Betamethasone Dipropionate

Betamethasone dipropionate is a high-potency synthetic corticosteroid. It possesses anti-inflammatory, antipruritic, and vasoconstrictive properties. It works by suppressing the immune response and reducing inflammatory mediators in the skin. Because of its high potency, topical application over large surface areas or for extended periods can lead to systemic absorption and potential hypothalamic-pituitary-adrenal (HPA) axis suppression.

Dosage by Body Weight

Apply a thin layer of cream, ointment, or lotion to the affected skin area once or twice daily. Rub in gently. Do not use for more than 2 consecutive weeks, and do not exceed 50g per week of high-potency formulations unless directed by a healthcare provider. Do not cover with occlusive dressings. Avoid application to the face, underarms, or groin area.

  1. Body Weight
    Below 5 kg
    Dose
    Contraindicated / Not recommended
    Frequency
    Do not use
    Tracking Notes
    Pediatric patients are highly susceptible to systemic toxicity, HPA axis suppression, and Cushing's syndrome due to a larger skin surface area to body weight ratio.
  2. Body Weight
    5-7 kg
    Dose
    Contraindicated / Not recommended
    Frequency
    Do not use
    Tracking Notes
    Safety and efficacy have not been established in infants and very young children. High risk of systemic corticosteroid absorption.
  3. Body Weight
    8-10 kg
    Dose
    Not routinely recommended
    Frequency
    Consult a pediatric specialist
    Tracking Notes
    Use only under strict medical supervision. If absolutely necessary, use the lowest potency alternative and apply extremely sparingly.
  4. Body Weight
    11-15 kg
    Dose
    Use with extreme caution
    Frequency
    Once daily or less, under strict supervision
    Tracking Notes
    Apply the smallest possible amount only to the affected area. Avoid long-term therapy (more than 5-7 days) and do not use tight-fitting diapers or plastic pants over treated areas.
  5. Body Weight
    16-20 kg
    Dose
    Use with extreme caution
    Frequency
    Once daily, under strict supervision
    Tracking Notes
    Limit treatment duration to the minimum time necessary. Monitor closely for signs of systemic side effects, growth retardation, or skin atrophy.

Formulation

CreamOintmentLotionGelAerosol Spray

Purpose

Relief of inflammatory and pruritic (itching) manifestations of corticosteroid-responsive dermatoses, such as psoriasis, eczema, and severe dermatitis.

Generic Name

Betamethasone Dipropionate

Branded Drug Names

Betamethasone Dipropionate is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.