Topical Steroid Potencies

TOPICAL STEROID POTENCIES
Generic	Strength	Brand	Form
VERY HIGH POTENCY
betamethasone dipropionate, augmented	0.05%	—	oint
betamethasone dipropionate, augmented	0.05%	Diprolene	oint
clobetasol propionate	0.05%	—	crm, emollient crm, oint, lotion, gel, soln, foam
clobetasol propionate	0.05%	Clobex	lotion, shampoo, spray
desoximetasone	0.25%	Topicort	spray
diflorasone diacetate	0.05%	—	oint
fluocinonide	0.1%	Vanos	crm
flurandrenolide	4mcg/cm²	Cordran	tape
halobetasol propionate	0.05%	—	crm, oint
		Lexette	foam
		Ultravate	lotion
	0.01%	Bryhali	lotion
	0.01%	Duobrii*	lotion
HIGH POTENCY
amcinonide	0.1%	—	oint, crm, lotion
betamethasone dipropionate	0.05%	—	oint, crm
betamethasone dipropionate, augmented	0.05%	—	crm
clobetasol propionate	0.025%	Impoyz	crm
desoximetasone	0.25%	—	crm, oint
desoximetasone	0.05%	—	gel
diflorasone diacetate	0.05%	—	crm
fluocinonide	0.05%	—	crm, oint, gel, soln
halcinonide	0.1%	Halog	crm
mometasone furoate	0.1%	—	oint
triamcinolone acetonide	0.5%	—	crm, oint
MEDIUM POTENCY
betamethasone dipropionate	0.05%	Sernivo	spray
betamethasone valerate	0.12%	Luxiq	foam
betamethasone valerate	0.1%	—	crm, oint, lotion
clocortolone pivalate	0.1%	Cloderm	crm
desoximetasone	0.05%	—	crm, oint
fluocinolone acetonide	0.025%	Synalar	crm, oint
flurandrenolide	0.05%	—	lotion, oint
fluticasone propionate	0.05%	—	crm, lotion
fluticasone propionate	0.005%	—	oint
mometasone furoate	0.1%	—	crm, lotion
triamcinolone acetonide	0.2%	—	spray
	0.1%	—	crm, oint, dental paste, lotion
	0.05%	—	oint
LOWER-MEDIUM POTENCY
hydrocortisone butyrate	0.1%	Locoid	crm, oint
hydrocortisone probutate	0.1%	Pandel	crm
hydrocortisone valerate	0.2%	—	crm, oint
prednicarbate	0.1%	—	oint
triamcinolone acetonide	0.025%	—	crm, oint, lotion
LOW POTENCY
alclometasone dipropionate	0.05%	—	crm, oint
desonide	0.05%	—	crm, gel, oint
desonide	0.05%	DesOwen	crm
fluocinolone acetonide	0.01%	Capex	shampoo
		Derma-Smoothe/FS	oil
		Synalar	soln
LOWEST POTENCY
hydrocortisone acetate	2.5%	Analpram HC*	crm, lotion
	2.5%	Pramosone*	crm, oint, lotion
	1%	Analpram HC*	crm
		Epifoam*	foam
		Pramosone*	crm, oint, lotion
		Proctofoam HC*	foam
hydrocortisone base	2.5%	—	crm, oint, lotion
	2.5%	Texacort	soln
	1%	—	crm, oint, lotion
NOTES
*Indicates that the product has more than one active ingredient. The classification is based on vasoconstrictor assays and clinical studies. Potency varies according to the corticosteroid, its concentration, and the vehicle. In general, corticosteroids in lotions, creams, gels, and ointments are increasingly more potent due to increased absorption from these vehicles. Absorption is increased by prolonged therapy, large areas of skin damage, and the use of occlusive dressings which may cause an increase in the incidence of side effects. Not an inclusive list of medications or dosing details. Please see drug monograph at www.eMPR.com and/or contact company for full drug labeling.
REFERENCES
Eichenfield LF, Tom WL, Berger TG, et al. Guidelines of care for the management of atopic dermatitis. American Academy of Dermatology, Inc. Published: May 07, 2014. http://dx.doi.org/10.1016/j.jaad.2014.03.023 (Rev. 4/2024)

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