What is Betamethasone Dipropionate: Uses, Warnings & Interactions

Updated Jul 11, 2025  •  Published Dec 30, 2020

Betamethasone dipropionate is a prescription topical corticosteroid that relieves skin swelling and itching. Doctors use it for any skin condition that can be treated with corticosteroids. It comes in a variety of dosage forms, but some products are “augmented.” These augmented products are absorbed more quickly through the skin. Though the dosage strength is the same, it’s a more potent form than betamethasone and can only be used for a short time.

Betamethasone Dipropionate overview

BRAND NAMES:

  • Diprolene, Sernivo

Generic Names:

  • Betamethasone dipropionate, betamethasone dipropionate (augmented)

Uses:

  • Treats skin pain, swelling, and itching due to inflammatory skin conditions. Betamethasone spray treats plaque psoriasis.

Therapeutic Classes:

  • Topical corticosteroid

Forms:

  • Cream, gel, lotion, ointment, spray

How it’s taken:

  • On the skin

What is Betamethasone Dipropionate used for?

Betamethasone dipropionate relieves itching, swelling, and discomfort due to various inflammatory skin conditions.

What form(s) does Betamethasone Dipropionate come in

  • Cream, lotion, ointment, spray 

    • 0.05%

  • Augmented cream, gel, lotion, ointment 

    • 0.05%

What are common Betamethasone Dipropionate doses?

  • For swelling, itching, and discomfort due to corticosteroid-responsive inflammatory skin conditions in adults and children 13 years of age and older: 

    • Cream, gel, or ointment: Apply a thin layer once or twice daily to the affected skin

    • Lotion: Apply a few drops to the affected skin twice daily

    • Augmented lotion: Apply a few drops to the affected skin once or twice daily

  • For plaque psoriasis in adults: 

    • Spray: Apply to the affected skin twice daily

Common Betamethasone Dipropionate prescriptions

  • Betamethasone Dipropionate
    60ml of 0.05% bottle

  • Betamethasone Dipropionate
    15gm of 0.05% tube

  • Betamethasone Dipropionate
    45gm of 0.05% tube

  • Betamethasone Dipropionate
    15gm of 0.05% tube of cream

  • Betamethasone Dipropionate
    45gm of 0.05% tube of cream

  • Betamethasone Dipropionate
    15gm of 0.05% tube of ointment

  • Betamethasone Dipropionate
    45gm of 0.05% tube of ointment

How to take Betamethasone Dipropionate

  • Follow the prescriber’s instructions. Do not use more than directed.

  • This medicine is for use only on the skin. Do not get any of it in your eyes, nose, mouth, or vagina. 

  • Avoid using this medicine on the face, groin, underarms, or on thin areas of the skin. Do not use it on skin areas that may rub or touch together.

  • Wash your hands with soap and water before and after you use this medicine.

  • Do not bandage, cover, or wrap the treated skin.

  • Applying betamethasone cream, gel, or ointment: 

    • Apply a thin layer of the medicine to the affected area. Rub it in gently.

  • Applying betamethasone lotion: 

    • Apply a few drops to the affected area and massage them gently into the skin.

  • Applying betamethasone spray: 

    • Apply a thin layer of the medicine to the affected area. Rub it in gently.

  • Store betamethasone at room temperature.

  • Throw away any unused betamethasone spray after four weeks.

What to do if you miss a dose of Betamethasone Dipropionate

  • Apply a dose as soon as you can. If it is almost time for your next dose, wait until then and apply a regular dose. Do not apply extra medicine to make up for a missed dose.

Betamethasone Dipropionate contraindications

  • This medicine is not right for everyone. 

  • Do not use it if you have had an allergic reaction to betamethasone or other corticosteroids.

Betamethasone Dipropionate warnings

  • Betamethasone dipropionate should only be used for four weeks. Call the prescriber if symptoms do not improve.

  • Do not use betamethasone (augmented) for longer than two weeks unless instructed.

    • Do not use more than 50 grams of betamethasone (augmented) in a week.

    • If symptoms do not improve after two weeks, talk to the prescriber.

  • Follow-up visits and blood tests may be necessary. Keep all appointments with the healthcare team and the prescriber.

  • Before starting prescription betamethasone, tell the prescriber if you are pregnant, breastfeeding, or have:

    • Any history of reactions to topical corticosteroids

    • Thinning of the skin at the application site

    • Diabetes 

    • Liver problems

    • Adrenal gland problems

    • Cataracts

    • Glaucoma

  • Betamethasone can cause serious side effects, including:

    • Adrenal gland problems

    • Cushing’s syndrome (physical changes due to corticosteroid exposure)

    • Cataracts or glaucoma

    • High blood sugar

    • Skin thinning or discoloration

    • Growth inhibition in children

  • Pregnant or breastfeeding women should apply betamethasone to the smallest area of skin possible.

  • Tell any doctor or other healthcare provider who treats you that you are using this medicine.

Betamethasone Dipropionate interactions

  • Before starting betamethasone, tell the prescriber about all the drugs and supplements regularly taken, particularly other corticosteroids.

  • Tell other healthcare professionals about betamethasone treatment before they prescribe new medications.

Betamethasone Dipropionate side effects

Serious side effects

Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:

  • Blurred vision, cloudy vision, vision changes, eye pain, sensitivity to light

  • Color changes on the skin, dark freckles, easy bruising, and muscle weakness

  • Severe itching, burning, or skin irritation

  • Redness, swelling, drainage, or pus on the skin

  • Weight gain around your neck, upper back, breast, face, or waist

  • Allergic reaction: Itching or hives, swelling in your face, mouth, tongue, or throat, trouble breathing

Less serious side effects

  • Skin redness

  • Swollen hair follicles

  • Itching

  • Blistering

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