Steroid Potency Chart (Page 2 of 3) in pdf

(continued): Topical Corticosteroids: Comparison Chart

Sept 04

POTENCY & $

DRUG/STRENGTH

BRAND NAME

SIZE /

High -- Mid --- Low-

COMMENTS

Ultra--

(by formulation & potency)

1 2 3 4 5 6 7

GELS

èGels are non-occlusive, non-greasy, quick drying, & do not leave residue; useful on hairy areas, face; irritating

20,60g

Desoximetasone 0.05

Topicort Gel

$25

15,60g

Fluocinonide 0.05

Lyderm, Topsyn Gel

$20

PG,

LOTIONS / SOLUTIONS

èLeast occlusive; preferred in acute weeping lesions; axilla, foot, groin & hairy areas

30,60ml

PG, OH

$41

Betamethasone dipropionate glycol

Diprolene Glycol, Topilene Glycol

0.05

lot

Max ~50ml/wk

0.05%+SA

% lot.

(SA=Salicylic

Acid)

30,60ml

Betamethasone dipropionate

Diprosalic,Topisalic

$32

OH,

with Ultra

20,60ml

Dermovate, Others

Clobetasol propionate 0.05

$33

% scalp lot.

potent agents

ã t

Taro-clobetasol

$31

0.05% topical solution

60ml

Halcinonide

$36

0.1% solution

Halog

30,75ml

$22

Betamethasone dipropionate 0.05

% lot. Diprosone, Topisone, Taro-sone

{?AHFS-Group 5}

20,60ml

Amcinonide

Ratio $24; Cyclocort

$38

0.1% lotion

)

free

OH,

(lanolin,PG,tartrazine,urea

)

20,60ml

Beclomethasone dipropionate 0.025% lotion Propaderm

$33

30,75ml

PG, OH

Mometasone furoate

Elocom

$43

0.1% lotion

Betamethasone valerate

$14

0.1% scalp lot.

Valisone, Ectosone, Betaderm

75ml

OH,

60ml

$25

Ratio-Ectosone

0.1% lotion

OH,

60ml

$21

Ratio-Ectosone Mild

0.05% lotion

Synalar ⊗

Fluocinolone acetonide

$36

0.01% solution

PG;

60ml

PG,

$25

shampoo

Capex

180ml

(12mg capsule+shampoo base)

OH, peanut oil

$25

Derma-Smoothe/FS

topical oil

118ml

60,120ml

PB, PG

Desonide

Desocort

$18

0.05% lotion

Hydrocortisone /

Urea

1%/10%

150ml

Uremol-HC

$15

keratin softening/hydrating

Emo-Cort=60ml

Emo-cort

$21

Hydrocortisone

2.5% scalp solution

xSarna-HC

$20

(camphor &

menthol)

2.5% lotion

Sarna-HC 2.5%=75ml

Emo-Cort

$21

1% =150ml

xSarna-HC

$14

1% lotion

(camphor &

menthol)

Cortate=30ml

Emo-Cort

$18

0.5% lotion

Cortate (D/C by company 2004)

$15

t=covered by NIHB

Cost =total cost for 30g/60ml in Sask. Lowest price alternative used where avail. x =not interchangeable in Sask. 8non-formulary in SK

⊗=not NIHB

= brand specific info in brand section; OH = benzyl or isopropyl alcohol;

= no preservatives;

= parabens; PG = propylene glycol;

= wool alcohol

1,2,3

Table 4: Potency

Classification

- Ultra high potency steroids are up to

1000 times

more potent than hydrocortisone

Ÿreserve for resistant conditions; high potential for serious side effects (local & systemic)

Group 1 = Ultra High Potency

Ÿsuitable for short term intermittent use in severe eczematous dermatoses and psoriasis

Ÿoften required for palms, soles, & scalp where thickened skin may require prolonged Tx

Ÿgenerally limit to OD-BID, & length of Tx. to ≤2-4 weeks followed by less potent agent

Group 2,3

= High Potency

Ÿavoid use on large areas, thin skin areas, skin folds, in young children/infants, face

Ÿsuitable for intermittent long term use, chronic use in thick skin areas (hand eczema)

Group 4,5

= Mid Potency

Ÿavoid on thin skin areas; extreme

(severe adverse effects)

if used on face, intertriginous areas

CAUTION

Ÿsafest for use in children, infants & elderly or when covering large or higher risk areas (face, eyelids,

still required! Ÿsuitable for maintenance of most chronic

Group 6,7

= Low Potency

skin flexures, scrotum)

CAUTION

conditions

;

after initial control obtained Ÿoften applied BID-QID; apply less frequent (OD-BID) if ongoing use

*Actual potency may vary considerably depending on: site of application, skin condition, use of occlusion, and individual patient variation.

Table 6: Non-steroid Emollients

Table 5: Quantities of Cream Required in an Adult

Ÿlanolin, petrolatum, light mineral oil

Single

Amount Needed to

A&D Ointment

Area

Ÿ mineral oil, lanolin / glycerin

Application

Apply BID X7 Days

Alpha-Keriâ (bath oil / soap)

Ÿcolloidal oatmeal

Aveenoâ (bath oil, lotion, oilated powder & bar)

1 hand

15g

Ÿpetrolatum & petrolatum liquid

Eucerinâ (cream, lotion)

2 hands; head; face; genital

30g

Hydrous Emulsifying Ointment (HEO)

1 arm; front or back of trunk

45g

Ÿ mineral oil, lanolin

Keriâ (lotion)

Ÿlactic acid;

Lubriderm AHAâ (cream, lotion)

Lubridermâ lotion

1 leg

60g

Ÿlight mineral oil

Nutradermâ (lotion)

30-60g

Whole body

500-1000g

Ÿcontains camphor-menthol-phenol

Sarnaâ Lotion

* 1g of cream should cover ~100cm

of area. Ointments spread easier

Ÿ urea

Uremolâ 10%, (cream, lotion); 20% (cream)

than creams ∴ 5-10% less ointment may be required than cream.

Vaselineâ

ointment

; Vaseline Intensive Careâ

lotions,creams

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Steroid Potency Chart Page 2

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