Betamethasone dipropionate overview

Uses, types, warnings, and side effects


Betamethasone cream is a steroid medication used to treat certain skin conditions such as eczema, dermatitis and allergies. It is a high to very high potency steroid medicine which needs a doctors prescription and is only offered as a treatment form when the benefits outweigh the risks. It is usually used in conjunction with other moisturisers or emollients when treating inflammatory skin conditions. Betamethasone is usually used during flare-ups of eczema or dermatitis. Sometimes, betamethasone can be prescribed for psoriasis if it affects small areas such as the scalp, soles of the feet, or palms of the hands. 


When the skin is irritated or allergic to a substance, various inflammatory mediators are released, causing blood vessels to widen. This reaction causes the skin to become red, swollen, itchy and painful. Betamethasone reduces swelling, itching and redness that can occur in these specific skin conditions. Betamethasone is in no way a cure for the skin conditions, but it can help manage and relieve the nasty symptoms during a flare-up. 



Betamethasone propionate comes in many forms:

  • Cream 
  • Foam 
  • Spray
  • Lotion


How to use betamethasone propionate?

Cream: The cream should be applied sparingly on the affected area. Use should be avoided on broken or infected skin. The cream should not be applied to wet skin or covered with any sort of bandage/dressing. Make sure to wash your hands after using the cream. 


Foam: When dispensing the foam, invert the foam can and squeeze a small amount on a saucer or cool surface. Make sure you do not dispense the foam directly in your hands. Take small amounts of the foam and apply it to the affected area, gently massaging it until the foam disappears. Avoid the eyes and face and do not cover the area applied with a dressing. The foam is normally prescribed for scalp psoriasis.


Spray: Before using the spray, shake it very well. The spray should be used directly onto the affected area, and used sufficiently enough to cover the affected area. After spraying the area, gently rub in spray and then wash your hands right. Again the spray should not be used on any damaged or infected skin and should not be covered with dressing after application. 


Lotion: The lotion is used similarly to the cream. Apply it sparingly to the affected area, and gently massage it into the area until it disappears. It should not be used on broken or infected skin, and should not be used on wet skin or covered with dressing. Always make sure to wash your hands after using the lotion.


After about 3 to 4 days of starting betamethasone treatment, some improvement in the skin condition is noted. Most conditions should resolve within a week of using betamethasone. The cream is prescription only, you can get it prescribed by your regular doctor or request it through Medzino, and have it prescribed and delivered to your door from the comfort of your own home. Always follow the instructions on the leaflet or from your doctor when using the cream. Apply the cream to the affected area once a week. The doctor may increase this to twice a week if needed. 


Betamethasone should not be used on the face. It is a very strong corticosteroid medication, and another medication will usually be prescribed for facial-use before betamethasone. NEVER use any form of the betamethasone medication on the groin, underarms, orally, intravaginally or on the eyes either.



What we offer at medzino?

At Medzino, we offer other treatments for eczema such as Triamcinolone, Hydrocortisone, Clobetasol, Desonide and Fluticasone. You can purchase one of these treatments through Medzino after a consultation with one of our physicians. If the evaluating physician feels the medication is safe to prescribe, the pharmacy will ship the medication in plain discreet packing straight to your door.



Hydrocortisone is another corticosteroid medication indicated for treating eczema and psoriasis. It is a less potent steroid medication that can relieve redness, itching, and swelling. Hydrocortisone is available over-the-counter as it is less potent (strong) than Clobetasol. 



Triamcinolone is indicated in the treatment of a wide variety of skin conditions, including eczema, psoriasis, and contact dermatitis. Triamcinolone is also a corticosteroid and works by reducing inflammation in the skin hence relieving redness, swelling, and irritation.



The generic form of Fluticasone is sold as Cutivate and is also a corticosteroid. It contains fluticasone propionate (active ingredient), which treats swelling, itching, redness, and irritated skin. It is normally prescribed for itching and inflammation caused by skin conditions such as eczema, psoriasis, and cutaneous lupus.  



Desonide is a corticosteroid medication sold under multiple brand names. It works to relieve redness, swelling, and itching to treat inflammatory skin conditions. It is not available without a prescription and comes as a gel/jelly, ointment, cream, lotion, and foam. 



Clobetasol is a corticosteroid available as a lotion, foam, ointment, emollient cream, gel/jelly, spray, shampoo, and solution. It works to relieve itching, swelling, redness, and general discomfort caused by skin conditions. The cream and ointment are mainly used to treat eczema, while the other forms are more specific to psoriasis. This medication is only available by prescription with a doctor's note. 


  1. Mayo Clinic > Betamethasone dipropionate
  2. UptoDate > Bethametasone
  3. Patient Info > Betamethasone
  4. FDA > Betamethasone dipropionate

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