Monograph Details
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Dermatological Disorders
> Topical steroids
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DIPROLENE |
| Manufacturer |
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Schering Corporation |
| Legal Classification |
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Rx
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| Generic Name |
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Betamethasone, augmented (as dipropionate) 0.05%; oint; lotion; gel. |
| Also |
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• DIPROLENE AF
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| Indications |
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Corticosteroid-responsive dermatoses. |
| Children |
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Not recommended. |
| Adults |
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Apply thin film 1–2 times daily; max 45 g/week (oint, AF) or 50 g/week (gel). Lotion: apply a few drops 1–2 times daily; max 50 mL/week; max 2 consecutive weeks' treatment per course (lotion, gel). Do not occlude or use in diaper area. |
| Contraindications |
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Do not use superpotent forms on face, groin, or axillae. Exclude viral disease (eg, chickenpox, measles). |
| Precautions |
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Treat infection if present; discontinue if infection persists or worsens. Do not use near eyes, or on diaper dermatitis or pre-existing skin atrophy. Do not use fluorinated steroids longer than 1 week on the face. Avoid abrupt cessation in chronic use. Systemic absorption increased by broken or inflamed skin, prolonged use, application to large surface area, or use of occlusive dressings. Occlude only if necessary; do not occlude higher potency products. Monitor adrenal function in children if a high potency product or occlusion is used, and in adults if more than 50g weekly of a high potency product is used. Discontinue or reduce dose or potency if HPA axis suppression, Cushing's syndrome, hyperglycemia, glucosuria, or irritation occurs. Use lowest effective dose and potency (esp. in children). Use caution if applying to face or body folds. Do not use continuously or for prophylaxis. Foams are flammable. Reevaluate periodically. Pregnancy (Cat.C). Nursing mothers. |
| Adverse Reactions |
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Burning, stinging, pruritus, erythema, skin atrophy, striae, miliaria, secondary infections, hypopigmentation, folliculitis, hypertrichosis, acneiform eruptions, dermal cracking and fissuring, telangiectasia, contact dermatitis, other local effects, immunosuppression, masks infections, HPA axis suppression (esp. in children). |
| How Supplied |
Oint, gel, AF crm—15g, 50g
Lotion—30mL, 60mL |
| Additional Resources |
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• Related Prescribing Note |
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