What are the patient instructions for using Dovobet (calcipotriol and betamethasone) for treating psoriasis plaques on the scalp?

Patient Instructions for Dovobet (Calcipotriene/Betamethasone) for Scalp Psoriasis

Apply Dovobet once daily to scalp psoriasis plaques for 4-8 weeks, carefully parting the hair and applying only to affected areas while avoiding the forehead and face. 1, 2

Application Technique

• Comb your hair first to remove any scaly debris before applying the medication 2
• Part your hair in sections to expose the psoriasis plaques on your scalp 2
• Apply the medication only to the affected areas (the psoriasis plaques), not to healthy scalp 2
• Rub in gently and completely until absorbed 2
• Avoid spreading the solution onto your forehead or face during application 2
• Always wash your hands thoroughly immediately after each application 2

Dosing Schedule

• Use once daily for optimal results 1, 3, 4
• Continue treatment for 4-8 weeks as this is the timeframe where efficacy has been demonstrated 1, 2
• You can expect approximately 69-74% chance of achieving clear or almost clear scalp with consistent use 1

Critical Safety Warnings

• Keep the medication away from your eyes at all times 2
• Do not exceed 100 grams per week in adults to prevent calcium elevation in your blood 5, 1
• Never use salicylic acid products at the same time as Dovobet, as the acid will inactivate the calcipotriene component and make it ineffective 1, 6
• Avoid excessive sun exposure (including tanning beds and sun lamps) on treated areas, as this medication may increase sensitivity to UV light 2

What to Watch For

• Mild irritation of the treated skin or surrounding areas is common and usually temporary 5
• Stop using the medication and contact your doctor if you develop significant irritation 2
• Report any adverse reactions to your healthcare provider 2
• If you need phototherapy (light treatment), apply Dovobet after the UV treatment, not before 6

Important Limitations

• This medication is for external use only - do not ingest 2
• Use only for psoriasis as prescribed by your physician, not for other skin conditions 2
• Avoid applying to uninvolved scalp margins (healthy skin around the plaques) 2
• Do not use during pregnancy unless specifically directed by your doctor, as it is Category C 5

Storage and Handling

• Keep out of reach of children 2
• Store according to package instructions
• The gel formulation was specifically developed for scalp psoriasis and may be easier to apply than ointment 3, 4