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Halobetasol
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Overdosage/Toxicology
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(hal oh BAY ta sol)

U.S. Brand Names
Ultravate™

Generic Available

No


Synonyms
Halobetasol Propionate

Pharmacological Index

Corticosteroid, Topical


Use

Relief of inflammatory and pruritic manifestations of corticosteroid-response dermatoses [very high potency topical corticosteroid]


Pregnancy Risk Factor

C


Contraindications

Hypersensitivity to halobetasol or any component; viral, fungal, or tubercular skin lesions


Warnings/Precautions

Not for ophthalmic use; may cause adrenal suppression or insufficiency; application to abraded or inflamed areas or too large areas of the body may increase the risk of systemic absorption and the risk of adrenal suppression, as may prolonged use or the use of >50 g/week. Topical halobetasol should not be used for the treatment of rosacea or perioral dermatitis.


Adverse Reactions

<1%: Itching, dry skin, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, skin maceration, skin atrophy, striae; local burning, irritation, miliaria; secondary infection


Overdosage/Toxicology

When consumed in excessive quantities, systemic hypercorticism and adrenal suppression may occur; in those cases, discontinuation and withdrawal of the corticosteroid should be done judiciously


Drug Interactions

No data reported


Mechanism of Action

Corticosteroids inhibit the initial manifestations of the inflammatory process (ie, capillary dilation and edema, fibrin deposition, and migration and diapedesis of leukocytes into the inflamed site) as well as later sequelae (angiogenesis, fibroblast proliferation)


Pharmacodynamics/Kinetics

Absorption: Percutaneous absorption varies by location of topical application and the use of occlusive dressings; ~3% of a topically applied dose of ointment enters the circulation within 96 hours

Metabolism: Primarily in the liver

Elimination: By the kidneys


Usual Dosage

Children and Adults: Topical: Apply sparingly to skin twice daily, rub in gently and completely; treatment should not exceed 2 consecutive weeks and total dosage should not exceed 50 g/week. Therapy should be discontinued when control is achieved; if no improvement is seen, reassessment of diagnosis may be necessary.


Mental Health: Effects on Mental Status

None noted


Mental Health: Effects on Psychiatric Treatment

None noted


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

A thin film of cream or ointment is effective; do not overuse; do not use tight-fitting diapers or plastic pants on children being treated in the diaper area; use only as prescribed, and for no longer than the period prescribed; apply sparingly in light film; rub in lightly; avoid contact with eyes; notify physician if condition being treated persists or worsens


Nursing Implications

A thin film of cream or ointment is effective; do not overuse; do not use tight-fitting diapers or plastic pants on children being treated in the diaper area; use only as prescribed, and for no longer than the period prescribed; apply sparingly in light film; rub in lightly; avoid contact with eyes; notify physician if condition being treated persists or worsens


Dosage Forms

Cream, as propionate: 0.05% (15 g, 45 g)

Ointment, topical, as propionate: 0.05% (15 g, 45 g)


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