Desonide
Desonide is a low-potency topical corticosteroid (steroid) used on the skin to relieve inflammation and itching from steroid-responsive skin conditions, and to treat mild to moderate atopic dermatitis (eczema) in the gel form.
🧬 Where this information comes from Click to expand
The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 25 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →
Desonide is a low-potency steroid that calms skin inflammation and itching, and its gel treats mild to moderate atopic dermatitis (eczema) from age 3 months; around since about 1983 and available generically, it is a familiar choice for the face and children. Most people tolerate it well, noticing at most burning, itching or dryness where it goes on. Overuse is the risk, as it can thin skin, so use a thin layer for the shortest time and stay within your product’s limit (two weeks for cream or ointment, four for gel). Check with your prescriber if it isn’t working by then or you’re treating a child or large areas.
Clinical pearls
- Ointment is greasier and suits dry, cracked patches, while cream or gel spreads more easily on the face and hairy skin.
- Never cover treated skin with tight bandages, plastic wrap or snug diapers, because sealing it in boosts steroid absorption.
- Mention any other steroid you use, cream, inhaler or tablet, since total steroid exposure adds up across products.
- A rash that starts oozing, crusting or spreading may be infected, and desonide will not fix that without separate treatment.
Patient information guide A plain-language walkthrough of Desonide, written from its FDA label.
What Desonide is used for
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Desonide is used on the skin for the following, depending on the product:
- Desonide cream, ointment and lotion: relief of inflammation and itching from corticosteroid-responsive dermatoses.
- Desonide Gel, 0.05%: mild to moderate atopic dermatitis in people 3 months and older.
- Cream and ointment, 0.05%: not to be used longer than two weeks unless a doctor directs it.
How Desonide works
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Desonide is a corticosteroid with anti-inflammatory, anti-itch and blood-vessel-narrowing effects. Steroids are thought to trigger proteins that block the release of arachidonic acid. That slows production of inflammation chemicals like prostaglandins and leukotrienes.
The exact mechanism is not fully understood.
Desonide dosage
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Desonide is applied only to the skin, as a thin layer or film. Stop when the skin is controlled.
- Desonide Gel, 0.05%: twice daily, rubbed in gently, for no more than 4 consecutive weeks.
- Cream or ointment, 0.05%: two to four times daily depending on severity.
- Cream or lotion products: two or three times daily. Shake the lotion well.
- Do not use with occlusive dressings. Avoid eyes and mucous membranes (gel is not for oral, eye or vaginal use).
Follow your prescriber and product label.
Dosing details from the FDA-approved label
From the Desonide prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.
- Desonide gel (Topical Gel)
- Apply a thin layer to the affected areas two times daily and rub in gently
- Discontinue use when control is achieved
- Maximum: Treatment beyond 4 consecutive weeks is not recommended.
- If no improvement is seen within 4 weeks, reassessment of diagnosis may be necessary. Do not use with occlusive dressings.
- Desonide cream 0.05% or ointment 0.05%
- Apply to the affected area as a thin film two to four times daily depending on the severity of the condition
- Therapy should be discontinued when control is achieved
- If no improvement is seen within two weeks, reassessment of diagnosis may be necessary. Do not use with occlusive dressings.
- Desonide cream or lotion
- Apply to the affected areas as a thin film two or three times daily depending on the severity of the condition
- Shake lotion well before using
- Therapy should be discontinued when control is achieved
- If no improvement is seen within 2 weeks, reassessment of diagnosis may be necessary. Do not use with occlusive dressings.
- Desonide ointment USP, 0.05%
- Apply to the affected area as a thin film from two to four times daily depending on the severity of the condition
- Therapy should be discontinued when control is achieved
- If no improvement is seen within two weeks, reassessment of diagnosis may be necessary. Do not use with occlusive dressings.
Read the label’s full dosing text
2 DOSAGE AND ADMINISTRATION Apply a thin layer to the affected areas two times daily and rub in gently. Discontinue use when control is achieved. If no improvement is seen within 4 weeks, reassessment of diagnosis may be necessary. Treatment beyond 4 consecutive weeks is not recommended. Do not use with occlusive dressings. Avoid contact with eyes or other mucous membranes. For topical use only. Not for oral, ophthalmic, or intravaginal use. • Apply as a thin layer to the affected areas two times daily and rub in gently. ( 2 ) • Therapy should be discontinued when control is achieved. ( 2 ) • If no improvement is seen within 4 weeks, reassessment of diagnosis may be necessary. ( 2 ) • Should not be used with occlusive dressings. ( 2 ) • Treatment beyond 4 consecutive weeks is not recommended. ( 2 ) • For topical use only. Not for oral, ophthalmic, or intravaginal use. ( 2 )
Read the full Dosage and Administration section on DailyMed →
Desonide side effects
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Side effects are mostly local to the skin.
Common side effects
- Burning where applied
- Rash
- Itching at the application site
- Skin irritation
- Dryness
- Acne-like bumps
- Acne-like bumps or inflamed hair follicles
- Lighter patches of skin
When to get medical help
- Call your doctor if your skin gets worse, shows no improvement within the time stated for your product (4 weeks for the gel, 2 weeks for the cream, ointment or lotion), or becomes more irritated.
- Call your doctor if you develop signs of a skin infection while using it.
- Tell your doctor about signs that steroid is being absorbed into the body, such as Cushing’s syndrome (a hormone problem from too much steroid) or adrenal suppression.
- In children, report headaches, bulging soft spots on an infant’s head, slowed growth or delayed weight gain.
- Stop using it and call your doctor if you think you are having an allergic reaction to it, such as a rash that does not heal.
Contact your doctor if you notice skin thinning, stretch marks, signs of infection, worsening irritation, or signs of steroid absorption into the body.
Desonide warnings and precautions
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- Absorption into the body: can suppress the adrenal glands, cause Cushing’s syndrome, raise blood sugar and unmask diabetes.
- Higher risk with: large areas, long use, covered use, damaged skin, liver failure and use in children.
- Skin effects: thinning, stretch marks, irritation, and allergic contact dermatitis. Some may be irreversible.
- Infections: a skin infection needs its own treatment, and the steroid may need to be stopped until it is controlled.
- Irritation: stop the medicine if irritation develops.
Desonide interactions
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The label points to one main caution.
- Other corticosteroid-containing products: using more than one at a time may increase total steroid exposure in the body.
Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.
Before taking Desonide
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- Do not use if you are allergic to any ingredient in the product.
- The gel is not recommended under 3 months of age.
- Children are more prone to steroid absorption effects, including slowed growth and raised pressure inside the head.
- Pregnancy: use the gel only if the benefit justifies the risk to the baby.
- Breastfeeding: use caution and talk with your doctor.
- Older adults: consider liver, kidney and heart function and other medicines.
Desonide overdose
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Desonide cream and ointment applied to the skin can be absorbed enough to cause effects throughout the body. Use only as directed and contact your doctor or poison control if you think too much was used.
What Desonide does in the body
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In a study of children 6 months to 6 years old with widespread moderate to severe atopic dermatitis, 1 of 37 (3%) showed adrenal gland suppression after 4 weeks of using Desonide Gel, 0.05%. It was not checked afterward, so it is unknown whether it reversed.
How your body processes Desonide
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How much steroid is absorbed through the skin depends on many factors, including the product base and the skin barrier. Topical steroids can be absorbed through normal skin. Inflamed or diseased skin may absorb more. Desonide cream and ointment are in the low range of potency compared with other topical steroids.
How to store Desonide
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Store between 2° and 30°C (36° and 86°F).
Written from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →
Desonide: pharmacist answers to common questions
Quick, plain-English answers to the questions patients ask most about Desonide — the kind of thing our pharmacy team would talk through with you at the counter.
What is desonide used for?
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How do I apply it?
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How long can I use it?
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What side effects should I expect?
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Is it safe for my child?
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Can I use it if I’m pregnant or breastfeeding?
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Is Desonide available over the counter?
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When was Desonide first available?
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Who makes Desonide?
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Answers drafted from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →
More about Desonide on HelloPharmacist
Desonide forms and strengths (how it comes)
Desonide is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.
Need a version that does not list lactose, a gluten source, a dye or gelatin? Inactive ingredients differ by manufacturer: see Desonide inactive ingredients by manufacturer.
Topical cream, ointment or gel
How this form is used
- Desonide Gel, 0.05% treats mild to moderate atopic dermatitis in people 3 months and older.
- Desonide cream and ointment, 0.05% relieve inflammation and itching from corticosteroid-responsive skin conditions.
- Desonide Gel, 0.05% is applied as a thin layer twice daily and not used beyond 4 consecutive weeks.
- Desonide cream and ointment, 0.05% are applied as a thin film two to four times daily, depending on severity.
- Desonide products should not be used with occlusive dressings.
Desonide on the U.S. market: products, makers and brands
How Desonide appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.
15 companies list 25 Desonide product records with the FDA, mostly as topical cream, ointment or gel; the earliest marketing or approval year on record is 1972. Brand names on the directory include Tridesilon, Desowen, Lokara and 2 more; the rest are generics.
Also listed with the FDA, not a patient dose form: Powder (9) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.
Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
How widely Desonide is used (Medicaid data)
A general measure of how commonly Desonide is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.
Think of this as a proxy for how widely Desonide is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.
How commonly is Desonide prescribed? Of the 1,601 medications we measure, Desonide ranks #464 by Medicaid prescriptions — more than 71% of them.
Utilization by Desonide product
Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.
desonide 0.5 MG/ML Topical Cream Most dispensed
Summed across the 12 of 29 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 349351
desonide 0.0005 MG/MG Topical Ointment
Summed across the 10 of 26 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 204135
desonide 0.5 MG/ML Topical Lotion
Summed across the 6 of 15 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197572
Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.
Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Desonide, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 28 of 70 listed Desonide NDCs with Medicaid activity.
Compare Desonide products
A representative set of FDA-listed product records for Desonide — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)
| Strength | Route | Manufacturer / Labeler | Category ⓘ | Details |
|---|---|---|---|---|
| 💊Topical cream, ointment or gel | ||||
| 0.5 mg/mL | Topical | Actavis Pharma, Inc. | ANDA | View NDC → |
| 0.5 mg/g | Topical | Advanced Rx of Tennessee, LLC × 2 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Alembic Pharmaceuticals Inc. × 2 listings | ANDA | View NDC → |
| 0.5 mg/mL | Topical | Alembic Pharmaceuticals Inc. | ANDA | View NDC → |
| 0.5 mg/g | Topical | Alembic Pharmaceuticals Limited × 2 listings | ANDA | View NDC → |
| 0.5 mg/mL | Topical | Alembic Pharmaceuticals Limited | ANDA | View NDC → |
| 0.5 mg/g | Topical | Bryant Ranch Prepack × 3 listings | ANDA | View NDC → |
| 0.5 mg/mL | Topical | Bryant Ranch Prepack | ANDA | View NDC → |
| 0.5 mg/g | Topical | Cintex Services, LLC | ANDA | View NDC → |
| 0.5 mg/g | Topical | Cosette Pharmaceuticals, Inc. | ANDA | View NDC → |
| 0.03 g/60 g | Topical | Encore Dermatology Inc | NDA | View NDC → |
| 0.5 mg/g | Topical | Northstar Rx Llc × 2 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Padagis Israel Pharmaceuticals Ltd | NDA | View NDC → |
| 0.5 mg/g | Topical | Proficient Rx LP | NDA AUTHORIZED GENERIC | View NDC → |
| 0.5 mg/g | Topical | Sun Pharmaceutical Industries, Inc. × 2 listings | ANDA | View NDC → |
| 0.5 mg/mL | Topical | Sun Pharmaceutical Industries, Inc. | ANDA | View NDC → |
| 0.5 mg/g | Topical | Viona Pharmaceuticals Inc | ANDA | View NDC → |
| 0.5 mg/g | Topical | Zydus Lifesciences Limited | ANDA | View NDC → |
Showing 25 of 25 products — FDA National Drug Code Directory. See every product, package size and price: browse all 25 Desonide NDCs →
Desonide side effects reported to the FDA (FAERS)
After a medicine reaches the market, patients, doctors and drugmakers can send the FDA reports of problems they think may be linked to it. Here’s what’s been reported for Desonide — a signal of what to watch for, not proof the drug caused it.
The effects most often named in FDA reports that mention Desonide are macular degeneration, pain, nausea; about 55% of the reports were classed as serious. These are voluntary reports, so they show what people report, not how often it happens.
Source: openFDA, from the FDA Adverse Event Reporting System (FAERS). These are voluntary reports — they don’t prove the drug caused the effect, and counts reflect how often something was reported, not how often it actually happens. Reports also often name the very problem the medicine is taken for — a common reason to file one is that the drug didn’t help — so for a pain reliever you may see “pain” high on the list; that points to why the report was filed, not to the drug causing the symptom. This counts every report that lists Desonide in any role, so the total runs higher than the FDA’s official dashboard, which counts only cases where the drug is the suspect. For the authoritative figures, see the FDA FAERS Public Dashboard. Always talk to your pharmacist or doctor.
Desonide FDA approval history
How Desonide went from FDA review to the pharmacy shelf — the key milestones in its regulatory journey.
Desonide was first approved by the FDA in 1972 (Brand: DESONIDE · Padagis Us); the first generic version was approved in 1988. It remains available in U.S. pharmacies today.
Source: Drugs@FDA.
Desonide recall history
A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.
The FDA’s enforcement reports list no Desonide recalls since July 2021.
✅No Desonide recalls on record since July 2021Source: FDA enforcement (recall) reports, via openFDA; our copy was last updated Sep 24, 2026.
RxNorm Concept Web — From Ingredient to Every Form and Strength
This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.
RxCUI 3254 6 dose forms · 6 strengths
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Dose form (SCDF) Otic Solution RxCUI 654357No current FDA listingClinical drug / strength (SCD) 0.5 MG/MLRxCUI 654358 -
Dose form (SCDF) Topical Cream RxCUI 377668In current FDA listingsClinical drug / strength (SCD) 0.5 MG/MLRxCUI 349351 -
Dose form (SCDF) Topical Foam RxCUI 668349In current FDA listingsClinical drug / strength (SCD) 0.5 MG/MLRxCUI 668350 -
Dose form (SCDF) Topical Gel RxCUI 438864In current FDA listingsClinical drug / strength (SCD) 0.0005 MG/MGRxCUI 669081 -
Dose form (SCDF) Topical Lotion RxCUI 378605In current FDA listingsClinical drug / strength (SCD) 0.5 MG/MLRxCUI 197572 -
Dose form (SCDF) Topical Ointment RxCUI 378983In current FDA listingsClinical drug / strength (SCD) 0.0005 MG/MGRxCUI 204135
Look up RxCUI 3254 in the RxCUI Atlas →
RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.
Desonide supply and shortage status
Whether Desonide is in short supply in the U.S. right now, plus any shortage history the FDA has on record. A shortage usually reflects a manufacturing or demand issue — not a safety problem with the drug.
Source: openFDA, from the FDA Drug Shortages database.
💵 What Desonide costs pharmacies (NADAC benchmark)
The national average invoice price pharmacies pay for the drug itself, from CMS's NADAC survey (data as of Sep 30, 2026). This is a supply-cost benchmark — not a retail price and not what you'd pay at the counter.
| Form | Strength | Pharmacy acquisition benchmark | |
|---|---|---|---|
| Cream · Topical | 0.5 mg/g | $0.197–$0.306 per gram | NDC details & price history |
| Lotion · Topical | 0.5 mg/mL | $0.525–$0.540 per mL | NDC details & price history |
| Ointment · Topical | 0.5 mg/g | $0.257–$0.392 per gram | NDC details & price history |
Source: CMS National Average Drug Acquisition Cost (NADAC), a survey of retail pharmacy invoice prices. Benchmarks shown are the range across package sizes of a representative product for each form and strength — other manufacturers' products may differ.
Desonide brand names
Desonide is sold under 5 brand names in the FDA directory — Tridesilon, Desowen, Lokara, Verdeso and others. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.
Who makes Desonide: manufacturers and labelers
15 companies list Desonide products with the FDA. By number of product records, the largest are Bryant Ranch Prepack, Alembic Pharmaceuticals Inc., Alembic Pharmaceuticals Limited. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.
Desonide drug class (RxNorm)
Desonide belongs to the Corticosteroid class.
Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.
Sources for this Desonide page
Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.
How this page is built
HelloPharmacist combines public FDA and NLM records and does not author the underlying clinical facts. The plain-language sections are written with AI from the FDA-approved label text and reviewed by our pharmacy team before publication. Actavis Pharma, Inc. is the representative DailyMed label linked for verification and dates. This is general education, not medical advice: always talk to your doctor or pharmacist about your own medicines. How we build and review drug pages →