticosteroid-responsive
dermatoses

Fluocinolone
0.01%

reduces
the
swelling, itching,
and redness

no improvement is seen
within 2 weeks, contact the
physician.

Brand Name:
Synalar 0.01%
(solution)

Seborrheic
Dermatitis
Psoriasis
Dermatitis
Eczema
Atopic
Dermatitis

Tell your doctor right

away if any of these
unlikely but serious
side effects occur:
stretch marks, skin
thinning/discoloratio
n, acne,
extreme/unwanted
hair growth, "hair
bumps" (folliculitis).
Skin infections can
become worse when
this medication is
used. Notify your
doctor promptly if
redness, swelling, or
irritation does not
improve.

Stinging, burning,
itching, irritation,
dryness, or redness at
the application site may
occur when this
medication is first
applied to the skin.
These effects should
disappear in a few days
as your body adjusts to
the medication. If any of
these effects persist or
worsen, notify your
doctor or pharmacist
promptly.

Use this medication on the

skin only. However, do not
use it on the face, groin, or
underarms unless directed
to do so by your doctor.
Wash and dry your hands
before using. Clean and
dry the affected area.
Apply a thin film of
medication to the affected
area and gently rub in,
usually 3-4 times daily or
as directed by your doctor.
Do not bandage, cover, or
wrap the area unless
directed to do so by your
doctor. If used in the
diaper area on an infant,
do not use tight-fitting
diapers or plastic pants.
After applying the
medication, wash your
hands unless you are using
this medication to treat the
hands. When applying this
medication near the eyes,
avoid getting it in the eyes
because this may worsen
or cause glaucoma. Also,

avoid getting this

medication in the nose or
mouth. If you get the
medication in these areas,
rinse with plenty of water.

Drug
Classificati
on
I. Steriods
Intermedia
te Potency
Steroid

Generic Name

Fluocinolone
0.025%
Brand name:

Synalar
(cream
ointment)

0.025%
and

adult:

Seborrheic
Dermatitis
Psoriasis

Mechanis
m of
Action
reduces the
swelling,
itching, and
redness
that
can
occur
in
these types
of
conditions.

Contraindicatio
n
1. Do not use if
there
is
an
infection or sore in
the area to be
treated.
2.During
pregnancy,
this
medication should
be used only when
clearly needed
It is not known
whether this drug
passes into breast
milk when applied

Adverse reactions

More common:
Body aches or pain

congestion

cough

dryness or soreness
of the throat

fever

headache

hoarseness

Nursing consideration

1.This medication
is to be used as
directed by the
physician. It is for
external use only.
Avoid contact
with the eyes.
2.This medication
should not be
used for any
disorder other
than that for
which it was
prescribed.
3.The treated
skin area should
not be bandaged,
otherwise

Use this medication on the

skin only. However, do not
use it on the face, groin, or
underarms unless directed
to do so by your doctor.
Wash and dry your hands
before using. Clean and
dry the affected area.
Apply a thin film of
medication to the affected
area and gently rub in,
usually 3-4 times daily or
as directed by your doctor.

Dermatitis

Eczema

Atopic
Dermatitis

to the skin. Similar

medications pass
into breast milk
when
taken
by
mouth.

lightening of normal
skin color

lightening of treated
areas of dark skin

sore throat
Less common:
Acne or pimples
accumulation of pus

pedia:

Atopic
Dermatitis

Seborrheic
Dermatitis

Dermatitis

Eczema

blistering, crusting,
irritation, itching, or
reddening of the skin

burning, itching, and

pain in hairy areas, or

burning and itching of

the skin with pinheadsized red blisters

Hydrocortisone
Butyrate 0.1%
Brand Name:
Locoid
(cream,
ointment,
solution)
adult:

covered or
wrapped so as to
be occlusive,
unless directed
by the physician.
4.Patients should
report to their
physician any
signs of local
adverse
reactions.
5.Parents of
pediatric patients
should be
advised not to
use
Alclometasone
dipropionate
cream or
ointment in the
treatment of
diaper dermatitis.

change in hearing
cracked, dry, scaly
skin

diarrhea

dry skin

earache or pain in

Discontinue
Hydrocortisone
Butyrate when

Do not bandage, cover, or

wrap the area unless
directed to do so by your
doctor. If used in the
diaper area on an infant,
do not use tight-fitting
diapers or plastic pants.
After applying the
medication, wash your
hands unless you are using
this medication to treat the
hands. When applying this
medication near the eyes,
avoid getting it in the eyes
because this may worsen
or cause glaucoma. Also,
avoid getting this
medication in the nose or
mouth. If you get the
medication in these areas,
rinse with plenty of water.

Dermatitis

Eczema

Psoriasis

Pruritus

Proctitis

Ulcerative
Colitis

Hemorrhoids

pedia:

Dermatitis

Eczema

Psoriasis

Pruritus

Proctitis

Ulcerative
Colitis

Hemorrhoids

Atopic
Dermatitis

control is
achieved.
Tell your doctor right away if
any of these unlikely but
serious side effects occur:
stretch marks, skin
thinning/discoloration, acne,
extreme/unwanted hair growth,
"hair bumps" (folliculitis).
These side effects are more
likely in children, and in people
who use this medication for a
long time or over large areas of
the skin. Tell your doctor right
away if any of the following
side effects occur:
unusual/extreme tiredness,
weight loss, headache, swelling
ankles/feet, increased
thirst/urination, vision
problems.
Less common:
Burning, itching,
redness, skin rash,
swelling, or soreness at
the application site
cough or hoarseness
dry skin
fever or chills
itching in the genital or
other skin areas
lower back or side pain
painful or difficult
urination
rash
rash with flat lesions or
small raised lesions on
the skin

Apply a thin film

to the affected
skin areas two or
three times daily
for corticosteroidreponsive
dermatoses in
adults. Consult
with your
physician to
determine if
treatment is
needed beyond 2
weeks.
Apply a thin film
to the affected
skin areas two
times daily for
atopic dermatitis
in patients 3
months of age
and older. Safety
of Hydrocortisone
Butyrate in
pediatric patients
has not been
established
beyond 4 weeks
of use.
Rub in
gently.Avoid
contact with the
eyes.
Do not bandage,
otherwise cover,
or wrap the
affected skin
area so as to be

 skin irritation
Incidence not known:
Blistering, burning,
crusting, dryness, or
flaking of the skin

itching, scaling, severe

redness, soreness, or
swelling of the skin

redness and scaling

around the mouth

thinning of the skin with

easy bruising, especially
when used on facial or
intertriginous areas

occlusive unless
directed by your
physician.
Do not use
Hydrocortisone
Butyrate in the
diaper area, as
diapers or plastic
pants may
constitute
occlusive
dressings.
Do not use
Hydrocortisone
Butyrate on the
face, underarms,
or groin areas
unless directed
by your
physician.
if no
improvement is
seen within 2
weeks, contact
your physician.
Do not use other
corticosteroidcontaining
products while
using
Hydrocortisone
Butyrate without
first consulting
your physician.

Drug
Classificati
on

Generic Name

Mechanis
m of
Action

Contraindicatio
n

Adverse reactions

Nursing consideration

I. Steriods
Intermedia
te Potency
Steroid

HYDROCORTISONE
PROBUTATE 1mg in
1g
Brand Name:
Pandel
adult:

Dermatitis

Eczema

Psoriasis

Pruritus

Proctitis

Ulcerative
Colitis

Hemorrhoids

pedia:

Dermatitis

Eczema

Psoriasis

Pruritus

reduces the
swelling,
itching, and
redness
that
can
occur
in
these types
of
conditions.

1. Do not use if
there
is
an
infection or sore in
the area to be
treated.
2.During
pregnancy,
this
medication should
be used only when
clearly needed
It is not known
whether this drug
passes into breast
milk when applied
to the skin. Similar
medications pass
into breast milk
when
taken
by
mouth.

Tell your doctor right away if

any of these unlikely but
serious side effects occur:
stretch marks, skin
thinning/discoloration, acne,
extreme/unwanted hair growth,
"hair bumps" (folliculitis).
These side effects are more
likely in children, and in people
who use this medication for a
long time or over large areas of
the skin. Tell your doctor right
away if any of the following
side effects occur:
unusual/extreme tiredness,
weight loss, headache, swelling
ankles/feet, increased
thirst/urination, vision
problems.
Less common:
Burning, itching,
redness, skin rash,
swelling, or soreness at
the application site
cough or hoarseness
dry skin
fever or chills
itching in the genital or
other skin areas
lower back or side pain
painful or difficult
urination
rash
rash with flat lesions or
small raised lesions on

. This medication
is to be used as
directed by the
physician. It is for
external use only.
Avoid contact
with the eyes.
2. This
medication
should not be
used for any
disorder other
than that for
which it was
prescribed.
3. The treated
skin area should
not be bandaged
or otherwise
covered or
wrapped so as to
be occlusive,
unless directed
by the physician.
4. Patients should
report to their
physician any
signs of local
adverse
reactions.
5. Parents of
pediatric patients
should be

Use this medication on the

skin only. However, do not
use it on the face, groin, or
underarms unless directed
to do so by your doctor.
Wash and dry your hands
before using. Clean and
dry the affected area.
Apply a thin film of
medication to the affected
area and gently rub in,
usually 3-4 times daily or
as directed by your doctor.
Do not bandage, cover, or
wrap the area unless
directed to do so by your
doctor. If used in the
diaper area on an infant,
do not use tight-fitting
diapers or plastic pants.
After applying the
medication, wash your
hands unless you are using
this medication to treat the
hands. When applying this
medication near the eyes,
avoid getting it in the eyes
because this may worsen
or cause glaucoma. Also,
avoid getting this
medication in the nose or
mouth. If you get the
medication in these areas,

Proctitis

Ulcerative
Colitis

Hemorrhoids

Atopic
Dermatitis

the skin
skin irritation
Incidence not known:
Blistering, burning,
crusting, dryness, or
flaking of the skin

itching, scaling, severe

redness, soreness, or
swelling of the skin

redness and scaling

around the mouth

thinning of the skin with

easy bruising, especially
when used on facial or
intertriginous areas

advised not to
use Pandel
(hydrocortisone
probutate)
Cream, 0.1% in
the treatment of
diaper dermatitis.
Pandel
(hydrocortisone
probutate)
Cream, 0.1%
should not be
applied in the
diaper area as
diapers or plastic
pants may
constitute
occlusive
dressings (See
DOSAGE AND
ADMINISTRATION
).
6. This
medication
should not be
used on the face,
underarms, or
groin areas
unless directed
by the physician.
7. As with other
corticosteroids,
therapy should
be discontinued
when control is
achieved. If no
improvement is

rinse with plenty of water.

seen within two

weeks, contact
the physician.

Drug
Classificati
on
I. Steriods
Intermedia
te Potency
Steroid

Generic Name

Generic Name:
Hydrocortisone
Valerate 0.2%
Brand Name: AlaCort, Ala-Scalp HP,
Aquanil HC, Beta HC,
Caldecort, Cortaid,
Cortaid Maximum
Strength, Cortizone-5,
Dermarest Plus AntiItch, Dermasorb HC,
Dermtex HC,
Gynecort Maximum
Strength, Instacort,

Mechanis
m of
Action
reduces
the
swelling,
itching,
and
redness
that
can
occur
in
these types
of
conditions.

Contraindication

Do NOT use more

than the
recommended dose
or use for longer than
2 weeks without
checking with your
doctor.
Do not apply
Westcort cream over
large areas of the
body, to open
wounds, or to
scraped, infected, or
burned skin without
first checking with
your doctor.
If your symptoms
do not get better
within 2 weeks or if

Nursing
consideration

Adverse reactions

Tell your doctor right away if

any of these unlikely but
serious side effects occur:
stretch marks, skin
thinning/discoloration, acne,
extreme/unwanted hair growth,
"hair bumps" (folliculitis).
These side effects are more
likely in children, and in people
who use this medication for a
long time or over large areas of
the skin. Tell your doctor right
away if any of the following
side effects occur:
unusual/extreme tiredness,

. This medication
is to be used as
directed by the
physician. It is for
external use only.
Avoid contact
with the eyes.
2. This
medication
should not be
used for any
disorder other
than that for
which it was
prescribed.

Use this medication on

the skin only. However,
do not use it on the face,
groin, or underarms
unless directed to do so
by your doctor.
Wash and dry your
hands before using.
Clean and dry the
affected area. Apply a
thin film of medication to
the affected area and
gently rub in, usually 3-4
times daily or as
directed by your doctor.

Itch-X Lotion, Locoid,

Pandel, Pediaderm
HC, Recort Plus,
Sarnol-HC, Scalacort,
Texacort, U-Cort,
Westcort

adult:

Dermatitis

Eczema

Psoriasis

Pruritus

Proctitis

Ulcerative
Colitis

Hemorrhoids

pedia:

Dermatitis

Eczema

Psoriasis

Pruritus

they get worse, check

with your doctor.
Talk with your
doctor before you use
any other medicines
or cleansers on your
skin.
Do not use
Westcort cream for
other skin conditions
at a later time.
If Westcort cream
was prescribed to
treat the diaper area
of a child, avoid using
tight-fitting diapers or
plastic pants.
Westcort cream
has a corticosteroid in
it. Before you start
any new medicine,
check the label to see
if it has a
corticosteroid in it
too. If it does or you
are not sure, check
with your doctor or
pharmacist.
Tell your doctor or
dentist that you use
Westcort cream
before you receive
any medical or dental
care, emergency
care, or surgery.
Check with your
doctor before having
vaccinations while
you are using
Westcort cream.
Serious side
effects may occur if
too much of Westcort
cream is absorbed

weight loss, headache, swelling

ankles/feet, increased
thirst/urination, vision
problems.
Less common:
Burning, itching,
redness, skin rash,
swelling, or soreness at
the application site
cough or hoarseness
dry skin
fever or chills
itching in the genital or
other skin areas
lower back or side pain
painful or difficult
urination
rash
rash with flat lesions or
small raised lesions on
the skin
skin irritation
Incidence not known:
Blistering, burning,
crusting, dryness, or
flaking of the skin

itching, scaling, severe

redness, soreness, or
swelling of the skin

redness and scaling

around the mouth

thinning of the skin with

easy bruising, especially
when used on facial or
intertriginous areas

3. The treated
skin area should
not be bandaged
or otherwise
covered or
wrapped so as to
be occlusive,
unless directed
by the physician.
4. Patients should
report to their
physician any
signs of local
adverse
reactions.
5. Parents of
pediatric patients
should be
advised not to
use Pandel
(hydrocortisone
probutate)
Cream, 0.1% in
the treatment of
diaper dermatitis.
Pandel
(hydrocortisone
probutate)
Cream, 0.1%
should not be
applied in the
diaper area as
diapers or plastic
pants may
constitute
occlusive
dressings (See

Do not bandage, cover,

or wrap the area unless
directed to do so by your
doctor. If used in the
diaper area on an infant,
do not use tight-fitting
diapers or plastic pants.
After applying the
medication, wash your
hands unless you are
using this medication to
treat the hands. When
applying this medication
near the eyes, avoid
getting it in the eyes
because this may
worsen or cause
glaucoma. Also, avoid
getting this medication
in the nose or mouth. If
you get the medication
in these areas, rinse with
plenty of water.

Proctitis

Ulcerative
Colitis

Hemorrhoids

Atopic
Dermatitis

through the skin. This

may be more likely to
occur if you use
Westcort cream over
a large area of the
body. It may also be
more likely if you
wrap or bandage the
area after you apply
Westcort cream. The
risk is greater in
children. Do not use
more than the
prescribed dose.
Contact your doctor
right away if you
develop unusual
weight gain
(especially in the
face), muscle
weakness, increased
thirst or urination,
confusion, unusual
drowsiness, severe or
persistent headache,
or vision changes.
Discuss any questions
or concerns with your
doctor.
Corticosteroids
may affect growth
rate in CHILDREN and
teenagers in some
cases. They may
need regular growth
checks while they use
Westcort cream.
Westcort cream
should not be used in
CHILDREN; safety and
effectiveness in
children have not
been confirmed.
PREGNANCY and

DOSAGE AND
ADMINISTRATION
).
6. This
medication
should not be
used on the face,
underarms, or
groin areas
unless directed
by the physician.
7. As with other
corticosteroids,
therapy should
be discontinued
when control is
achieved. If no
improvement is
seen within two
weeks, contact
the physician.

BREAST-FEEDING:
If
you
become
pregnant,
contact
your doctor. You will
need to discuss the
benefits and risks of
using Westcort cream
while
you
are
pregnant. It is not
known
if
this
medicine is found in
breast
milk
after
topical use. If you are
or will be breastfeeding

Drug
Classificati
on
I. Steriods
Potent
Steroids

Generic Name

Generic Name:
betamethasone topical
(bay ta METH a sone)
Brand Name:
Diprolene, Luxiq,
Sernivo, Diprosone,
Uticort, Betanate,
Alphatrex, Del-Beta,
Maxivate, Valisone,
Beta-Val, Betatrex,
Betaderm, Diprolene AF,
Teladar

Betamethasone
topical (for the
skin) is used to
treat the
inflammation and
itching caused by
a number of skin
conditions such
as eczema,
psoriasis, or
allergic
reactions.

Mechanis
m of
Action
reduces
the
swelling,
itching,
and
redness
that
can
occur
in
these types
of
conditions.

Do not

Avoid getting this

medicine in your
eyes. If contact does
occur, rinse with
water. Do not use
betamethasone
topical on broken or
infected skin. Also
avoid using this
medicine in open
wounds.
Avoid applying
betamethasone
topical to the skin of
your face, underarms,
or groin area without
your doctor's
instruction.
Do not use
betamethasone
topical to treat any
condition that has not
been checked by your
doctor.

Nursing
consideration

Adverse reactions

More common:

Burning, itching,
or stinging at the
application site

Less common:

Hair loss

thinning of the
hair

Incidence not known:

Blistering, burning,
crusting, dryness, or
flaking of the skin

irritation

itching, scaling,
severe redness,
soreness, or swelling
of the skin

redness and scaling

around the mouth

thinning of the skin

with easy bruising,
especially when
used on where the
skin folds together
(e.g. between the
fingers)

Discontinue therapy
when control is
achieved, unless
directed otherwise
by the physician.
Use no more than
50 mL per week of
Betamethasone
dipropionate lotion
(augmented),
0.05% and for no
longer than 2
consecutive weeks.
Avoid contact with
the eyes.
Avoid use of
Betamethasone
dipropionate lotion
(augmented),
0.05% on the face,
underarms, or groin
areas unless
directed by the
physician.
Do not occlude the
treatment area with
bandage or other
covering, unless
directed by the
physician.
Note that local
reactions and skin
atrophy are more
likely to occur with
occlusive use,

This medicine is usually

applied 1 or 2 times
daily. Follow all
directions on your
prescription label. Do
not use this medicine in
larger or smaller
amounts or for longer
than recommended.
Do not take by mouth.
Betamethasone topical
is for use only on the
skin.
Wash your hands before
and after using this
medicine, unless you are
using the medicine to
treat the skin on your
hands.
Apply a small amount to
the affected area and
rub it gently into the
skin. Do not apply
betamethasone topical
over a large area of skin.
To use betamethasone
topical foam, spray
some of the foam onto a
plate or other cool
surface. Pick up a small

prolonged use or
use of higher
potency
corticosteroids.
Do not use
betamethasone
dipropionate
(augmented) cream
to treat the diaper
area of a child,
unless directed
otherwise by your
doctor.
Check with your
doctor before you
have any
vaccinations while
you are using
betamethasone
dipropionate
(augmented)
cream.
Corticosteroids
may affect growth
rate in CHILDREN
and teenagers in
some cases. They
may need regular
growth checks
while they use
betamethasone
dipropionate
(augmented)
cream.
Betamethasone
dipropionate
(augmented) cream
should not be used
in CHILDREN
younger than 13
years old; safety
and effectiveness in
these children have

amount of the foam with

your fingers and gently
massage it into your
scalp. Repeat until all
affected areas are
treated.
Do not cover the treated
skin area unless your
doctor tells you to.
Covering the skin that is
treated with
betamethasone topical
can increase the amount
of medicine your skin
absorbs, which may lead
to unwanted side
effects. Follow your
doctor's instructions.
When treating the diaper
area of a baby, do not
use plastic pants or
tight-fitting diapers.
Use betamethasone
topical regularly to get
the most benefit. Stop
using the medicine once
your symptoms clear up.
You should not use
Sernivo for longer than 4
weeks.
Call your doctor if your
skin condition does not
improve after several
days of treatment, or if it

not been confirmed

gets worse while using

betamethasone topical.
Store at room
temperature away from
moisture and heat.
The foam is flammable.
Do not use near high
heat or open flame. Do
not smoke until the foam
has completely dried on
your skin.

Drug
Classificati
on
I. Steriods
Potent
Steroids

Generic Name

Desoximetason
e cream
Generic Name:
desoximetasone (dessOX-ee-MET-ah-sone)
Brand Name: Examples
include Topicort and
Topicort LP

Mechanis
m of
Action
reduces
the
swelling,
itching,
and
redness
that
can
occur
in
these types
of
conditions.

Do not

Avoid getting this

medicine in your
eyes. If contact does
occur, rinse with
water. Do not use
betamethasone
topical on broken or
infected skin. Also
avoid using this
medicine in open
wounds.
Avoid applying
betamethasone
topical to the skin of

Nursing
consideration

Adverse reactions

More common:

Burning, itching,
or stinging at the
application site

Less common:

Hair loss

thinning of the
hair

Incidence not known:

Blistering, burning,

This medication is
to be used as
directed by the
physician. It is for
external use only.
Avoid contact with
the eyes.
2.Patients should
be advised not to
use this
medication for
any disorder other
than for which it
was prescribed.
3.The treated skin
area should not
be bandaged or
otherwise covered

Use desoximetasone
cream as directed by
your doctor. Check the
label on the medicine for
exact dosing
instructions.
Apply a small
amount of
medicine to the
affected area(s).
Gently rub the
medicine in until it
is evenly
distributed. Wash
your hands after
applying the

Dermatitis

Eczema

Psoriasis

your face, underarms,

or groin area without
your doctor's
instruction.
Do not use
betamethasone
topical to treat any
condition that has not
been checked by your
doctor.

crusting, dryness, or
flaking of the skin

irritation

itching, scaling,
severe redness,
soreness, or swelling
of the skin

redness and scaling

around the mouth

thinning of the skin

with easy bruising,
especially when
used on where the
skin folds together
(e.g. between the
fingers)

Drug
Classificatio
n

I. Steriods

Generic Name

Mechanism
of Action

Do not

or wrapped as to
be occlusive
unless directed by
the physician.
4.Patients should
report any signs
of local adverse
reactions,
especially under
occlusive
dressing.
5.Parents of
pediatric patients
should be advised
not to use tightfitting diapers or
plastic pants on a
child being
treated in the
diaper area, as
these garments
may constitute
occlusive
dressings.

medicine, unless
your hands are part
of the treated area.
Do not cover the
treated area(s) with
bandages or other
dressings unless
advised to do so by
your health care
provider.
If you miss a dose of
desoximetasone
cream, use it as
soon as possible. If
it is almost time for
your next dose,
skip the missed
dose and go back
to your regular
dosing schedule.
Do not use 2 doses
at once.

Adverse reactions
Nursing consideration

Potent
Steroids

Desoximetasone cream
Generic
Name:
desoximetasone (dessOX-ee-MET-ah-sone)
Brand Name: Examples
include
Topicort
and
Topicort LP

Dermatitis

Eczema

Psoriasis

reduces
the
swelling,
itching,
and
redness
that
can
occur
in
these types
of
conditions.

Avoid
getting
this
medicine
in
your
eyes. If contact does
occur,
rinse
with
water. Do not use
betamethasone
topical on broken or
infected skin. Also
avoid
using
this
medicine
in
open
wounds.
Avoid
applying
betamethasone
topical to the skin of
your face, underarms,
or groin area without
your
doctor's
instruction.
Do
not
use
betamethasone
topical to treat any
condition that has not
been checked by your
doctor.

More common:

Burning, itching,
or stinging at the
application site

Less common:

Hair loss

thinning of the
hair

Incidence not known:

Blistering, burning,
crusting, dryness, or
flaking of the skin

irritation

itching, scaling,
severe redness,
soreness, or swelling
of the skin

redness and scaling

around the mouth

thinning of the skin

with easy bruising,
especially when
used on where the
skin folds together
(e.g. between the
fingers)

This medication is
to be used as
directed by the
physician. It is for
external use only.
Avoid contact with
the eyes.
2.Patients should
be advised not to
use this
medication for
any disorder other
than for which it
was prescribed.
3.The treated skin
area should not
be bandaged or
otherwise covered
or wrapped as to
be occlusive
unless directed by
the physician.
4.Patients should
report any signs
of local adverse
reactions,
especially under
occlusive
dressing.
5.Parents of
pediatric patients
should be advised
not to use tightfitting diapers or
plastic pants on a
child being
treated in the
diaper area, as
these garments
may constitute
occlusive
dressings.

Use desoximetasone
cream as directed by
your doctor. Check the
label on the medicine for
exact dosing
instructions.
Apply a small
amount of
medicine to the
affected area(s).
Gently rub the
medicine in until it
is evenly
distributed. Wash
your hands after
applying the
medicine, unless
your hands are part
of the treated area.
Do not cover the
treated area(s) with
bandages or other
dressings unless
advised to do so by
your health care
provider.
If you miss a dose of
desoximetasone
cream, use it as
soon as possible. If
it is almost time for
your next dose,
skip the missed
dose and go back
to your regular
dosing schedule.
Do not use 2 doses
at once.