Enstilar® (Xamiol®)
The scalp gel containing calcipotriene 0.005% and betamethasone dipropionate 0.064% is marketed under the brand names Enstilar® in the United States and Xamiol® in other regions 1.
Product Details
This fixed-dose combination product is specifically formulated as a gel for scalp psoriasis treatment, though it's also available in other formulations (ointment, foam, cream) for body psoriasis 2, 3.
Key Characteristics:
- Active ingredients: Calcipotriene (calcipotriol) 50 μg/g (0.005%) + Betamethasone dipropionate 0.5 mg/g (0.064%)
- Formulation: Gel specifically developed for scalp application
- Approved indication: Mild to moderate scalp psoriasis in adults 1
Clinical Evidence:
The gel formulation has demonstrated strong efficacy in clinical practice, with 69-74% of patients achieving clear or almost clear status after 52 weeks of treatment, compared to only 27% with vehicle control (P < .001) 1. The AAD-NPF guidelines provide a Grade A recommendation for its use in scalp psoriasis for 4-12 weeks 1.
Important note: The gel vehicle was specifically engineered for scalp use, offering superior cosmetic acceptability and ease of application compared to ointment formulations, which directly impacts patient adherence 4, 2.