POTENCY – MILD
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First line:
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GREEN Hydrocortisone cream 0.5%, 1% [NB: 2.5% strength not on formulary]
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GREEN Hydrocortisone ointment 1% [NB: 0.5% and 2.5% strengths not on formulary]
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GREEN Hydrocortisone cream 0.25% & crotamiton 10% (Eurax-Hydrocortisone®)
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POTENCY - MILD WITH ANTIMICROBIAL
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GREEN Hydrocortisone 1% & miconazole 2% cream (Daktacort®)
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GREEN Hydrocortisone 0.5% & nystatin 100,000 units/g cream (Timodine®)
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GREEN Fusidic acid 2% and hydrocortisone acetate 1% [Fucidin® H]
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| GREEN Clotrimazole 1% with hydrocortisone 1% cream [Canestan HC]* |
| *for use in long term conditions only. NOT for acute flare ups - advise self-care/purchase OTC |
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POTENCY – MODERATE
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First line:
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GREEN Clobetasone butyrate 0.05% cream, ointment (Eumovate®)
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| GREEN Betamethasone valerate 0.025% cream, ointment (Betnovate RD®) |
GREEN Fluocinolone 0.00625% cream, ointment (Synalar 1 in 4 Dilution®)
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AMBER Fludroxycortide occlusive tape 4micrograms/cm2 (Haelan®) (Dermatology initiation only)
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| GREEN Clobetasone butyrate with nystatin and oxytetracycline cream (Trimovate® cream) - short term use only |
| AMBER Betamethasone 2.250mg medicated plaster [Betesil®] |
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POTENCY – MODERATE WITH ANTIMICROBIAL
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see below for alternative**
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POTENCY - POTENT
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First line:
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GREEN Betamethasone valerate 0.1% cream, ointment (Betnovate®)
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Second line:
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GREEN Fluocinolone 0.025% cream, ointment (Synalar®)
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AMBER Mometasone furoate 0.1% cream, ointment, lotion (Elocon®) (Dermatology initiation only)
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GREEN Betamethasone 0.1% with fusidic acid 2% cream
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Scalp preparations
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First line:
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GREEN Betamethasone valerate scalp application 0.1% (Betacap®)
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GREEN Betamethasone valerate mousse (Bettamousse®)
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Second line:
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GREEN Fluocinolone 0.025% gel (Synalar®)
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GREEN Hydrocortisone butyrate 0.1% water miscible lotion (Locoid Crelo®)
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POTENCY – POTENT WITH ANTIMICROBIAL
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GREEN Betamethasone dipropionate 0.064%
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(≡ betamethasone 0.05%), clotrimazole 1%, cream (Lotriderm®)**
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POTENCY - POTENT WITH SALICYLIC ACID
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GREEN Betamethasone valerate 0.05% & salicylic acid 3% ointment (Diprosalic®)
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POTENCY - VERY POTENT
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Avoid long-term use without dermatologist supervision
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GREEN Clobetasol 0.05%
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cream, ointment (Dermovate®)
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scalp application (Dermovate®)
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AMBER Clobetasol propionate 500micrograms/gram shampoo (Etrivex®)
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RED Diflucortolone 0.3% oily cream
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Clobetasol Propionate shampoo - Scalp Psoriasis
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Clobetasol shampoo should be kept in place without covering for 15 minutes before rinsing. The treatment duration should be
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limited to a maximum of 4 weeks. As soon as clinical results are observed, applications should be spaced out or replaced, if
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needed, by an alternative treatment. If no improvement is seen within four weeks, reassessment of the diagnosis may be
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necessary. Repeated courses may be used to control exacerbations provided the patient is under regular medical supervision.
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POTENCY – VERY POTENT WITH ANTIMICROBIAL
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Avoid long-term use without dermatologist supervision
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GREEN Clobetasol 0.05% & neomycin/nystatin cream, ointment
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(Dermovate-NN® brand discontinued prescribe as generic)
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