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Adeel Arshad

Authored on 24 January 2024 by Adeel Arshad,

Reviewed 24 January 2024 by Dr Ruch Karunadasa.

Betamethasone Neomycin Cream

Cream medication

A potent antibacterial steroid cream used in the treatment of skin conditions such as eczema, dermatitis and psoriasis. The antibacterial component (Neomycin), enables the cream to treat most common bacterial infections of the skin.

Medication effect duration

Like any other prescription medication you must consult a doctor before using it. PrivateDoc offers a confidential free consultation service that may result in you receiving a prescription for Betamethasone with Neomycin Cream if it is deemed appropriate and Betamethasone with Neomycin Cream can prescribed safely.

Skin treatment

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Active ingredients

The cream contains –

Betamethasone Valerate 0.1% w/w

Neomycin 0.5% w/w

How much does Betamethasone Neomycin Cream cost?

Betamethasone Neomycin Cream pack

Packs and prices

Prescription included
Prescription included

What conditions can Betamethasone with Neomycin Cream be used for

Betamethasone with Neomycin is a potent steroid, with an antibacterial component, and is used in the treatment of eczema, dermatitis and psoriasis. The cream is used in the treatment of secondary infections caused at sites of the mentioned inflammatory skin conditions. It will never be prescribed for the treatment of primary skin infections.

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How to use Betamethasone with Neomycin Cream

All prescribed medication should be used in accordance with your prescriber’s instructions.

Is it recommended that a thin layer of the cream is applied to the affected skin only two or three times daily until improvement occurs. Once the symptoms are better the application of the cream can be reduced to once daily to maintain effects. Treatment should never exceed SEVEN days (FIVE days in children) unless it is under the supervision of a medical professional.

In adults with thickened plaques of psoriasis on the elbows and knees, the effects of the cream can be enhanced by covering the application with a polythene film (usually overnight).

The dosage should be reduced in patients with renal impairment.

Who cannot use Betamethasone with Neomycin Cream

You should not use Betamethasone with Neomycin if you have –

  • Any other skin condition – rosacea, acne, perioral dermatitis, viral infections (chickenpox, shingles, cold sores). The cream can make these worse.
  • Any known allergy to the active ingredients or any of the excipients.
  • Due to the increased absorption in young children, the cream should not be used in those under the age of 2 years old.
  • The cream should not be used to treat primary or secondary infections where the cause is known to be fungal or viral.

Due to the known ototoxic and nephrotoxic potential of neomycin, long-term treatment and treating large areas should be avoided as this can result in significant systemic absorption. Additionally, caution should be taken when treating patients with a reduced renal function. In this case frequency of application should be reduced and the benefits of treatment should be weighed against the potential risks.

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Pregnancy and breastfeeding

There is little information available to demonstrate the potential risk topically applied Betamethasone and Neomycin Cream can have on the unborn foetus. However, Neomycin which is present in the mother’s blood can cross the placenta and this can give rise to a theoretical risk of toxicity in the foetus.

Therefore, use in pregnancy and breastfeeding is not recommended.

Side effects

Betamethasone and Neomycin Cream is usually well tolerated, but as with all medication, it can cause some unwanted side effects. These can include –

  • local atrophic skin changes (e.g. thinning of the skin) – this usually occurs with prolonged exposure of the treatment.
  • hypersensitivity reactions to any of the cream’s components.
  • In rare cases, treatment of psoriasis has been known to provoke the pustular form of the condition.
  • the cream may exacerbate the symptoms of the condition you are treating.

Full list of potential side effects

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