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Topical steroids potency

Topical Steroid Potency Chart

A simple visual to aid prescribing of topical corticosteroids for healthcare professionals.

Mild- Hydrocortisone 0.1 % Hydrocortisone 0.5 % Hydrocortisone 1 % Hydrocortisone 2.5 % Synalar® 1 in 10 dilution – fluocinolone acetonide 0.00625 %

With topical local anasethetic and antipruritic
Eurax®- hydrocortisone ( HC 0.25 % , crotamiton 10 % )


 With ANTIFUNGAL

Timodine® 
HC 0.5 % + Nystatin 100,000 units/g + benzalkonium chloride solution 0.2 %

Canesten HC® – HC 1 % + clotrimazole 1 %

Daktacort® HC 1% + Miconazole nitrate 2 %

Nystaform-HC® HC 0.5% + Nystatin 100 000 units/g + chlorhexidine 1 %


 WITH ANTIBACTERIALS

Fucidin H® –> HC acetate 1 % + fusidic acid 2 %

Terra- Cortil HC 1 % + Oxytetracycline 3 %
( contraindicated in pregnancy , lactation infants and small children )

With TAR- used in psoriasis
Alphosyl HC® – Alcoholic coal tar extract 5 % + HC 0.5 % + Allantoin 2 % Mildison® Lipocream 1% HC Dioderm® HC 0.1% cream ( comparable with HC 1 % ) Efcortelan® – HC 0.5 %

Moderate potency Betamethasone valerate 0.025 % Clobetasone butyrate 0.05 % Fludroxycortide 0.0125 % Aclometasone dipropionate 0.05 % Fluocinolone acetonide 0.00625 % Fluocortolone hexanoate 0.25 Trimovate® 
Clobetasone butyrate 0.05 % + oxytetraycline 3 % + Nysyatin 100 000 units/g Alphaderm® HC 1 % + urea 10 % Hydromol Intensive HC® HC 1% + urea 10 % Calmurid HC® HC 1 % + urea 10 % + lactic acid 5 % Eumovate® – clobetasone butyrate 0.05 % Betnovate RD® – betamethasone valerate 0.025 % cream / ointment Modrasone® – aclometasone dipropionate 0.05 % cream/ ointment Haelan® -fludroxycortide 0.0125 % Haelan® tape – impregnated with fludroxycortide 14mcg/cm2 Synalar® 1 in 4 dilution – flucinolone acetonide 0.00625 % Ultralanum Plain® fluorocortilone caproate 0.25 % , fluocortolone pivalate 0.25 %

Potent topical steroids include-Betamethasone valerate 0.1 % Beclometasone dipropionate 0.025 % Fluticasone propionate ( 0.005 % oint and 0.05 % cream ) Betamethasone dipropionate Mometasone furoate 0.1 % Fluocinonide 0.05 % Diflucortolone valerate 0.1 % Fluocinolone acetonide 0.025 % Hydrocortisone butyrate Fucibet® – betamethasone ( as valerate ) 0.1 % + fusidic acid 2 % Synalar C®- fluocinolone 0.025 % + clioquinol 3 % Synalar N® -fluocinolone 0.025 % + neomycin sulfate 0.5 % Betnovate N® -betamethasone valerate 0.1 % + neomycin sulfate 0.5 % BetnovateC® – betamethasone valerate 0.1 % + clioquinol 3 % Aurecort®- triamcinolone acetonide 0.1 % + chlortetraycline HCL 3 % Lotriderm® betamethasone diproprionate 0.064 % + clotrimazole 1 % Diprosalic® betamethasone dipropionate 0.05 % + salicylic acid 3 % ointment and scalp preparation  Betnovate® – betamethasone valerate 0.1 % in water miscible basis
cream , ointment , lotion , scalp application and foam Betacap® – betamethasone valerate 0.1 % + coconut oil derivatives Bettamousse® scalp application contains 1.2gm betamethasone valerate Elocon® mometasone furoate 0.1 % Locoid® hydrocortisone butyrate 0.1 % Synalar® fluonicolone acetonide 0.025 % Audavate® 0.1 ointment- betamethasone velerate Diprosone® betamethasone dipropionate 0.05 % Cutivate® fluticasone propionate 0.05 % Betasil® Plasters – betamethasone velarate 2.25 mg

Very potent topical steroids –Clobaderm® 0.05 % cream / ointment clobetasol propionate Dermovate® – clobetasol propionate 0.05 % Nerisone Forte®- diflucortolone valerate 0.3 % Halciderm Topical® halcinodine 0.1 % Etrivex shampoo® clobetasol propionate Clarelux Foam® clobetasol propionate

References

  1. National eczema society factsheet – Topical steroids
  2. Steroid ladder accessed via http://www.bridgewater.nhs.uk/
 wp-content/uploads/2012/11/Steroid-Ladder1.pdf
  3. CKS NHS topical steroids
  4. Prescquipp- accessed via https://www.prescqipp.info/topical-corticosteroids/
 send/228-topical-corticosteroids/2345-bulletin-116-topical-corticosteroids
  5. Side-effects of topical steroids : A long overdue revisit Indian Arijit Coondoo et al Dermatol Online J 2014 Oct-Dec ; 5 (4) ; 416-425
  6. Patient UK- Fingertip Units for Topical Steroids

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