Halobet is the super-high potency corticosteroid called halobetasol propionate which is indicated for the relief of inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses. It provides relief from swelling, redness, and itching in the affected area.
Dose and Direction of Use
- Clean and dry the affected area before application of the cream.
- Apply the thin layer of the cream in the affected area once or twice daily or as per the direction of the doctor.
- Rub gently the cream in the affected area.
- Do not cover the application site with dressings or bandages.
Mode of Action
It works by blocking the production of prostaglandins that make the skin red, swollen and itchy.
- Skin inflammation
- Hypersensitivity to any ingredients
Precautions and Warning
- Systemic absorption of topical corticosteroids can produce reversible hypothalamic-pituitary-adrenal (HPA) axis suppression with the potential for glucocorticosteroid insufficiency after withdrawal of treatment.
- Manifestations of Cushing’s syndrome, hyperglycemia, and glucosuria can also be produced in some patients by systemic absorption of topical corticosteroids while on treatment.
- Patients applying a topical steroid to a large surface area or to areas under occlusion should be evaluated periodically for evidence of HPA axis suppression. This may be done by using the ACTH stimulation, A.M. plasma cortisol, and urinary free-cortisol tests. Patients receiving super potent corticosteroids should not be treated for more than 2 weeks at a time and only small areas should be treated at any one time due to the increased risk of HPA suppression.
- Halobetasol propionate cream produced HPA axis suppression when used in divided doses at 7 grams per day for one week in patients with psoriasis. These effects were reversible upon discontinuation of treatment. If HPA axis suppression is noted, an attempt should be made to withdraw the drug, to reduce the frequency of application, or to substitute a less potent corticosteroid. Recovery of HPA axis function is generally prompt upon discontinuation of topical corticosteroids. Infrequently, signs and symptoms of glucocorticosteroid insufficiency may occur requiring supplemental systemic corticosteroids.
- If irritation develops, halobetasol propionate cream should be discontinued and appropriate therapy instituted.
- If concomitant skin infections are present or develop, an appropriate antifungal or antibacterial agent should be used. If a favorable response does not occur promptly, use of halobetasol propionate cream should be discontinued until the infection has been adequately controlled.
- Halobetasol propionate cream should not be used in the treatment of rosacea or perioral dermatitis, and it should not be used on the face, groin, or in the axillae.