Psoriasis treatments: Steroids - Potent

Betnovate is a potent topical corticosteroid containing betamethasone valerate. It is used to treat the itching and inflammation associated with a number of steroid-responsive skin conditions, including eczema, dermatitis and psoriasis (excluding widespread plaque psoriasis). Betnovate Scalp Application is used for steroid-responsive scalp conditions, including scalp psoriasis.

Betnovate belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

How does it work?

Topical corticosteroids reduce inflammation and itching by acting on the body's inflammatory response in the skin. They control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition.

Betnovate is a potent corticosteroid and is generally prescribed when a less potent corticosteroid is not sufficiently effective. Because more potent corticosteroids have a greater risk of side effects, they should be used in the smallest amount necessary and for the shortest time needed to control the condition.

Who can get it?

Betnovate is available on prescription for adults, older people and children over 1 year of age. It should not be used in children under 1 year.

Children are more susceptible to the side effects of topical corticosteroids and may need shorter courses and less potent treatments.

How is it used?

Betnovate cream or ointment is usually applied as a thin layer to the affected areas once or twice a day, as directed by your doctor or pharmacist. Gently rub it into the skin until it has been absorbed.

Creams are generally more suitable for moist or weeping areas, while ointments are particularly suitable for dry, scaly or thickened areas.

The amount needed can be measured using fingertip units. As a general guide, one fingertip unit of cream or ointment is enough to cover an area approximately twice the size of an adult's palm.

Do not use more than you have been advised to use. Using too much, applying it too frequently or using it for too long can increase the risk of side effects.

Betnovate Scalp Application is applied to the scalp morning and night until improvement is noticeable. Once the condition has improved, it may be possible to reduce treatment to once a day or less frequently, as advised by your doctor.

What are the side effects?

Using potent topical corticosteroids for too long, too frequently or over large areas can increase the risk of side effects.

Local side effects can include itching, burning or pain, skin thinning, stretch marks, changes in skin colour, increased hair growth and visible small blood vessels. In some cases, the underlying condition may become worse or another skin infection may develop.

Although uncommon, enough betamethasone can be absorbed through the skin to cause effects throughout the body, particularly when used over large areas, for prolonged periods or under dressings that prevent the skin from breathing. These effects can include suppression of the body's natural steroid production and features associated with excessive corticosteroid exposure.

Avoid using Betnovate on the face unless your doctor has specifically advised you to do so, as the skin on the face is particularly susceptible to steroid-related side effects.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, speak to your doctor before using Betnovate. During pregnancy, betamethasone valerate should only be used when the expected benefit to the mother outweighs any potential risk, and the smallest amount should be used for the shortest possible time.

If used while breastfeeding, Betnovate should not be applied to the breasts to avoid accidental ingestion by the baby.

Manufactured by

Betnovate is available as a cream or an ointment and is manufactured in the UK by GlaxoSmithKline.

Reviewed: August 2026

Version ID: 2/BET/PST/08/26

Synalar contains the active ingredient fluocinolone acetonide, a potent topical corticosteroid used to reduce inflammation in the skin. It is used to treat inflammatory, itchy and allergic skin conditions, including eczema, dermatitis and psoriasis, but is not normally used to treat large areas of psoriasis because of the increased risk of side effects.

Synalar belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

How does it work?

Fluocinolone acetonide reduces inflammation by suppressing the body's inflammatory response in the skin. This helps reduce redness, swelling and itching associated with inflammatory skin conditions.

Synalar is a potent corticosteroid and is generally used when a less potent corticosteroid is not sufficiently effective. Potent corticosteroids have a greater potential to cause side effects, particularly when used for long periods, over large areas of skin or under dressings that cover the treated area.

Topical corticosteroids control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition.

Who can get it?

Synalar is available on prescription for adults, older people and children over 1 year of age. It should not be used in children under 1 year of age.

Children can be more susceptible to the side effects of topical corticosteroids. A doctor may therefore prescribe a less potent corticosteroid or a shorter course of treatment.

Synalar should not normally be used to treat large areas of psoriasis, including widespread plaque psoriasis, because the risk of side effects is greater.

How is it used?

A small amount of Synalar cream, ointment or gel should be applied lightly to the affected areas two or three times a day, as directed by your doctor or pharmacist. Gently massage it into the skin.

Cream is particularly suitable for moist or weeping areas and areas where skin folds or flexures are affected. Ointment is generally more suitable for dry, scaly or thickened skin.

Do not use more Synalar than you have been advised to use. Using too much, applying it too frequently or using it for too long can increase the risk of side effects.

Occlusive dressings may sometimes be recommended by a doctor for certain conditions, but they should not be used in children or on the face.

What are the side effects?

Using a potent topical corticosteroid for too long, too frequently, over large areas or under an occlusive dressing can increase the risk of side effects.

Possible side effects where Synalar is applied include:

• thinning of the skin
• stretch marks
• changes in skin pigmentation
• burning or irritation
• increased hair growth
• visible small blood vessels
• inflammation of the hair follicles
• allergic skin reactions
• worsening of the skin condition
• development or worsening of a skin infection.
  
  

Although uncommon, more of the corticosteroid can be absorbed through the skin when it is used over large areas, for prolonged periods or under occlusive dressings. This can potentially cause effects throughout the body, including suppression of the body's natural production of corticosteroid hormones.

If you notice your skin condition getting worse or develop signs of an infection while using Synalar, speak to your doctor or pharmacist.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are breastfeeding, speak to your doctor or pharmacist before using Synalar.

Your doctor will consider the benefits and potential risks before recommending treatment during pregnancy or breastfeeding. The smallest amount needed should generally be used for the shortest appropriate period.

How do I get Synalar?

Synalar is available on prescription as a cream, ointment or gel. There is also a lower-strength 1:4 Synalar Ointment (0.00625%).

Marketed by

Synalar is marketed in the UK by Reig Jofre UK Ltd.

Reviewed: August 2026
Version ID: 2/SYN/PST/08/26

Metosyn contains the active ingredient fluocinonide, a potent topical corticosteroid used to reduce inflammation, redness and itching associated with inflammatory skin conditions. It can be used for conditions including eczema, dermatitis and psoriasis.

Metosyn belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

How does it work?

Fluocinonide reduces inflammation by suppressing the body's inflammatory response in the skin. This helps reduce redness, swelling and itching associated with inflammatory skin conditions.

Metosyn is a potent corticosteroid and is generally prescribed when a less potent corticosteroid has not been sufficiently effective. Potent corticosteroids have a greater potential to cause side effects, particularly when used for long periods, over large areas of skin or under dressings that cover the treated area.

Topical corticosteroids control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition.

Who can get it?

Metosyn is available on prescription for adults and children. In children, topical corticosteroids should be used carefully because children can be more susceptible to side effects. A doctor may prescribe a less potent corticosteroid or a shorter course of treatment where appropriate.

How is it used?

Apply a thin layer of Metosyn to the affected areas three or four times a day, or as directed by your doctor or pharmacist, and gently rub it into the skin.

As the condition improves, your doctor may advise reducing the frequency of application, for example to twice a day or once a day.

Do not use more Metosyn than you have been advised to use. Using too much, applying it too frequently or using it for too long can increase the risk of side effects.

What are the side effects?

Using a potent topical corticosteroid for too long, too frequently, over large areas or under an occlusive dressing can increase the risk of side effects.

Possible side effects where Metosyn is applied include:

• thinning of the skin
• stretch marks
• changes in skin pigmentation
• burning or irritation
• acne or acne-like eruptions
• increased hair growth
• visible small blood vessels
• inflammation of the hair follicles
• allergic skin reactions
• worsening of the skin condition
• development or worsening of a skin infection.

Although uncommon, more of the corticosteroid can be absorbed through the skin when it is used over large areas, for prolonged periods or under occlusive dressings. This can potentially cause effects throughout the body, including suppression of the body's natural production of corticosteroid hormones.

Do not apply Metosyn to the face unless your doctor has specifically advised you to do so, as facial skin is particularly susceptible to side effects from potent topical corticosteroids.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are breastfeeding, speak to your doctor or pharmacist before using Metosyn.

Your doctor will consider the benefits and potential risks before recommending treatment. If treatment is considered necessary, the smallest amount needed should generally be used for the shortest appropriate period.

If used while breastfeeding, Metosyn should not be applied to the breasts to prevent the baby accidentally coming into contact with the medicine.

How do I get Metosyn?

Metosyn is available on prescription as a cream or ointment.

Marketed by

Metosyn is marketed in the UK by Reig Jofre UK Ltd.

Reviewed: August 2026
Version ID: 2/MET/PST/08/26

Lotriderm contains two active ingredients: betamethasone dipropionate, a potent topical corticosteroid, and clotrimazole, an antifungal medicine. It is used for the short-term treatment of certain fungal infections of the skin when redness and itching are also present.

Lotriderm belongs to a group of medicines called topical corticosteroids and antifungal medicines. Topical corticosteroids should not be confused with anabolic steroids, which are sometimes misused by athletes.

How does it work?

Betamethasone dipropionate is a potent corticosteroid. It reduces inflammation, redness and itching in the skin.

Clotrimazole is an antifungal medicine that works against fungi and yeasts responsible for certain skin infections.

The combination therefore treats the fungal infection while also reducing associated inflammation, redness and itching.

Lotriderm is intended for short-term treatment of fungal infections. It should not be used simply to treat psoriasis or other inflammatory skin conditions where there is no fungal infection. Using a potent corticosteroid when it is not needed can mask or worsen some skin infections.

Who can get it?

Lotriderm is available on prescription for adults and children over 12 years of age.

It should not be used in children under 12 years of age.

If Lotriderm is prescribed for a child over 12, it should not be used on any part of the body for more than 5 days.

How is it used?

Apply a thin layer of Lotriderm cream to the affected and surrounding skin twice a day, in the morning and evening, and gently massage it into the skin.

Treatment will usually last for 2 or 4 weeks, depending on the type of fungal infection. Your doctor will tell you how long to use it.

The infection should normally start to improve within the first few days. If it does not improve, or becomes worse, speak to your doctor.

Do not use Lotriderm:

• in or around the eyes
• on large areas of the body for prolonged periods
• under dressings such as plasters or bandages unless specifically advised by your doctor
• on large areas of damaged or broken skin
• on the face for more than 5 days
• in skin folds, such as behind the knees, for prolonged periods.

Do not use more cream, or use it more frequently, than recommended. Using too much or using it for too long can increase the amount of corticosteroid absorbed through the skin and increase the risk of side effects.

What are the side effects?

Like all medicines, Lotriderm can cause side effects, although not everyone will experience them.

Possible side effects include:

• burning or stinging
• redness or irritation
• itching
• rash
• swelling
• peeling or dryness of the skin
• inflammation of the hair follicles
• increased hair growth
• changes in skin colour
• allergic skin reactions
• thinning of the skin
• stretch marks
• development or worsening of another skin infection.

Using a potent corticosteroid for too long, too frequently, over large areas or under a dressing can increase the risk of side effects. In some circumstances, corticosteroids applied to the skin can be absorbed into the bloodstream and affect the body's natural steroid production, particularly in children.

If your psoriasis becomes worse while using Lotriderm, or you develop raised bumps containing pus, contact your doctor.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant, are planning a pregnancy or are breastfeeding, speak to your doctor or pharmacist before using Lotriderm.

How do I get Lotriderm?

Lotriderm is available on prescription as a cream.

Manufactured by

Lotriderm is manufactured in the UK by Organon Pharma (UK) Limited.

Reviewed: August 2026
Version ID: 2/LOT/PST/08/26

Locoid contains the active ingredient hydrocortisone butyrate, a topical corticosteroid used to reduce inflammation, redness and itching associated with inflammatory skin conditions including eczema, dermatitis and psoriasis.

Locoid belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

Locoid is a potent topical corticosteroid. It is suitable for inflammatory skin conditions, including psoriasis, although topical corticosteroids should not normally be used for widespread plaque psoriasis.

How does it work?

Hydrocortisone butyrate reduces inflammation by suppressing the body's inflammatory response in the skin. This helps reduce redness, swelling and itching.

Topical corticosteroids control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition. If treatment is stopped, the skin condition may return.

Who can get it?

Locoid is available on prescription for adults, older people, children and infants over 3 months of age.

It is available in several formulations, including:

• Locoid Cream
• Locoid Lipocream
• Locoid Ointment
• Locoid Crelo
• Locoid Scalp Lotion.
  
  

The different formulations are designed to be suitable for different types and locations of skin conditions. Locoid Crelo, for example, is particularly suitable for the scalp and hairy areas and can be used on both scaly and moist or weeping lesions.

How is it used?

Apply a thin and even layer to the affected areas once or twice a day, as directed by your doctor or pharmacist.

Locoid should be applied sparingly and gently rubbed into the skin.

In adults and older people, the same dosage is generally used.

In children, long-term treatment, large amounts and the use of occlusive dressings should be avoided. In infants, treatment should be limited to a maximum of 7 days.

In some resistant areas, such as thickened psoriasis plaques on the elbows and knees, a doctor may recommend applying the medicine under an occlusive dressing. This should only be done when specifically advised by a healthcare professional.

Locoid Crelo is particularly suitable for the scalp and hairy areas, while its formulation also makes it suitable for both scaly and moist or weeping lesions.

What are the side effects?

Using a potent topical corticosteroid for too long, applying too much, treating large areas or using occlusive dressings can increase the amount of steroid absorbed through the skin and increase the risk of side effects.

Possible side effects include:

• thinning of the skin
• stretch marks
• changes in skin pigmentation
• irritation or burning
• inflammation of the hair follicles
• increased hair growth
• worsening of an existing skin infection or development of a new infection
• allergic skin reactions.
  
  

Skin thinning and other local changes are more likely when topical corticosteroids are used for prolonged periods, particularly in skin folds or under occlusion.

In some circumstances, enough hydrocortisone butyrate can be absorbed through the skin to affect the body's natural production of corticosteroid hormones. This is more likely in infants and children, when large areas are treated, during prolonged treatment or when occlusive dressings are used.

Some Locoid formulations contain ingredients that can cause skin reactions. For example, Locoid Lipocream contains cetostearyl alcohol, which may cause local skin reactions such as contact dermatitis, and propyl parahydroxybenzoate, which may cause allergic reactions that can sometimes be delayed.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are breastfeeding, speak to your doctor before using Locoid.

Your doctor will consider the benefits and potential risks before recommending treatment. The smallest amount needed should generally be used for the shortest appropriate period.

How do I get Locoid?

Locoid is available on prescription as a cream, Lipocream, ointment, Crelo or scalp lotion. The products contain 0.1% hydrocortisone butyrate.

Marketed by

Locoid is marketed in the UK by Neon Healthcare Ltd

Reviewed: August 2026
Version ID: 2/LOC/PST/08/26

Fluticasone propionate is a potent topical corticosteroid used to reduce inflammation, redness and itching associated with inflammatory skin conditions. It is available in the UK as Cutivate and can be used for conditions including eczema, dermatitis, psoriasis, insect bite reactions and prickly heat. For psoriasis, it should not be used for widespread plaque psoriasis.

It belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

How does it work?

Fluticasone propionate reduces inflammation by suppressing the body's inflammatory response in the skin. This helps reduce redness, swelling and itching.

Topical corticosteroids control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition. If treatment is stopped suddenly, the original skin condition can sometimes return or become worse, particularly after prolonged treatment with potent corticosteroids.

Who can get it?

Fluticasone propionate is available on prescription for adults, older people, children and infants aged 3 months and over. Children and infants are more susceptible to the side effects of topical corticosteroids and generally require shorter courses and, where possible, less potent treatments.

Cutivate ointment is indicated for inflammatory skin conditions including psoriasis, excluding widespread plaque psoriasis. In children, specialist advice should be sought before using it for conditions other than atopic dermatitis.

How is it used?

Apply a thin layer to the affected areas once or twice a day, as directed by your doctor or pharmacist, and gently rub it into the skin. Only enough should be used to cover the affected area.

Treatment is normally continued until the condition has improved. Once the condition is under control, your doctor may advise reducing the frequency of application or changing to a less potent corticosteroid.

For adults, treatment should generally not continue for more than 4 weeks without the treatment being reviewed. If the condition becomes worse or has not improved within four weeks, the diagnosis and treatment should be reviewed.

In children, if there is no improvement within 7–14 days, treatment should be stopped and the child reassessed. Continuous daily treatment for longer than four weeks is not recommended.

What are the side effects?

Most people experience no problems when fluticasone propionate is used correctly and for the recommended length of time.

Possible side effects include:

• itching
• burning or irritation where the medicine is applied
• skin thinning
• stretch marks
• changes in skin colour
• increased hair growth
• visible small blood vessels
• inflammation of the hair follicles
• allergic skin reactions
• worsening of the skin condition
• development or worsening of a skin infection.

Prolonged or intensive treatment with potent topical corticosteroids can increase the risk of skin thinning and other local side effects.

Although uncommon, enough fluticasone propionate can be absorbed through the skin to cause effects throughout the body, particularly when large amounts are used, large areas are treated, treatment is prolonged or occlusive dressings are used. These effects can include suppression of the body's natural production of corticosteroid hormones and features of excessive corticosteroid exposure. The risk is greater in infants and children.

Treatment with a topical corticosteroid can occasionally trigger or worsen pustular psoriasis.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are breastfeeding, speak to your doctor before using fluticasone propionate.

Your doctor will consider the benefits and potential risks before recommending treatment. The smallest amount necessary should generally be used for the shortest appropriate period.

How do I get Fluticasone propionate?

Fluticasone propionate is available on prescription.

Marketed by

Fluticasone is known commercially as Cutivate and is marketed in the UK by GlaxoSmithKline.

Reviewed: August 2026
Version ID: 2/FLU/PST/08/26

Diflucortolone valerate is a potent topical corticosteroid used to reduce inflammation, redness and itching associated with inflammatory skin conditions, including eczema, dermatitis and psoriasis.

It belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

How does it work?

Diflucortolone valerate reduces inflammation by suppressing the body's inflammatory response in the skin. This helps reduce redness, swelling and itching associated with inflammatory skin conditions.

Topical corticosteroids control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition. After treatment is stopped, the original condition may return.

Diflucortolone valerate is a potent corticosteroid and should be used in the smallest amount necessary to control the condition and for the shortest appropriate period.

Who can get it?

Diflucortolone valerate is available on prescription for adults and children. Children are more susceptible to the side effects of topical corticosteroids and may require shorter courses of treatment.

Your doctor or pharmacist will advise whether diflucortolone is suitable, particularly for young children or when treatment is required on sensitive areas such as the face.

How is it used?

Apply a thin layer to the affected areas once or twice daily, as directed by your doctor or pharmacist, and gently rub it into the skin.

As the condition improves, the frequency of application may be reduced.

Do not use more than recommended. Applying too much, using it too frequently or continuing treatment for too long can increase the risk of side effects.

Treatment on the face and in children should be limited and should follow your doctor's instructions. Occlusive dressings should not be used unless specifically advised by a healthcare professional.

What are the side effects?

Like all medicines, diflucortolone valerate can cause side effects, although not everyone will experience them.

Possible side effects include:

• burning or irritation
• itching
• dryness
• thinning of the skin
• stretch marks
• changes in skin colour
• increased hair growth
• visible small blood vessels
• inflammation of the hair follicles
• acne or acne-like eruptions
• allergic skin reactions
• worsening of the skin condition
• development or worsening of a skin infection.
  
  

Using a potent topical corticosteroid for prolonged periods, over large areas, under occlusive dressings or on areas where the skin is thin can increase the amount absorbed through the skin and the risk of side effects.

Although uncommon, significant absorption can affect the body's natural production of corticosteroid hormones. This risk is greater in children.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are breastfeeding, speak to your doctor or pharmacist before using diflucortolone valerate.

If treatment is considered necessary, the smallest amount needed should generally be used for the shortest appropriate period.

How do I get Diflucortolone valerate?

Diflucortolone valerate is available on prescription as a topical preparation.

Marketed by

Diflucortolone valerate is known commercially as Nerisone Forte and is marketed in the UK by Meadow Laboratories Ltd.

Reviewed: August 2026
Version ID: 2/DIF/PST/08/26

Betacap contains the active ingredient betamethasone valerate, a potent topical corticosteroid used to reduce inflammation, redness and itching associated with inflammatory skin conditions, including scalp psoriasis.

It belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

How does it work?

Betamethasone valerate reduces inflammation by suppressing the body's inflammatory response in the skin. This helps reduce redness, swelling and itching associated with inflammatory skin conditions.

Betacap is formulated as a scalp application, making it easier to apply to areas of the scalp affected by psoriasis and other inflammatory skin conditions.

The formulation contains alcohol, which helps the preparation dry quickly on the scalp. It also contains ingredients that help condition the scalp.

Topical corticosteroids control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition. The condition may return after treatment is stopped.

Who can get it?

Betacap is available on prescription for adults, older people and children over 1 year of age.

Children are more susceptible to the side effects of topical corticosteroids. Treatment in children should therefore use the smallest amount necessary and for the shortest appropriate period.

How is it used?

Betacap Scalp Application is for external use on the scalp only.

For adults and older people:

1. Carefully invert the bottle over the scalp, holding the nozzle over the area to be treated.
2. Gently squeeze the bottle until the affected area is covered with a thin layer of the preparation.
3. Gently massage it into the scalp if necessary.
4. Allow the scalp to dry naturally.
5. Wash your hands after applying the preparation.

Treatment is normally applied twice a day, in the morning and evening, until the scalp condition improves.

Once the condition has improved, it may be possible to maintain control by reducing treatment to once a day or less frequently, using the minimum frequency needed to control the condition.

If treatment coincides with hair washing, Betacap should be applied after the hair has been dried.

Take care to prevent the preparation from getting into the eyes.

For children over 1 year, the preparation should be used sparingly and only enough should be applied to cover the affected area. The treated scalp should not be covered with an airtight dressing unless specifically advised by a doctor.

Do not use more than recommended. Using too much, too frequently or for too long can increase the risk of side effects.

What are the side effects?

Like all medicines, Betacap can cause side effects, although not everyone will experience them.

Possible side effects of topical corticosteroids include:

• burning, stinging or irritation
• itching
• dryness
• thinning of the skin
• stretch marks
• changes in skin colour
• increased hair growth
• visible small blood vessels
• inflammation of the hair follicles
• acne or acne-like eruptions
• allergic skin reactions
• worsening of the skin condition
• development or worsening of a skin infection.

Using a potent corticosteroid for prolonged periods, over large areas or under an occlusive dressing can increase the amount of steroid absorbed through the skin.

Although uncommon, significant absorption can affect the body's natural production of corticosteroid hormones. This is more likely in children, when large amounts are used or when treatment is prolonged.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are breastfeeding, speak to your doctor before using Betacap.

Betacap should only be used during pregnancy or breastfeeding if your doctor considers treatment necessary. The smallest amount needed should generally be used for the shortest appropriate period.

How do I get Betacap?

Betacap Scalp Application is available on prescription and is intended for use on the scalp.

Manufactured by

Betacap Scalp Application is manufactured by Dermal Laboratories Ltd.

Reviewed: August 2026
Version ID: 2/BET/PST/08/26

Mometasone furoate is a potent topical corticosteroid used to reduce inflammation, redness and itching associated with inflammatory skin conditions, including eczema, dermatitis and psoriasis.

It belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids work on the skin to reduce inflammation, redness and itching.

How does it work?

Mometasone furoate reduces inflammation by suppressing the body's inflammatory response in the skin. This helps reduce redness, swelling and itching.

Topical corticosteroids control the symptoms and signs of inflammatory skin conditions while they are being used, but they do not cure the underlying condition. The original skin condition may return after treatment is stopped.

Mometasone furoate is a potent corticosteroid and is generally used when a less potent corticosteroid is not sufficiently effective. Potent corticosteroids should be used in the smallest amount necessary and for the shortest appropriate period.

Who can get it?

Mometasone furoate is available on prescription for adults and children.

It is available in different formulations, including cream, ointment and scalp lotion. The appropriate formulation will depend on the area being treated and the nature of the skin condition.

Children are more susceptible to the effects of topical corticosteroids and may require shorter courses of treatment and careful monitoring.

How is it used?

Cream and ointment

Apply a thin layer to the affected areas of skin once daily, as directed by your doctor or pharmacist, and gently rub it in.

The ointment is particularly suitable for dry, scaly or thickened areas, while the cream may be more suitable for less dry areas.

Avoid contact with the eyes.

Scalp lotion

Apply a small amount of the lotion to the affected areas of the scalp once daily, as directed by your doctor or pharmacist.

Part the hair where necessary and apply the lotion directly to the affected areas. Avoid getting the lotion into the eyes or on the face.

Treatment should be reviewed if there is no improvement or if prolonged treatment is required.

Do not use more than recommended. Using a potent corticosteroid too frequently, for too long or over large areas can increase the risk of side effects.

What are the side effects?

Like all medicines, mometasone furoate can cause side effects, although not everyone will experience them.

Possible local side effects include:

• burning, stinging or tingling
• itching
• irritation or dryness
• inflammation of the hair follicles (folliculitis)
• thinning of the skin
• stretch marks
• changes in skin colour
• increased hair growth
• acne or acne-like eruptions
• perioral dermatitis
• allergic contact dermatitis
• secondary skin infection.

Using a potent topical corticosteroid for prolonged periods, over large areas, under occlusive dressings or on areas where the skin is thin can increase the amount absorbed through the skin.

Although uncommon, significant absorption can affect the body's natural production of corticosteroid hormones and can cause features associated with excessive corticosteroid exposure.

Children are particularly susceptible because they have a larger skin surface area in relation to their body weight. Prolonged or excessive use in children may also affect growth and development.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are breastfeeding, speak to your doctor before using mometasone furoate.

If treatment is considered necessary, the smallest amount needed should generally be used for the shortest appropriate period.

How do I get Mometasone furoate?

Mometasone furoate is available on prescription as a cream, ointment and scalp lotion.

Marketed by

Mometasone is available as a lotion, cream and also an ointment and is known commercially as Elocon. It is marketed in the UK by Schering-Plough Ltd

Reviewed: August 2026
Version ID: 2/MOM/PST/08/26

Bettamousse is a potent topical corticosteroid containing betamethasone valerate. It is used to treat steroid-responsive skin conditions of the scalp, such as scalp psoriasis. Topical corticosteroids reduce inflammation, redness and itching. They should not be confused with anabolic steroids, which are sometimes misused by athletes.

How does it work?

Betamethasone valerate is a potent topical corticosteroid. It reduces inflammation and suppresses the body's inflammatory response in the skin, helping to relieve symptoms such as redness, itching and irritation.

Topical corticosteroids control symptoms while they are being used but are not a cure for psoriasis. With psoriasis, corticosteroids should be used carefully because stopping treatment can sometimes result in a rebound flare.

Who can get it?

Bettamousse is available on prescription for adults, older people and children over 6 years of age. It should not be used in children under 6 years.

How is it used?

Apply the mousse sparingly to the affected areas of the scalp and massage it in gently. Adults and children over 6 years should use no more than a golf-ball-sized amount in total (approximately 3.5 g), twice a day, in the morning and evening, until the condition improves. Children should use proportionately less.

If there is no improvement after 7 days, treatment should be stopped. Once the condition has improved, treatment can usually be reduced to once a day and, if appropriate, less frequently. Use the smallest amount needed to control the condition and for the shortest possible time.

The hair should not be washed immediately after application, allowing the mousse to work through the day or overnight. Wash your hands after applying it.

Important: Bettamousse is highly flammable because it contains a large amount of ethanol. Keep it away from naked flames, lit cigarettes and sources of ignition, including during and shortly after application.

What are the side effects?

Tell your doctor or pharmacist if your scalp becomes more irritated or if your condition gets worse after using Bettamousse.

Common side effects include:

• itching
• burning or pain at the application site.

Other possible side effects include skin thinning, redness, rash, skin dryness, stretch marks, changes in skin colour, increased hair growth and worsening of the underlying condition. Very rarely, topical corticosteroids can cause effects elsewhere in the body, particularly when large amounts are used, over large areas or for prolonged periods.

Bettamousse can make some skin infections worse or mask their symptoms. It should not be used on an infected scalp unless appropriate treatment for the infection has also been started. Avoid contact with the eyes.

Manufactured by

Bettamousse is manufactured in the UK by RPH Pharmaceuticals AB.

Reviewed: August 2026
Version ID: 2/BEM/PST/08/26

Diprosone is a potent (strong) topical corticosteroid containing betamethasone dipropionate. It is used to treat inflammatory skin conditions, including eczema and dermatitis, and is also effective for less responsive conditions such as scalp psoriasis and chronic plaque psoriasis affecting the hands and feet. It should not be confused with anabolic steroids, which are sometimes misused by athletes.

How does it work?

Betamethasone dipropionate is a potent topical corticosteroid. It reduces inflammation in the skin and helps relieve symptoms such as redness and itching.

Topical corticosteroids control inflammation and symptoms while they are being used but do not cure the underlying condition. They should be used at the appropriate potency and for the shortest duration necessary to control the condition.

Who can get it?

Diprosone is available on prescription for adults and children. Extra care is needed when using potent topical corticosteroids in children, on the face, or over large areas of skin. Prolonged continuous treatment should be avoided.

How is it used?

Diprosone is available as a cream, ointment and lotion. The formulation prescribed will depend on the area being treated and the type of skin condition.

Diprosone Cream and Ointment:
Apply a thin film to the affected area once or twice daily. In most cases, application twice daily is recommended initially. For some people, once-daily or less frequent treatment may be sufficient once the condition is controlled.

Diprosone Lotion:
For scalp conditions, including scalp psoriasis, apply a few drops to the affected areas twice daily and massage gently and thoroughly into the scalp. Once the condition is controlled, treatment may be reduced to less frequent application.

Use Diprosone sparingly and avoid getting it into the eyes. Wash your hands after application.

What are the side effects?

Diprosone is generally well tolerated when used correctly, but side effects can occur, particularly with prolonged use, excessive amounts, treatment of large areas, or use under occlusive dressings.

Possible local side effects include:

• burning or stinging
• itching or irritation
• dryness
• folliculitis
• acne-like eruptions
• increased hair growth
• changes in skin colour
• allergic contact dermatitis
• stretch marks
• thinning of the skin
• visible small blood vessels
• secondary skin infection.

Long-term or excessive use can increase absorption of the corticosteroid into the body and may cause systemic effects. The risk is greater when treating large areas, damaged skin, skin folds or when using occlusive dressings.

Pregnancy and breastfeeding

If you are pregnant, planning to become pregnant or breastfeeding, speak to your doctor before using Diprosone. Potent topical corticosteroids should be used only when necessary and at the lowest effective amount and for the shortest appropriate duration.

Manufactured by

Diprosone is manufactured in the UK by Organon Pharma (UK) Limited.

Reviewed: August 2026
Version ID: 2/DIP/PST/08/26

Betesil is a medicated plaster containing the potent topical corticosteroid betamethasone valerate. It is used for the treatment of chronic plaque psoriasis in localised areas that are difficult to treat, such as the knees, elbows and feet, when less potent corticosteroids have not been effective. Treatment should be limited to an area no greater than 5% of the body surface.

Betesil belongs to a group of medicines called topical corticosteroids. These should not be confused with anabolic steroids, which are sometimes misused by athletes. Topical corticosteroids reduce inflammation and can help relieve symptoms such as redness, itching and irritation.

How does it work?

Betamethasone valerate is a potent topical corticosteroid that reduces the inflammatory response in the skin.

Topical corticosteroids control inflammation and symptoms while they are being used but do not cure psoriasis. Stopping prolonged or intensive corticosteroid treatment suddenly can sometimes cause the condition to worsen or rebound.

Betesil is specially formulated as a medicated plaster to deliver a controlled amount of betamethasone valerate while the affected area is covered by the plaster.

Who can get it?

Betesil is available on prescription for adults.

If you are pregnant, planning to become pregnant or breastfeeding, speak to your doctor before using Betesil. It should only be used if specifically recommended by your doctor.

How is it used?

Apply one medicated plaster once a day to the affected area.

• Do not use more than six medicated plasters in 24 hours.
• Treatment should not normally continue for more than 30 days.
• A new plaster should be applied every 24 hours.
• Clean and carefully dry the affected area before applying the plaster.
• Cut the plaster to the required size if necessary so that it fits the affected area.
• Remove the protective film and apply the medicated adhesive surface to the affected skin.
• Wash your hands after applying the plaster.
• The treated area should not come into contact with water while the plaster is being worn, so bathing or showering is best done between applications.
• If the edges of the plaster lift, particularly over areas such as the knees or elbows, a small piece of adhesive tape can be used to secure the detached edge.
• Do not completely cover the medicated plaster with an additional occlusive dressing.

Once a significant improvement has been achieved, treatment can be stopped. Your doctor may recommend continuing with a less potent topical corticosteroid if further treatment is needed.

What are the side effects?

Like all medicines, Betesil can cause side effects, although not everyone gets them.

Side effects are usually local reactions affecting the skin underneath or around the plaster. These may include:

• redness
• itching
• skin irritation or burning
• dry or flaky skin
• skin thinning
• stretch marks
• small visible blood vessels
• skin erosion
• folliculitis or spots around hair follicles
• increased hair growth
• changes in skin colour
• allergic skin reactions

Because Betesil is a potent corticosteroid and the plaster provides occlusion, prolonged or excessive use can increase absorption of the steroid and the risk of side effects.

Stopping prolonged treatment suddenly may cause psoriasis to flare or become worse. In some cases, withdrawal of corticosteroid treatment can be associated with pustular psoriasis, which requires medical attention.

Manufactured by

Betesil is manufactured in the UK by Genus Pharmaceuticals

Reviewed: August 2026
Version ID: 2/BES/PST/08/26