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Choice of topical steroids

Updated: Nov 19, 2024

Classification table by strength of the action of topical steroids


Box for ointments, creams, lotions, etc.

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)


Topical steroids Dermovate and Solvega










Ⅰ-2.Common name:Acetate, Diflolazon


​Main product names

(Company name)

・Diflal Ointment/ Cream(Astellas)

・Diacort Ointment/ Cream(Pfizer)



Topical steroids Diflal and Diacort






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)


Fullmeta topical steroid ointment



Ⅱ-2.Common name:Betamethasone dipropionate

​​Main product names

(Company name)

・Antebate Ointment/ Cream/ Lotion(Torii)



Antebate, a topical steroid Cream








Ⅱ-3.Common name:Fluocinonide


​​Main product names

(Company name)

・Topsym Ointment/ Cream/ Lotion/ Spray (Tanabe)

・Simaron Ointment/ Cream/ Gel (Teikoku Medic)


Topical steroids Simaron and Topsym






Ⅱ-4.Common name:Betamethasone Dipropionate


​​Main product names

(Company name)

・RINDERON-DP Ointment/ Cream/ Gel (Shionogi)


RINDERON-DP, a topical steroid





Ⅱ-5.Common name:Difluprednate


​​Main product names

(Company name)

MYSER Ointment/ Cream/ (Mitsubishi Tanabe)


MYSER topical steroid





Ⅱ-6.Common name:Amcinonide


​​Main product names

(Company name)

​・VISDERM Ointment/ Cream/ (Nichi-iko)



VISDERM topical steroid



Ⅱ-7.Common name:Diflucortolone Valerate


​​​Main product names

(Company name)

・Nerisona Ointment/ Cream/ Solution(LTL)

・Texmeten Ointment/ Cream (Sato)



Topical steroids Nerisona and Texmeten





Ⅱ-8.Common name:Hydrocortisone butyrate propionate


​​​Main product names

(Company name)

​​・PANDEL Ointment/ Cream/ Lotion(Taisho)



Topical steroid PANDEL



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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