Classification table by strength of the action of topical steroids
![Box for ointments, creams, lotions, etc.](https://static.wixstatic.com/media/11062b_207feb409501478184d2f0d7edb1eefd~mv2.jpg/v1/fill/w_980,h_599,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/11062b_207feb409501478184d2f0d7edb1eefd~mv2.jpg)
Topical steroids (adrenocortical hormones) are divided into the following five stages depending on the anti-inflammatory effect and the strength of vasoconstriction function.
(This document categorizes the external preparation fired steroids you get at the hospital.)
In addition, the order of publication in each classification is not related to strength.
In addition, some ointments and creams have different strengths in action.
What you need to know before you look at the table
The skin varies in thickness depending on the location of the body. Therefore, the strength of the medicine used depends on the place of application even with similar symptoms.
For example, "face, neck, armpits, arms, inside the joint of the foot, vulva" etc. are thin skin, so it is effective even with weak steroids.
Ⅰ Strongest
Period | ・Limbs/ trunk:Within 4 weeks ・Face/ neck/ Underarm/ vulva: Within 2 weeks |
Usage | ・Adilt:5g/ day Following ・Children:2g/ day Following |
Ⅰ-1.Common name:Propionic acid clobetasol
Main product names (Company name) | ・Dermovate Ointment/ Cream(GSK) ・Solvega Ointment/ Cream/ Gel(HISAMITSU) |
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![Topical steroids Dermovate and Solvega](https://static.wixstatic.com/media/f40bcd_3f926fe21a13456ea6d857aa62c61931~mv2.jpg/v1/fill/w_422,h_217,al_c,q_80,enc_auto/f40bcd_3f926fe21a13456ea6d857aa62c61931~mv2.jpg)
Ⅰ-2.Common name:Acetate, Diflolazon
Main product names (Company name) | ・Diflal Ointment/ Cream(Astellas) ・Diacort Ointment/ Cream(Pfizer) |
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![Topical steroids Diflal and Diacort](https://static.wixstatic.com/media/f40bcd_b26d02237d7c46f7a6ea44256420c416~mv2.jpg/v1/fill/w_422,h_235,al_c,q_80,enc_auto/f40bcd_b26d02237d7c46f7a6ea44256420c416~mv2.jpg)
Ⅱ Very Strong
Period | ・Limbs/ trunk:Within 6 weeks ・Face/ neck/ Underarm/ vulva: Within 3 weeks |
Usage | ・Adilt:10g/ day Following ・Children:5g/ day Following |
Ⅱ-1.Common name:Mometasone furoate
Main product names (Company name) | ・FullMeta Ointment/ Cream/ Lotion(Shionogi) |
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![Fullmeta topical steroid ointment](https://static.wixstatic.com/media/f40bcd_f227f9b02efc48b59d66350781b85133~mv2.jpg/v1/fill/w_422,h_115,al_c,q_80,enc_auto/f40bcd_f227f9b02efc48b59d66350781b85133~mv2.jpg)
Ⅱ-2.Common name:Betamethasone dipropionate
Main product names (Company name) | ・Antebate Ointment/ Cream/ Lotion(Torii) |
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![Antebate, a topical steroid Cream](https://static.wixstatic.com/media/f40bcd_a2907ff4c86d4c9fafa1f112cb5f96ae~mv2.jpg/v1/fill/w_422,h_119,al_c,q_80,enc_auto/f40bcd_a2907ff4c86d4c9fafa1f112cb5f96ae~mv2.jpg)
Ⅱ-3.Common name:Fluocinonide
Main product names (Company name) | ・Topsym Ointment/ Cream/ Lotion/ Spray (Tanabe) ・Simaron Ointment/ Cream/ Gel (Teikoku Medic) |
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![Topical steroids Simaron and Topsym](https://static.wixstatic.com/media/f40bcd_390fb8b298b2476a8d3fcc700ca273c1~mv2.jpg/v1/fill/w_422,h_236,al_c,q_80,enc_auto/f40bcd_390fb8b298b2476a8d3fcc700ca273c1~mv2.jpg)
Ⅱ-4.Common name:Betamethasone Dipropionate
Main product names (Company name) | ・RINDERON-DP Ointment/ Cream/ Gel (Shionogi) |
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![RINDERON-DP, a topical steroid](https://static.wixstatic.com/media/f40bcd_a3c68cdf305c4ffdb3be23e7a30db554~mv2.jpg/v1/fill/w_422,h_117,al_c,q_80,enc_auto/f40bcd_a3c68cdf305c4ffdb3be23e7a30db554~mv2.jpg)
Ⅱ-5.Common name:Difluprednate
Main product names (Company name) | ・MYSER Ointment/ Cream/ (Mitsubishi Tanabe) |
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![MYSER topical steroid](https://static.wixstatic.com/media/f40bcd_a315ecf05c2e44e6be4cafa87ba87e0c~mv2.jpg/v1/fill/w_422,h_118,al_c,q_80,enc_auto/f40bcd_a315ecf05c2e44e6be4cafa87ba87e0c~mv2.jpg)
Ⅱ-6.Common name:Amcinonide
Main product names (Company name) | ・VISDERM Ointment/ Cream/ (Nichi-iko) |
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![VISDERM topical steroid](https://static.wixstatic.com/media/f40bcd_8e31c31e0ca14fb2a92ffb35cbee5d85~mv2.jpg/v1/fill/w_422,h_115,al_c,q_80,enc_auto/f40bcd_8e31c31e0ca14fb2a92ffb35cbee5d85~mv2.jpg)
Ⅱ-7.Common name:Diflucortolone Valerate
Main product names (Company name) | ・Nerisona Ointment/ Cream/ Solution(LTL) ・Texmeten Ointment/ Cream (Sato) |
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![Topical steroids Nerisona and Texmeten](https://static.wixstatic.com/media/f40bcd_331088b405014aeab3f2e6039c37278c~mv2.jpg/v1/fill/w_422,h_236,al_c,q_80,enc_auto/f40bcd_331088b405014aeab3f2e6039c37278c~mv2.jpg)
Ⅱ-8.Common name:Hydrocortisone butyrate propionate
Main product names (Company name) | ・PANDEL Ointment/ Cream/ Lotion(Taisho) |
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![Topical steroid PANDEL](https://static.wixstatic.com/media/f40bcd_d8c6a42439c846a1a5bbf74ed8659ca4~mv2.jpg/v1/fill/w_422,h_104,al_c,q_80,enc_auto/f40bcd_d8c6a42439c846a1a5bbf74ed8659ca4~mv2.jpg)
Ⅲ Strong
Period | ・Limbs/ trunk:Within 6 weeks ・Face/ neck/ Underarm/ vulva: Within 3 weeks |
Usage | ・Adilt:10g/ day Following ・Children:5g/ day Following |
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