- Hydrocortisone acetate 0.5% – 1%
- Desonide 0.05%
- Fluocinolone 0.01% cream
- Hydrocortisone valerate 0.2% cream or butyrate 0.1% cream / ointment
- Traimcinolone 0.1% cream / lotion
- Fluocinolone 0.025% cream
- Hydrocortisone valerate 0.2% ointment
- Fluocinolone 0.025% ointment
- Betamethasone 0.05% cream
- Traimcinolone acetonide 0.5% cream
- Fluocinonide 0.05%
- Clobetasol 0.05%
- Class 1 and 2 (high potency) should not be used on the face, body folds or groin due to potential for thinning of the skin.
- Trunk or extremities – triamcinolone 0.1% cream is commonly used.
- Face and body folds – lower potency hydrocortisone or desonide arecommonly used.
- Palms and sole – limited use of high potency (fluocinonide or clobetasol) may be used.
- Pediatric absorption is greater than in adulthood, therefore low potency should be used first.
- Ointments are thick and oily and can stain garments, but aid in medication absorption. An occlusive dressing helps the effect and protects garments.
- Creams are better tolerated on the face but contain alcohol and may sting if skin is broken.
- Lotions are water based and better for covering large body surfaces.
- 70kg adult requires 30gm tube to cover entire body.