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Clobetasol propionate

From Wikipedia, the free encyclopedia
Medication
Not to be confused withClostebol orClostebol propionate.

Pharmaceutical compound
Clobetasol propionate
Clinical data
Pronunciation/klˈbtəsɒl/[1]
Trade namesDermovate, Temovate, Clovate, others
AHFS/Drugs.comMonograph
License data
Pregnancy
category
Routes of
administration
Topical
ATC code
Legal status
Legal status
Identifiers
  • [17-(2'-Chloroacetyl)-9-fluoro-11-hydroxy-10,13,16-trimethyl-3-oxo-6,7,8,11,12,14,15,16-octahydrocyclopenta[a]phenanthren-17-yl] propanoate
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.042.380Edit this at Wikidata
Chemical and physical data
FormulaC25H32ClFO5
Molar mass466.97 g·mol−1
3D model (JSmol)
  • ClCC(=O)[C@]3(OC(=O)CC)[C@]2(C[C@H](O)[C@]4(F)[C@@]/1(\C(=C/C(=O)\C=C\1)CC[C@H]4[C@@H]2C[C@@H]3C)C)C
  • InChI=1S/C25H32ClFO5/c1-5-21(31)32-25(20(30)13-26)14(2)10-18-17-7-6-15-11-16(28)8-9-22(15,3)24(17,27)19(29)12-23(18,25)4/h8-9,11,14,17-19,29H,5-7,10,12-13H2,1-4H3/t14-,17-,18-,19-,22-,23-,24-,25-/m0/s1 checkY
  • Key:CBGUOGMQLZIXBE-XGQKBEPLSA-N checkY
  (verify)

Clobetasol propionate is acorticosteroid that is used to treat skin conditions such aseczema,contact dermatitis,seborrheic dermatitis, steroid responsive dermatosis, andpsoriasis (including scalp and plaque-type).[7][8] It is applied to the skin as a cream, foam, gel, liquid, solution, ointment, or shampoo.[7][9] Clobetasol propionate is apropionateester of thecorticosteroidclobetasol.[10]

Common side effects include skin irritation, dry skin, redness, pimples, andtelangiectasia.[7] Serious side effects may includeadrenal suppression,allergic reactions,cellulitis, andCushing's syndrome.[7] Use inpregnancy andbreastfeeding is of unclear safety.[11] Clobetasol is believed to work by activatingsteroid receptors.[7]

Clobetasol propionate was patented in 1968 and came into medical use in 1978.[12] It is available as ageneric medication.[9] In 2023, it was the 129th most commonly prescribed medication in the United States, with more than 4 million prescriptions.[13][14]

Medical uses

[edit]

Clobetasol propionate is used for the treatment of various skin disorders includingeczema,herpes labialis,[15]psoriasis, andlichen sclerosus. It is also used to treat severalauto-immune diseases includingalopecia areata,lichen planus (auto immune skin nodules), andmycosis fungoides (T-cell skin lymphoma). It is used as a first-line treatment for both acute and chronicGVHD of the skin.[16]

Clobetasol propionate is used cosmetically for skin whitening, although this use is controversial. The USFood and Drug Administration has not approved it for that purpose, and sales without a prescription are illegal in the US. Nonetheless, skin-whitening creams containing this ingredient can sometimes be found in beauty supply stores in New York City and on the internet. It is also sold internationally and does not require a prescription in some countries. Whitening creams with clobetasol propionate, such as Hyprogel, can make skin thin and easily bruised, with visible capillaries, and acne. It can also lead to hypertension, elevated blood sugar, suppression of the body's natural steroids, and stretch marks, which may be permanent.[17]

Clobetasol propionate is, along with mercury andhydroquinone, "amongst the most toxic, the latter in higher concentrations, and most used agents in lightening products." Many products sold illegally have higher concentrations of clobetasol propionate than is permitted for prescription drugs.[18]

Clobetasol 0.05% is considered a member of the "super-high potency" group of topical corticosteroids out of seven total groups in the United States classification system of topical corticosteroids.[19][8]

Society and culture

[edit]

Brand names

[edit]

Clobetasol propionate is marketed and sold worldwide under many names, including Clobex, Clob-x, Clovate, Clobet, Clonovate, Cormax, Haloderm, Pentasol, Cosvate, Clop, Propysalic, Temovate, Dermovate, Olux, ClobaDerm, Tenovate, Dermatovate, Butavate, Movate, Novate, Salac, Powercort, Lotasbat, Kloderma, Lemonvate, Clobesol, Dovate, Delor, Psovate, Clinoderm [Thailand] and Skineal.

References

[edit]
  1. ^"Clobetasol Propionate Topical Ointment 0.05% Information".Drug Encyclopedia. Kaiser Permanente.Archived from the original on 28 August 2021. Retrieved9 October 2009.
  2. ^"Temovate (clobetasol propionate gel) Gel, 0.05%".DailyMed. Retrieved26 December 2024.
  3. ^"Olux- clobetasol propionate aerosol, foam".DailyMed. 2 May 2012. Retrieved26 December 2024.
  4. ^"Impoyz- clobetasol propionate cream".DailyMed. 30 January 2024. Retrieved26 December 2024.
  5. ^"Clobex- clobetasol propionate shampoo".DailyMed. 24 October 2024. Retrieved26 December 2024.
  6. ^"Clobex- clobetasol propionate spray".DailyMed. 24 October 2024. Retrieved26 December 2024.
  7. ^abcde"Clobetasol Propionate Monograph for Professionals".Drugs.com. American Society of Health-System Pharmacists.Archived from the original on 28 August 2021. Retrieved13 April 2019.
  8. ^ab"Clobetasol (topical): Drug information".UpToDate. 2024.
  9. ^abBritish National Formulary: BNF 76 (76th ed.). Pharmaceutical Press. 2018. p. 1210.ISBN 978-0-85711-338-2.
  10. ^Elks J, Ganellin CR, eds. (14 November 2014).The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. pp. 292–.doi:10.1007/978-1-4757-2085-3.ISBN 978-1-4757-2085-3.
  11. ^"Clobetasol topical Use During Pregnancy".Drugs.com.Archived from the original on 28 August 2021. Retrieved13 April 2019.
  12. ^Fischer J, Ganellin CR (2006).Analogue-based Drug Discovery. John Wiley & Sons. p. 487.ISBN 9783527607495.Archived from the original on 28 November 2023. Retrieved3 September 2020.
  13. ^"Top 300 of 2023".ClinCalc.Archived from the original on 12 August 2025. Retrieved12 August 2025.
  14. ^"Clobetasol Drug Usage Statistics, United States, 2013 - 2023".ClinCalc. Retrieved18 August 2025.
  15. ^Hull C, McKeough M, Sebastian K, Kriesel J, Spruance S (March 2009). "Valacyclovir and topical clobetasol gel for the episodic treatment of herpes labialis: a patient-initiated, double-blind, placebo-controlled pilot trial".Journal of the European Academy of Dermatology and Venereology.23 (3):263–7.doi:10.1111/j.1468-3083.2008.03047.x.PMID 19143902.S2CID 205588376.
  16. ^E. Fougera and Co."Clobetasol Propionate Cream Usp, 0.05% Clobetasol Propionate Ointment USP, 0.05%".Daily Med. U.S. National Library of Medicine.Archived from the original on 23 May 2009. Retrieved3 July 2009.
  17. ^Saint Louis C (15 January 2010)."Creams Offering Lighter Skin May Bring Risks".New York Times.Archived from the original on 19 February 2017. Retrieved24 February 2017.
  18. ^Gbetoh MH, Amyot M (October 2016). "Mercury, hydroquinone and clobetasol propionate in skin lightening products in West Africa and Canada".Environmental Research.150:403–410.Bibcode:2016ER....150..403G.doi:10.1016/j.envres.2016.06.030.hdl:1866/19006.PMID 27372064.
  19. ^Stacey SK, McEleney M (March 2021)."Topical Corticosteroids: Choice and Application".American Family Physician.103 (6):337–343.PMID 33719380. Retrieved26 December 2024.
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