FDA-filed SPL labeling · retrieved through openFDA

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.

Brand names TopicortDesoximetasone Oint 0.05%
Drug class Corticosteroid
Rx Forms 2 Route Topical
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 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 →

At a glance
Linked label effectiveJul 2, 2025
Clinical labels in scope 38
AvailabilityRx
Earliest approval/marketing year 1977
FDA-listed product records 93
Boxed warningNone found in compared labels
How we combine label and product data →
No current FDA shortage listed · checked Sep 20, 2026
Other forms & routes:
Desoximetasone at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Desoximetasone is a potent topical steroid that effectively relieves inflammation and itching from various skin conditions and treats plaque psoriasis in adults. Use it on the smallest area of skin needed, for the shortest time, and do not cover treated skin unless your doctor says to. Because it can be absorbed into the body — especially with heavy or prolonged use — follow up with your doctor regularly and report any unusual symptoms.

📖 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?
Desoximetasone is a prescription steroid cream, ointment, gel, or spray applied to the skin to calm inflammation and itching. The creams, gels, and ointments are used for a range of inflammatory skin conditions that respond to steroid treatment. The spray forms — Topicort Topical Spray and Desoximetasone Topical Spray — are specifically approved for plaque psoriasis in adults 18 and older.
How do I apply this correctly?
Apply a thin film to the affected area twice a day and rub it in gently. Use it only on the skin areas your doctor pointed out — and only for external use, never near your eyes, in your mouth, or vaginally. Unless your doctor tells you otherwise, don't wrap or bandage the treated skin, since covering it can cause more steroid to absorb into your body. For the spray, also avoid the face, underarms, and groin.
How long can I use it?
For the topical spray, the label recommends stopping treatment once your skin improves and not using it for longer than 4 weeks. For the creams, gel, and ointments, follow your doctor's specific guidance on duration. Using a strong steroid like this for too long or on too large an area raises the risk of side effects — so don't use more than prescribed, and let your doctor know when your skin clears up.
What side effects should I actually worry about?
The most common ones are pretty mild — dryness, irritation, or itching right where you're applying it. Those usually aren't a reason to stop. The ones that warrant a call to your doctor are: vision changes like blurriness (which could signal cataracts or glaucoma), any signs of skin infection that isn't getting better, or symptoms of your body's steroid system being suppressed — unusual tiredness, weakness, or dizziness, especially when you stop using it. Long-term use can also thin the skin, and that change may be permanent, so it's important not to overuse it.
Is it safe to use if I'm pregnant or breastfeeding?
This is something to talk through with your doctor. Using high-potency topical steroids like desoximetasone on large areas during pregnancy has been linked to lower birth weight in babies, so if you do use it while pregnant, the goal is to use the smallest area of skin for the shortest time possible. While breastfeeding, don't apply it to the nipple or areola area to avoid your baby being exposed. Your doctor can help you weigh the benefits against the risks.
Can my child use this?
It depends on the product. The topical spray is not recommended for anyone under 18 — clinical studies found very high rates of adrenal suppression (the body's stress-hormone system being disrupted) in children and teens who used it. For the creams, gel, and ointments, children are generally more sensitive to steroid effects through the skin than adults, so any use in kids should be closely supervised by a doctor. Serious effects like slowed growth, Cushing's syndrome, and increased pressure in the skull have been reported in children who used topical steroids inappropriately.
Is Desoximetasone available over the counter?
Desoximetasone is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Desoximetasone first available?
Desoximetasone has been available in the United States since at least 1977, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Desoximetasone?
Desoximetasone is supplied by 25 manufacturers listed in the FDA NDC Directory, including Lupin Pharmaceuticals, Inc., Bryant Ranch Prepack, Taro Pharmaceuticals U.S.A., Inc..

💬 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

On the skin
Brands Desoximetasone Oint 0.05% Topicort
How this form is used
What it may be used for
  • 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
Important instructions
  • 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
Available strengths 2 strengths
74 FDA-listed product records

Topical spray

On the skin
Brands Topicort
How this form is used
What it may be used for
  • 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
Important instructions
  • 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
Available strengths 1 strength
13 FDA-listed product records

📊 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.

2
Dose forms
25
Manufacturers
3
Brand names
93
FDA-listed product records
1977
First marketed

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.

Lupin Pharmaceuticals, Inc.15%
Bryant Ranch Prepack14%
Taro Pharmaceuticals U.S.A., Inc.13%
Sun Pharmaceutical Industries, Inc.9%
Padagis Israel Pharmaceuticals Ltd8%
A-S Medication Solutions6%
Other makers35%

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.

3,861
Medicaid prescriptions filled (Q1–Q4 2025)
$570,284 gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Desoximetasone prescribed? Of the 1,596 medications we measure, Desoximetasone ranks #1,085 by Medicaid prescriptions — more than 32% of them.

Where Desoximetasone ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

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.

The 0.0005 mg/mg topical ointment is the most-dispensed Desoximetasone product — about 34% of these Medicaid prescriptions.

desoximetasone 0.0005 MG/MG Topical Ointment Most dispensed

1,304 Medicaid prescriptions (Q1–Q4 2025) 34% of Desoximetasone prescriptions shown $411,443 gross reimbursement (before rebates) ≈ $316 per prescription (gross)

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

1,018 Medicaid prescriptions (Q1–Q4 2025) 26% of Desoximetasone prescriptions shown $24,146 gross reimbursement (before rebates) ≈ $24 per prescription (gross)

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

974 Medicaid prescriptions (Q1–Q4 2025) 25% of Desoximetasone prescriptions shown $114,115 gross reimbursement (before rebates) ≈ $117 per prescription (gross)

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

529 Medicaid prescriptions (Q1–Q4 2025) 14% of Desoximetasone prescriptions shown $16,454 gross reimbursement (before rebates) ≈ $31 per prescription (gross)

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

36 Medicaid prescriptions (Q1–Q4 2025) <1% of Desoximetasone prescriptions shown $4,126 gross reimbursement (before rebates) ≈ $115 per prescription (gross)

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.)

Showing 93 of 93 products — FDA National Drug Code Directory. See every product, package size and price: browse all 93 Desoximetasone NDCs →

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.

Ingredient (IN) Desoximetasone RxCUI 3255 4 dose forms · 6 strengths
  1. Dose form (SCDF) Topical Cream RxCUI 377670 In current FDA listings
    Clinical drug / strength (SCD) 0.5 MG/ML RxCUI 197573 2.5 MG/ML RxCUI 197574
  2. Dose form (SCDF) Topical Gel RxCUI 385104 In current FDA listings
    Clinical drug / strength (SCD) 0.0005 MG/MG RxCUI 315059
  3. Dose form (SCDF) Topical Ointment RxCUI 374373 In current FDA listings
    Clinical drug / strength (SCD) 0.0005 MG/MG RxCUI 141850 0.0025 MG/MG RxCUI 197575
  4. Dose form (SCDF) Topical Spray RxCUI 1376337 In current FDA listings
    Clinical drug / strength (SCD) 2.5 MG/ML RxCUI 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.

🏷️ Sold under these brand names

Topicort Desoximetasone Oint 0.05%

🏭 Manufacturers & labelers

Lupin Pharmaceuticals, Inc. 14 Bryant Ranch Prepack 13 Taro Pharmaceuticals U.S.A., Inc. 12 Sun Pharmaceutical Industries, Inc. 8 Padagis Israel Pharmaceuticals Ltd 7 A-S Medication Solutions 6 Actavis Pharma, Inc. 4 Zydus Lifesciences Limited 4 Glenmark Pharmaceuticals Inc., USA 2 E. Fougera & Co. a division of Fougera Pharmaceuticals Inc. 2 Viona Pharmaceuticals Inc 2 Teligent Pharma, Inc. 2 Saptalis Pharmaceuticals, LLC. 2 RPK Pharmaceuticals, Inc. 2 Rising Pharmaceuticals, Inc. 2 Proficient Rx LP 2 Sicor S.r.l. 1 SOLA Pharmaceuticals 1 Farmabios S.p.A. 1 Symbiotec Pharmalab Limited 1 Euroapi France 1 Professional Compounding Centers of America dba PCCA 1 The J. Molner Company LLC 1 Professional Compounding Centers of America 1

…and 1 more on the FDA NDC directory.

RxNorm drug class

Desoximetasone belongs to the Corticosteroid class.

Pharmacologic class Corticosteroid
Drug family (ATC) Corticosteroids, potent (group III)
How it works Corticosteroid Hormone Receptor Agonists

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.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Jul 2, 2025
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Desoximetasone.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Desoximetasone after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
38
NDC products indexed
93
Distinct labelers/manufacturers represented
25
Linked representative label
Taro Pharmaceuticals U.S.A., Inc.
Linked label effective
Jul 2, 2025
Composite sections available
24
Linked SPL Set ID
e417856a-b760-4626-bc34-8e4bc62c026c
Linked SPL Document ID
38f9cadb-290c-0c68-e063-6394a90a38d9
Open the linked representative label on DailyMed ↗

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.