Desoximetasone
Desoximetasone is a topical corticosteroid used to treat plaque psoriasis and inflammatory or itchy skin conditions in several cream, ointment, gel, and spray formulations.
🧬 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 38 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 →
📖 Desoximetasone: Patient Information Guide
A plain-language walkthrough of Desoximetasone — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.
🎯What it's used for▾
Desoximetasone is a topical corticosteroid available in multiple forms for treating inflammatory and itchy skin conditions.
- Desoximetasone creams (0.05% and 0.25%) and desoximetasone gel (0.05%) treat inflammation and itching caused by corticosteroid-responsive dermatoses (skin conditions that improve with steroid treatment)
- Topicort ointment 0.05% treats inflammation and itching from corticosteroid-responsive skin conditions
- Desoximetasone Ointment USP 0.25% treats inflammation and itching from corticosteroid-responsive skin conditions
- Topicort Topical Spray is indicated specifically for plaque psoriasis in adults 18 and older
- Desoximetasone Topical Spray 0.25% is indicated specifically for plaque psoriasis in adults 18 and older
⚙️How it works▾
Desoximetasone works by influencing how skin cells signal to each other, dampening immune responses, and reducing inflammation. This combination of effects calms the redness, swelling, and itch that come with inflammatory skin conditions. The exact mechanism in plaque psoriasis is not fully known, but controlling inflammation in the skin is central to how it helps.
Desoximetasone is classified as a high- to super-high-potency topical corticosteroid, meaning it is stronger than many others in its class. This makes it effective but also means it carries more risk of side effects, especially with prolonged use or on large skin areas.
💊How it's taken▾
All desoximetasone products are applied to the skin — never taken by mouth or used in the eyes or vaginally. A thin film is applied to the affected area twice daily and rubbed in gently. The topical sprays (Topicort Topical Spray and Desoximetasone Topical Spray) should not be used for longer than 4 weeks; stop once the skin condition is under control.
- Do not cover treated skin with bandages or wraps unless your doctor specifically directs you to
- Avoid applying the spray to the face, underarms, or groin
- Do not apply to skin that already shows signs of thinning at the treatment site
- Always follow your prescriber's specific instructions for your formulation
🤒Side effects — in detail▾
The most commonly reported side effects with desoximetasone topical spray are at the site of application and include dryness, irritation, and itching. Less common reactions include folliculitis (inflamed hair follicles).
- Application site dryness
- Application site irritation
- Application site itching
- Folliculitis (inflamed hair follicles)
- Skin thinning (atrophy) — reported in post-marketing use
- Stretch marks (striae) — reported in post-marketing use
- Skin lightening (hypopigmentation) — reported in post-marketing use
- Small dilated blood vessels under the skin (telangiectasias) — reported in post-marketing use
Serious reactions to watch for include vision changes (which may signal cataracts or glaucoma) and signs of adrenal suppression such as unusual fatigue or weakness — contact your doctor right away if these occur.
⚠️Warnings & precautions▾
- Adrenal suppression: Desoximetasone, especially the topical spray, can suppress the HPA axis — the system that controls your body's natural steroid production. This risk is higher with large treatment areas, prolonged use, occlusive dressings, liver problems, or damaged skin. Signs include fatigue, weakness, and dizziness.
- Not for use in children under 18 (spray): Clinical trials showed very high rates of adrenal suppression in children and teens using the topical spray. It is not recommended for anyone under 18.
- Eye risks: Using topical corticosteroids, including the spray, near the eyes can raise the risk of cataracts and glaucoma. Avoid contact with eyes and report any vision changes to your doctor.
- Skin reactions: Long-term or occlusive use can cause skin thinning, stretch marks, and other local reactions — some of which may not be reversible.
- Skin infections: If you have a skin infection at the treatment site, it should be treated appropriately. Stop desoximetasone spray if the infection does not respond to treatment.
- Flammability (spray): Desoximetasone Topical Spray is flammable. Keep it away from heat and open flame.
- Cushing's syndrome risk: Systemic absorption can rarely cause Cushing's syndrome (a condition from too much cortisol in the body), high blood sugar, or unmask latent diabetes mellitus.
🔀What it interacts with▾
The FDA label does not list specific drug-drug interactions for desoximetasone, but there is an important caution regarding combined use of corticosteroid products.
- Using more than one corticosteroid-containing product at the same time increases the total amount of steroid absorbed into your body, raising the risk of systemic side effects — tell your doctor about all skin products you are using
This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.
📋Before taking it▾
- Tell your doctor if you have ever had an allergic reaction to desoximetasone or any ingredient in these products — the creams, gel, and ointments are contraindicated in people with known hypersensitivity to any component
- If you are pregnant: high-potency topical steroids used on large areas during pregnancy have been linked to low birth weight. Use on the smallest area for the shortest time possible and discuss with your doctor
- If you are breastfeeding: it is unknown whether desoximetasone passes into breast milk. Do not apply directly to the nipple or areola to avoid exposing your baby
- Children under 18: the topical spray is not recommended due to high rates of adrenal suppression observed in studies. Children in general are more susceptible to systemic effects from topical steroids
- Older adults: use with caution; decreased liver, kidney, or heart function in older patients may affect how the body handles medication absorbed through the skin
- Do not apply to skin that is already thinning (atrophied) at the treatment site
- Avoid use on the face, underarms (axilla), or groin area (spray formulations)
🚑If you take too much▾
Desoximetasone topical spray can be absorbed through the skin in amounts large enough to cause systemic (whole-body) effects if used excessively. If you suspect overuse or notice signs of adrenal suppression — such as unusual fatigue, weakness, or dizziness — contact your doctor or seek medical attention.
📡Pharmacodynamics — effects in the body▾
Desoximetasone topical spray 0.25% has been shown in vasoconstrictor studies (tests that measure how much a topical steroid narrows blood vessels in skin) to fall in the high to super-high potency range compared to other topical corticosteroids. In clinical trials, applying the spray twice daily for 28 days suppressed the HPA axis (the body's stress-hormone system) in a meaningful proportion of adult and pediatric subjects. In adults with psoriasis covering more than 15% of the body, about 1 in 5 showed adrenal suppression; in children and teens, the rate was over one-third overall. In adults where follow-up data were available, suppression reversed within 28 days of stopping treatment.
🔬Pharmacokinetics — how your body processes it▾
Desoximetasone is absorbed through the skin, and how much gets into the bloodstream depends on factors like the skin's condition, the area being treated, and whether occlusive (sealing) dressings are used. Inflamed or damaged skin absorbs more than healthy skin, and occlusive dressings substantially increase absorption. Once in the body, it is processed similarly to other corticosteroids — broken down mainly by the liver and cleared primarily by the kidneys, with some eliminated through bile.
📦How to store it▾
Store at controlled room temperature between 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). avoid heat, flame or smoking when using this product.
📄 Written from Desoximetasone’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →
🩺 Pharmacist Counseling Corner
Quick, plain-English answers to the questions patients ask most about Desoximetasone — the kind of thing our pharmacy team would talk through with you at the counter.
What exactly is desoximetasone used for? ▾
How do I apply this correctly? ▾
How long can I use it? ▾
What side effects should I actually worry about? ▾
Is it safe to use if I'm pregnant or breastfeeding? ▾
Can my child use this? ▾
Is Desoximetasone available over the counter? ▾
When was Desoximetasone first available? ▾
Who makes Desoximetasone? ▾
💬 Answers drafted from Desoximetasone’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →
🧰 Keep exploring
💊 How Desoximetasone comes
Desoximetasone is available in 2 forms. 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.
Topical cream, ointment or gel
How this form is used
- Desoximetasone creams (0.05% and 0.25%) and desoximetasone gel (0.05%) are used to relieve inflammation and itching from corticosteroid-responsive skin conditions
- Topicort ointment 0.05% is used to relieve inflammation and itching from corticosteroid-responsive skin conditions
- Desoximetasone Ointment USP 0.25% is used to relieve inflammation and itching from corticosteroid-responsive skin conditions
- Apply a thin film to the affected skin area twice daily and rub in gently
- For external use on the skin only — not for use in the eyes, mouth, or vaginally
- Follow your prescriber's directions on how long to use it
Topical spray
How this form is used
- Topicort Topical Spray is approved to treat plaque psoriasis in adults 18 years of age and older
- Desoximetasone Topical Spray 0.25% is approved to treat plaque psoriasis in adults 18 years of age and older
- Apply a thin film to the affected skin areas twice daily and rub in gently
- Topicort Topical Spray and Desoximetasone Topical Spray should not be used for more than 4 weeks
- Avoid applying to the face, underarms (axilla), or groin area
- Desoximetasone Topical Spray is flammable — keep away from heat or open flame
📊 Desoximetasone across the U.S. market
How Desoximetasone 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.
FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
Also listed with the FDA, not a patient dose form: Powder (6) — 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 Desoximetasone is used
A general measure of how commonly Desoximetasone 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 Desoximetasone 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 Desoximetasone prescribed? Of the 1,596 medications we measure, Desoximetasone ranks #1,085 by Medicaid prescriptions — more than 32% of them.
Utilization by Desoximetasone 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.
desoximetasone 0.0005 MG/MG Topical Ointment Most dispensed
Summed across the 2 of 20 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 141850
desoximetasone 2.5 MG/ML Topical Cream
Summed across the 7 of 26 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197574
desoximetasone 0.5 MG/ML Topical Cream
Summed across the 1 of 10 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197573
desoximetasone 0.0025 MG/MG Topical Ointment
Summed across the 8 of 34 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197575
desoximetasone 2.5 MG/ML Topical Spray
Summed across the 1 of 15 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1376338
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 Desoximetasone, 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 19 of 105 listed Desoximetasone NDCs with Medicaid activity.
🔍 Compare Desoximetasone products
A representative set of FDA-listed product records for Desoximetasone — 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 | ||||
| 2.5 mg/g | Topical | A-S Medication Solutions × 6 listings | ANDA | View NDC → |
| 2.5 mg/g | Topical | Actavis Pharma, Inc. × 4 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Bryant Ranch Prepack | ANDA | View NDC → |
| 2.5 mg/g | Topical | Bryant Ranch Prepack × 8 listings | ANDA | View NDC → |
| 2.5 mg/g | Topical | E. Fougera & Co. a division of Fougera Pharmaceuticals Inc. × 2 listings | ANDA | View NDC → |
| 2.5 mg/g | Topical | Glenmark Pharmaceuticals Inc., USA × 2 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Lupin Pharmaceuticals, Inc. × 6 listings | ANDA | View NDC → |
| 2.5 mg/g | Topical | Lupin Pharmaceuticals, Inc. × 5 listings | ANDA | View NDC → |
| 2.5 mg/g | Topical | Novel Laboratories, Inc. | ANDA | View NDC → |
| 2.5 mg/g | Topical | Padagis Israel Pharmaceuticals Ltd × 5 listings | ANDA | View NDC → |
| 2.5 mg/g | Topical | Proficient Rx LP × 2 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Rising Pharmaceuticals, Inc. | ANDA | View NDC → |
| 2.5 mg/g | Topical | Rising Pharmaceuticals, Inc. | ANDA | View NDC → |
| 2.5 mg/g | Topical | RPK Pharmaceuticals, Inc. × 2 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Saptalis Pharmaceuticals, LLC. | ANDA | View NDC → |
| 2.5 mg/g | Topical | Saptalis Pharmaceuticals, LLC. | ANDA | View NDC → |
| 0.5 mg/g | Topical | SOLA Pharmaceuticals | ANDA | Find on DailyMed ↗ |
| 0.5 mg/g | Topical | Sun Pharmaceutical Industries, Inc. × 2 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Sun Pharmaceutical Industries, Inc. × 2 listings | NDA | View NDC → |
| 2.5 mg/g | Topical | Sun Pharmaceutical Industries, Inc. × 2 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Taro Pharmaceuticals U.S.A., Inc. × 4 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Taro Pharmaceuticals U.S.A., Inc. × 2 listings | NDA | View NDC → |
| 2.5 mg/g | Topical | Taro Pharmaceuticals U.S.A., Inc. × 4 listings | ANDA | View NDC → |
| 0.5 mg/g | Topical | Teligent Pharma, Inc. | ANDA | Find on DailyMed ↗ |
| 2.5 mg/g | Topical | Teligent Pharma, Inc. | ANDA | Find on DailyMed ↗ |
| 0.5 mg/g | Topical | The J. Molner Company LLC | ANDA | View NDC → |
| 2.5 mg/g | Topical | Viona Pharmaceuticals Inc × 2 listings | ANDA | View NDC → |
| 2.5 mg/g | Topical | Zydus Lifesciences Limited × 4 listings | ANDA | View NDC → |
| 💊Topical spray | ||||
| 2.5 mg/mL | Topical | Bryant Ranch Prepack × 4 listings | ANDA | View NDC → |
| 2.5 mg/mL | Topical | Lupin Pharmaceuticals, Inc. × 3 listings | ANDA | View NDC → |
| 2.5 mg/mL | Topical | Padagis Israel Pharmaceuticals Ltd × 2 listings | ANDA | View NDC → |
| 2.5 mg/mL | Topical | Sun Pharmaceutical Industries, Inc. | NDA | View NDC → |
| 2.5 mg/mL | Topical | Sun Pharmaceutical Industries, Inc. | NDA AUTHORIZED GENERIC | View NDC → |
| 2.5 mg/mL | Topical | Taro Pharmaceuticals U.S.A., Inc. | NDA AUTHORIZED GENERIC | View NDC → |
| 2.5 mg/mL | Topical | Taro Pharmaceuticals U.S.A., Inc. | NDA | View NDC → |
| 💊Bulk drug substance | ||||
| 1 kg/kg | — | Euroapi France | BULK INGREDIENT | View NDC → |
| 1 g/g | — | Farmabios S.p.A. | BULK INGREDIENT | View NDC → |
| 1 g/g | — | Professional Compounding Centers of America | BULK INGREDIENT FOR HUMAN PRESCRIPTION COMPOUNDING | View NDC → |
| 1 g/g | — | Professional Compounding Centers of America dba PCCA | BULK INGREDIENT FOR HUMAN PRESCRIPTION COMPOUNDING | View NDC → |
| 100 kg/100 kg | — | Sicor S.r.l. | BULK INGREDIENT | View NDC → |
| 1 g/g | — | Symbiotec Pharmalab Limited | BULK INGREDIENT | View NDC → |
Showing 93 of 93 products — FDA National Drug Code Directory. See every product, package size and price: browse all 93 Desoximetasone NDCs →
📈 What people report — real-world data (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 Desoximetasone — a signal of what to watch for, not proof the drug caused it.
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 Desoximetasone 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.
🏛️ The road to your pharmacy
How Desoximetasone went from FDA review to the pharmacy shelf — the key milestones in its regulatory journey.
Source: Drugs@FDA.
🚨 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.
Source: openFDA drug enforcement (recall) reports.
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 3255 4 dose forms · 6 strengths
-
Dose form (SCDF) Topical Cream RxCUI 377670In current FDA listings -
Dose form (SCDF) Topical Gel RxCUI 385104In current FDA listingsClinical drug / strength (SCD) 0.0005 MG/MGRxCUI 315059 -
Dose form (SCDF) Topical Ointment RxCUI 374373In current FDA listings -
Dose form (SCDF) Topical Spray RxCUI 1376337In current FDA listingsClinical drug / strength (SCD) 2.5 MG/MLRxCUI 1376338
Look up RxCUI 3255 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.
📦 Supply & shortage status
Whether Desoximetasone 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.
🏷️ Sold under these brand names
🏭 Manufacturers & labelers
…and 1 more on the FDA NDC directory.
RxNorm drug class
Desoximetasone 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.
🔬 Where this comes from
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 we combine label and product data
HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 38 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.
For canonical ingredient pages, bounded product-attributed indication and administration excerpts may be added to the AI evidence, and the generator is instructed to preserve available product, brand, route, and form qualifiers instead of treating one label as universal. Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Taro Pharmaceuticals U.S.A., Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.
This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.