How is clobetasol (clobetasol propionate) 0.05% topical solution supplied for a patient with atopic dermatitis affecting the scalp?

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How Clobetasol Propionate 0.05% Topical Solution is Supplied

Clobetasol propionate 0.05% topical solution is not specifically listed in the FDA labeling provided, which only documents gel, cream, and ointment formulations in 15g, 30g, 45g, and 60g tubes. 1

Available Formulations from FDA Labeling

The FDA-approved clobetasol propionate 0.05% products are supplied as follows: 1

  • Gel formulation: 15g, 30g, and 60g tamper-evident tubes 1
  • Cream formulation: 15g, 30g, 45g, and 60g tamper-evident tubes 1
  • Ointment formulation: 15g, 30g, 45g, and 60g tamper-evident tubes 1

Storage Requirements

  • All formulations should be stored at controlled room temperature 15°-30°C (59°-86°F) 1
  • Do NOT refrigerate 1

Solution Formulation for Scalp Application

While the FDA label provided does not list a solution formulation, clinical guidelines indicate that solution, foam, or spray formulations are preferred for scalp psoriasis over cream or ointment, as they penetrate hair-bearing areas more effectively. 2

  • For scalp conditions like atopic dermatitis or psoriasis, solution formulations allow better penetration through hair 2
  • The maximum weekly amount of clobetasol propionate 0.05% solution, foam, or spray should not exceed 50g 2

Clinical Context for Scalp Atopic Dermatitis

  • Studies demonstrate 81% of patients achieve 50% or better clearing with twice-daily clobetasol solution after 2 weeks for scalp conditions 2
  • Treatment should be limited to 2 weeks maximum for initial therapy, followed by gradual tapering 2
  • Folliculitis is the most common side effect with scalp application 2, 3

If you need to prescribe clobetasol solution specifically, you may need to verify with your pharmacy or manufacturer regarding current availability, as the FDA label provided only documents gel, cream, and ointment formulations. 1

References

Guideline

Clobetasol Propionate Treatment Protocols

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Clobetasone Use in Sensitive Areas

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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