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Choosing Topical Corticosteroids

Table 2. Potency Ratings of Topical Corticosteroids
MEDICATION POTENCY (GROUP) Ultra high (I) GENERIC BRAND DOSAGE VEHICLE G, O AVAILABLE SIZES

Augmented betamethasone dipropionate 0.05% Clobetasol propionate 0.05%

Diprolene*

15, 45, 50 g

Clobex

L, Sh

59, 118 mL (L); 118 mL (Sh) 50, 100 g 15, 30, 45 g (C, O); 15, 30, 60 g (G) 15, 30, 60 g

Olux* Temovate*

F C, G, O

Temovate E* Diflorasone diacetate 0.05% Fluocinonide 0.1% Flurandrenolide 4 mcg per m2 Apexicon* Vanos Cordran

O C T

15, 30, 60 g 30, 60 g 24 3 and 80 3 rolls 15, 50 g 15, 30, 60 g 30, 60 mL 15, 50 g
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Halobetasol propionate 0.05% High (II) Amcinonide 0.1% Augmented betamethasone dipropionate 0.05%

Ultravate* Diprolene* Diprolene

C, O O L C

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Diprolene AF* Betamethasone dipropionate 0.05% Desoximetasone Diprosone*

15, 50 g

15, 45 g

Topicort 0.25%* Topicort 0.05%*

C, O

15, 60 g

15, 60 g

Diflorasone diacetate 0.05% Fluocinonide 0.05% Halcinonide 0.1%

Apexicon E* Lidex* Halog

C C, G, O C, O, So

15, 30, 60 g 15, 30, 60 g 15, 30, 60, 240 g (C, O); 30, 60 mL (So) 4, 15, 30, 60 g 15, 45 g

Medium to high (III)

Amcinonide 0.1% Betamethasone dipropionate 0.05% Fluticasone propionate 0.005% Triamcinolone acetonide 0.5%

Cyclocort Betanate*

C C

Cutivate* Cinalog* Beta-Val 0.1%* Luxiq 0.12%

O C, O C, L

15, 30, 60 g 15 g 14, 45 g (C); 60 mL (L)

Medium (IV and V)

Betamethasone valerate

F C C, O C O

100 g 15, 60 g 15, 60 g 15, 30, 60 g 5, 10, 15, 30, 45 g

Desoximetasone 0.05% Fluocinolone acetonide 0.025% Fluticasone propionate 0.05% Hydrocortisone butyrate 0.1%

Topicort LP* Synalar* Cutivate* Locoid*

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Hydrocortisone probutate 0.1% Hydrocortisone valerate 0.2%

Pandel Westcort*

C C, O

15, 45, 80 g 14, 45, 60 g (C, O); 120 g (C) 15, 45 g (C, O); 30, 60 mL (L) 15, 80, 454 g (C, O); 60 mL (L) 15, 80, 454 g (C, O); 15, 60 mL (L) 15, 45, 60 g

Mometasone furoate 0.1%

Elocon*

C, L, O

Triamcinolone acetonide 0.025% Triamcinolone acetonide 0.1%

Kenalog*

C, L, O

Triderm*

C, L, O

Low (VI)

Alclometasone dipropionate 0.05% Desonide 0.05%

Aclovate*

C, O

Desonate Desowen* Lokara Verdeso

G C, O L F C C C, L, O

15, 30, 60 g 15, 60 g 60, 120 mL 100 g 15, 60 g 5, 10, 15, 30, 45 g 20, 30, 120 g (C, O); 60, 120 mL (L)

Fluocinolone 0.01% Hydrocortisone butyrate 0.1% Least potent (VII) Hydrocortisone 1%, 2.5%

Locoid*

C = cream; F = foam; G = gel; L = lotion; O = ointment; Sh = shampoo; So = solution; T = tape. * Generic is available. Brand not available in this formulation. Brand no longer available in the United States. Information from reference 24.
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