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Drug overview for HALOBETASOL PROPIONATE (halobetasol propionate):
Generic name: HALOBETASOL PROPIONATE (HAL-oh-BAY-ta-sol)
Drug class: Topical Corticosteroids
Therapeutic class: Dermatological
Hydrocortisone or synthetic derivatives of hydrocortisone are used topically as anti-inflammatory agents.
No enhanced Uses information available for this drug.
Generic name: HALOBETASOL PROPIONATE (HAL-oh-BAY-ta-sol)
Drug class: Topical Corticosteroids
Therapeutic class: Dermatological
Hydrocortisone or synthetic derivatives of hydrocortisone are used topically as anti-inflammatory agents.
No enhanced Uses information available for this drug.
DRUG IMAGES
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The following indications for HALOBETASOL PROPIONATE (halobetasol propionate) have been approved by the FDA:
Indications:
Allergic dermatitis
Atopic dermatitis
Contact dermatitis
Discoid lupus erythematosus
Genital organ pruritus
Granuloma annulare
Lichen simplex chronicus
Plaque psoriasis
Pruritus ani
Pruritus of skin
Pyoderma gangrenosum
Scalp psoriasis
Seborrheic dermatitis
Skin inflammation
Professional Synonyms:
Atopic eczema
Circumscribed neurodermatitis
Dermatitis seborrheica
Dermatitis venenata
Dermatitis
Disseminated neurodermatitis
Dyssebacea
Dyssebacia
Genital pruritus
Itchy skin eruption
Lichen annularis
Pruritic dermatitis
Seborrhea corporis
Seborrheic eczema
Unna's disease
Vidal's disease
Indications:
Allergic dermatitis
Atopic dermatitis
Contact dermatitis
Discoid lupus erythematosus
Genital organ pruritus
Granuloma annulare
Lichen simplex chronicus
Plaque psoriasis
Pruritus ani
Pruritus of skin
Pyoderma gangrenosum
Scalp psoriasis
Seborrheic dermatitis
Skin inflammation
Professional Synonyms:
Atopic eczema
Circumscribed neurodermatitis
Dermatitis seborrheica
Dermatitis venenata
Dermatitis
Disseminated neurodermatitis
Dyssebacea
Dyssebacia
Genital pruritus
Itchy skin eruption
Lichen annularis
Pruritic dermatitis
Seborrhea corporis
Seborrheic eczema
Unna's disease
Vidal's disease
The following dosing information is available for HALOBETASOL PROPIONATE (halobetasol propionate):
For dermatologic use, topical corticosteroids are available in various dosage forms including creams, dressings (tape), foams, gels, lotions, ointments, solutions, and aerosols (suspensions). The choice of a dosage form depends on the location of the lesion and the condition being treated. Lotions are probably best for the treatment of weeping eruptions, especially in areas subject to chafing such as the axilla, foot, and groin.
Lotions, gels, and aerosols may be used on hairy areas, particularly the scalp. Creams are suitable for most dermatoses, but ointments, which may also provide some occlusion, are usually used for the treatment of dry, scaly lesions. Because certain areas of the body may be more susceptible to atrophic changes than others following treatment with corticosteroids, certain topical corticosteroid preparations (e.g., betamethasone dipropionate 0.05% gel; clobetasol propionate 0.05% cream, foam, gel, lotion, solution, or shampoo; hydrocortisone valerate 0.2% cream; mometasone furoate 0.1% cream, lotion, or ointment) should not be applied to the face or intertriginous areas (e.g., axilla, groin).
Because the formulation of dermatologic corticosteroid products affects percutaneous penetration and subsequent activity of the drug, extemporaneous preparation or dilution of most commercially available products with another vehicle may result in decreased effectiveness.
The area of skin to be treated may be thoroughly cleansed before topical application of corticosteroids to reduce the risk of infection. However, some clinicians believe that, unless an occlusive dressing is used, cleansing of the treated area is unnecessary and may be irritating. Topical corticosteroids are generally applied sparingly in thin films and rubbed gently into the affected area 1-4 times daily.
When a favorable response is achieved, the frequency of application or concentration of the corticosteroid is reduced to the minimum necessary to maintain control and avoid relapse and, if possible, the drug should be discontinued.
For occlusive dressing therapy, the affected area is soaked or washed to remove scales and a corticosteroid cream, lotion, or ointment is applied in a thin film or is rubbed gently into the lesion and another thin film applied. After applying the corticosteroid, the affected area is covered with a thin, pliable plastic film which is sealed to adjacent normal skin with adhesive tape or held in place by a gauze or elastic bandage. If the affected area is moist, the edges of the plastic film may be incompletely sealed or the film may be punctured to allow excess moisture to escape.
For added moisture in dry lesions, the corticosteroid may be covered with a dampened cloth before the plastic film is applied or the affected area may be briefly soaked in water before application of the drug and plastic film. Thin polyethylene gloves may be used on the hands and fingers, plastic garment bags may be used on the trunk or buttocks, a tight shower cap may be used for the scalp, or whole-body suits may be used instead of plastic film to provide occlusion. Flurandrenolide tape may be used alone as an occlusive dressing for small areas.
The frequency of occlusive dressing changes depends on the condition being treated; cleansing of the skin and reapplication of the corticosteroid are essential at each dressing change. The occlusive dressing is usually left in place for 12-24 hours and therapy is repeated as needed. Some manufacturers state that the occlusive dressing may be left in place for 3-4 days at a time in resistant conditions, because theoretically the longer the occlusive dressing is left in place at one time, the more rapidly the dermatoses respond to topical corticosteroid therapy.
However, most clinicians recommend intermittent use of occlusive dressings for 12 hours daily to reduce the risk of adverse effects (particularly infection) and systemic absorption and for greater convenience. For example, the corticosteroid and an occlusive dressing may be used at night, and the topical corticosteroid or a bland emollient may be used without an occlusive dressing during the day. In patients with extensive lesions, sequential occlusion of only one portion of the body at a time may be preferable to whole-body occlusion.
Lotions, gels, and aerosols may be used on hairy areas, particularly the scalp. Creams are suitable for most dermatoses, but ointments, which may also provide some occlusion, are usually used for the treatment of dry, scaly lesions. Because certain areas of the body may be more susceptible to atrophic changes than others following treatment with corticosteroids, certain topical corticosteroid preparations (e.g., betamethasone dipropionate 0.05% gel; clobetasol propionate 0.05% cream, foam, gel, lotion, solution, or shampoo; hydrocortisone valerate 0.2% cream; mometasone furoate 0.1% cream, lotion, or ointment) should not be applied to the face or intertriginous areas (e.g., axilla, groin).
Because the formulation of dermatologic corticosteroid products affects percutaneous penetration and subsequent activity of the drug, extemporaneous preparation or dilution of most commercially available products with another vehicle may result in decreased effectiveness.
The area of skin to be treated may be thoroughly cleansed before topical application of corticosteroids to reduce the risk of infection. However, some clinicians believe that, unless an occlusive dressing is used, cleansing of the treated area is unnecessary and may be irritating. Topical corticosteroids are generally applied sparingly in thin films and rubbed gently into the affected area 1-4 times daily.
When a favorable response is achieved, the frequency of application or concentration of the corticosteroid is reduced to the minimum necessary to maintain control and avoid relapse and, if possible, the drug should be discontinued.
For occlusive dressing therapy, the affected area is soaked or washed to remove scales and a corticosteroid cream, lotion, or ointment is applied in a thin film or is rubbed gently into the lesion and another thin film applied. After applying the corticosteroid, the affected area is covered with a thin, pliable plastic film which is sealed to adjacent normal skin with adhesive tape or held in place by a gauze or elastic bandage. If the affected area is moist, the edges of the plastic film may be incompletely sealed or the film may be punctured to allow excess moisture to escape.
For added moisture in dry lesions, the corticosteroid may be covered with a dampened cloth before the plastic film is applied or the affected area may be briefly soaked in water before application of the drug and plastic film. Thin polyethylene gloves may be used on the hands and fingers, plastic garment bags may be used on the trunk or buttocks, a tight shower cap may be used for the scalp, or whole-body suits may be used instead of plastic film to provide occlusion. Flurandrenolide tape may be used alone as an occlusive dressing for small areas.
The frequency of occlusive dressing changes depends on the condition being treated; cleansing of the skin and reapplication of the corticosteroid are essential at each dressing change. The occlusive dressing is usually left in place for 12-24 hours and therapy is repeated as needed. Some manufacturers state that the occlusive dressing may be left in place for 3-4 days at a time in resistant conditions, because theoretically the longer the occlusive dressing is left in place at one time, the more rapidly the dermatoses respond to topical corticosteroid therapy.
However, most clinicians recommend intermittent use of occlusive dressings for 12 hours daily to reduce the risk of adverse effects (particularly infection) and systemic absorption and for greater convenience. For example, the corticosteroid and an occlusive dressing may be used at night, and the topical corticosteroid or a bland emollient may be used without an occlusive dressing during the day. In patients with extensive lesions, sequential occlusion of only one portion of the body at a time may be preferable to whole-body occlusion.
No enhanced Administration information available for this drug.
DRUG LABEL | DOSING TYPE | DOSING INSTRUCTIONS |
---|---|---|
HALOBETASOL PROP 0.05% OINTMNT | Maintenance | Adults apply a thin layer to the affected area(s) by topical route once daily do not exceed 50 grams per week or 2 weeks duration |
DRUG LABEL | DOSING TYPE | DOSING INSTRUCTIONS |
---|---|---|
HALOBETASOL PROP 0.05% OINTMNT | Maintenance | Adults apply a thin layer to the affected area(s) by topical route once daily do not exceed 50 grams per week or 2 weeks duration |
The following drug interaction information is available for HALOBETASOL PROPIONATE (halobetasol propionate):
There are 0 contraindications.
There are 0 severe interactions.
There are 0 moderate interactions.
The following contraindication information is available for HALOBETASOL PROPIONATE (halobetasol propionate):
Drug contraindication overview.
No enhanced Contraindications information available for this drug.
No enhanced Contraindications information available for this drug.
There are 0 contraindications.
There are 0 severe contraindications.
There are 2 moderate contraindications.
Clinically significant contraindication, where the condition can be managed or treated before the drug may be given safely.
Moderate List |
---|
Glaucoma |
Hypothalamic-pituitary insufficiency |
The following adverse reaction information is available for HALOBETASOL PROPIONATE (halobetasol propionate):
Adverse reaction overview.
No enhanced Common Adverse Effects information available for this drug.
No enhanced Common Adverse Effects information available for this drug.
There are 15 severe adverse reactions.
More Frequent | Less Frequent |
---|---|
None. |
Folliculitis Purpura Skin and skin structure infection Skin atrophy |
Rare/Very Rare |
---|
Adrenocortical insufficiency Bullous dermatitis Cataracts Central serous chorioretinopathy Glaucoma Hypothalamic-pituitary insufficiency Ocular hypertension Skin hypopigmentation Skin striae Skin ulcer Urticaria |
There are 24 less severe adverse reactions.
More Frequent | Less Frequent |
---|---|
Erythema Stinging of skin |
Acute pain at drug application site Blurred vision Headache disorder Paresthesia Pruritus of skin Skin rash Telangiectasia Treatment site sequelae |
Rare/Very Rare |
---|
Acneiform eruption Alopecia Blistering skin Contact dermatitis Dry skin Dyschromia Glycosuria Hirsutism Hypercortisolism Hyperesthesia Hyperglycemia Miliaria Perioral dermatitis Skin irritation |
The following precautions are available for HALOBETASOL PROPIONATE (halobetasol propionate):
No enhanced Pediatric Use information available for this drug.
Contraindicated
Severe Precaution
Management or Monitoring Precaution
Contraindicated
None |
Severe Precaution
None |
Management or Monitoring Precaution
None |
Safe use of topical corticosteroids during pregnancy has not been established. Although there are no adequate and controlled studies to date in humans, potent corticosteroids have been shown to be teratogenic in animals following topical application. Topical corticosteroids should be used during pregnancy only when the potential benefits justify the possible risks to the fetus. The drugs should not be used on extensive areas, in large amounts, or for prolonged periods in pregnant women.
It is not known whether topical corticosteroids are distributed into milk; however, systemic corticosteroids are distributed into milk. Topical corticosteroids should be used with caution in nursing women.
No enhanced Geriatric Use information available for this drug.
The following prioritized warning is available for HALOBETASOL PROPIONATE (halobetasol propionate):
No warning message for this drug.
No warning message for this drug.
The following icd codes are available for HALOBETASOL PROPIONATE (halobetasol propionate)'s list of indications:
Allergic dermatitis | |
L20 | Atopic dermatitis |
L20.0 | Besnier's prurigo |
L20.8 | Other atopic dermatitis |
L20.81 | Atopic neurodermatitis |
L20.82 | Flexural eczema |
L20.83 | Infantile (acute) (chronic) eczema |
L20.84 | Intrinsic (allergic) eczema |
L20.89 | Other atopic dermatitis |
L20.9 | Atopic dermatitis, unspecified |
L23 | Allergic contact dermatitis |
L23.0 | Allergic contact dermatitis due to metals |
L23.1 | Allergic contact dermatitis due to adhesives |
L23.2 | Allergic contact dermatitis due to cosmetics |
L23.3 | Allergic contact dermatitis due to drugs in contact with skin |
L23.4 | Allergic contact dermatitis due to dyes |
L23.5 | Allergic contact dermatitis due to other chemical products |
L23.6 | Allergic contact dermatitis due to food in contact with the skin |
L23.7 | Allergic contact dermatitis due to plants, except food |
L23.8 | Allergic contact dermatitis due to other agents |
L23.81 | Allergic contact dermatitis due to animal (cat) (dog) dander |
L23.89 | Allergic contact dermatitis due to other agents |
L23.9 | Allergic contact dermatitis, unspecified cause |
Atopic dermatitis | |
L20 | Atopic dermatitis |
L20.0 | Besnier's prurigo |
L20.8 | Other atopic dermatitis |
L20.81 | Atopic neurodermatitis |
L20.82 | Flexural eczema |
L20.84 | Intrinsic (allergic) eczema |
L20.89 | Other atopic dermatitis |
L20.9 | Atopic dermatitis, unspecified |
Contact dermatitis | |
L23 | Allergic contact dermatitis |
L23.0 | Allergic contact dermatitis due to metals |
L23.1 | Allergic contact dermatitis due to adhesives |
L23.2 | Allergic contact dermatitis due to cosmetics |
L23.3 | Allergic contact dermatitis due to drugs in contact with skin |
L23.4 | Allergic contact dermatitis due to dyes |
L23.5 | Allergic contact dermatitis due to other chemical products |
L23.6 | Allergic contact dermatitis due to food in contact with the skin |
L23.7 | Allergic contact dermatitis due to plants, except food |
L23.8 | Allergic contact dermatitis due to other agents |
L23.81 | Allergic contact dermatitis due to animal (cat) (dog) dander |
L23.89 | Allergic contact dermatitis due to other agents |
L23.9 | Allergic contact dermatitis, unspecified cause |
L24 | Irritant contact dermatitis |
L24.0 | Irritant contact dermatitis due to detergents |
L24.1 | Irritant contact dermatitis due to oils and greases |
L24.2 | Irritant contact dermatitis due to solvents |
L24.3 | Irritant contact dermatitis due to cosmetics |
L24.4 | Irritant contact dermatitis due to drugs in contact with skin |
L24.5 | Irritant contact dermatitis due to other chemical products |
L24.6 | Irritant contact dermatitis due to food in contact with skin |
L24.7 | Irritant contact dermatitis due to plants, except food |
L24.8 | Irritant contact dermatitis due to other agents |
L24.81 | Irritant contact dermatitis due to metals |
L24.89 | Irritant contact dermatitis due to other agents |
L24.9 | Irritant contact dermatitis, unspecified cause |
L24.A0 | Irritant contact dermatitis due to friction or contact with body fluids, unspecified |
L24.A1 | Irritant contact dermatitis due to saliva |
L24.A2 | Irritant contact dermatitis due to fecal, urinary or dual incontinence |
L24.A9 | Irritant contact dermatitis due friction or contact with other specified body fluids |
L24.B | Irritant contact dermatitis related to stoma or fistula |
L24.B0 | Irritant contact dermatitis related to unspecified stoma or fistula |
L24.B1 | Irritant contact dermatitis related to digestive stoma or fistula |
L24.B2 | Irritant contact dermatitis related to respiratory stoma or fistula |
L24.B3 | Irritant contact dermatitis related to fecal or urinary stoma or fistula |
L25 | Unspecified contact dermatitis |
L25.0 | Unspecified contact dermatitis due to cosmetics |
L25.1 | Unspecified contact dermatitis due to drugs in contact with skin |
L25.2 | Unspecified contact dermatitis due to dyes |
L25.3 | Unspecified contact dermatitis due to other chemical products |
L25.4 | Unspecified contact dermatitis due to food in contact with skin |
L25.5 | Unspecified contact dermatitis due to plants, except food |
L25.8 | Unspecified contact dermatitis due to other agents |
L25.9 | Unspecified contact dermatitis, unspecified cause |
Discoid lupus erythematosus | |
H01.12 | Discoid lupus erythematosus of eyelid |
H01.121 | Discoid lupus erythematosus of right upper eyelid |
H01.122 | Discoid lupus erythematosus of right lower eyelid |
H01.123 | Discoid lupus erythematosus of right eye, unspecified eyelid |
H01.124 | Discoid lupus erythematosus of left upper eyelid |
H01.125 | Discoid lupus erythematosus of left lower eyelid |
H01.126 | Discoid lupus erythematosus of left eye, unspecified eyelid |
H01.129 | Discoid lupus erythematosus of unspecified eye, unspecified eyelid |
L93.0 | Discoid lupus erythematosus |
Genital organ pruritus | |
L29.2 | Pruritus vulvae |
L29.3 | Anogenital pruritus, unspecified |
Granuloma annulare | |
L92.0 | Granuloma annulare |
Lichen simplex chronicus | |
L28.0 | Lichen simplex chronicus |
Plaque psoriasis | |
L40.0 | Psoriasis vulgaris |
L40.9 | Psoriasis, unspecified |
Pruritus ani | |
L29.0 | Pruritus ani |
L29.3 | Anogenital pruritus, unspecified |
Pruritus of skin | |
L29.8 | Other pruritus |
L29.81 | Cholestatic pruritus |
L29.89 | Other pruritus |
L29.9 | Pruritus, unspecified |
Pyoderma gangrenosum | |
L88 | Pyoderma gangrenosum |
Scalp psoriasis | |
L40.0 | Psoriasis vulgaris |
L40.1 | Generalized pustular psoriasis |
L40.4 | Guttate psoriasis |
L40.8 | Other psoriasis |
L40.9 | Psoriasis, unspecified |
Seborrheic dermatitis | |
L21 | Seborrheic dermatitis |
L21.0 | Seborrhea capitis |
L21.1 | Seborrheic infantile dermatitis |
L21.8 | Other seborrheic dermatitis |
L21.9 | Seborrheic dermatitis, unspecified |
Skin inflammation | |
L20 | Atopic dermatitis |
L20.8 | Other atopic dermatitis |
L20.89 | Other atopic dermatitis |
L20.9 | Atopic dermatitis, unspecified |
L21 | Seborrheic dermatitis |
L21.8 | Other seborrheic dermatitis |
L21.9 | Seborrheic dermatitis, unspecified |
L25 | Unspecified contact dermatitis |
L30.8 | Other specified dermatitis |
L30.9 | Dermatitis, unspecified |
L40 | Psoriasis |
L40.1 | Generalized pustular psoriasis |
L40.8 | Other psoriasis |
L40.9 | Psoriasis, unspecified |
R21 | Rash and other nonspecific skin eruption |
Formulary Reference Tool