Clobetasol Propionate .5 mg/g Aerosol, Foam — NDC 45802-437-32 (Billing 45802-0437-32)
This is a package of Clobetasol Propionate .5 mg/g Aerosol, Foam from Padagis Israel Pharmaceuticals Ltd, marketed since Mar 2008 and currently FDA-listed; retail pharmacies pay about $0.4050 per g (NADAC). It is the main listing for this product, which comes in 2 package sizes.
NDC database record
One package, one record: these facts belong to NDC 45802-437-32 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 45802 labeler · 437 product · 32 package
- Package marketed since
- Mar 20, 2008
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2026
- Barcode (UPC-A, from the NDC)
- 3 4580243732 7
- Medicaid fills, this package
- 828 prescriptions in the last four reported quarters
- FDA record last changed
- Jul 24, 2026
Other active recalls for Clobetasol Propionate (different manufacturers) — 1 · tap to view
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 046803
- GCN: 89743
- GPI-14 (Medi-Span): 90550025103920
- HICL (First Databank): 003327
- AHFS class code: 84:06.08.00
- RxCUI (RxNorm): 861353
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Corticosteroid class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Clobetasol topical is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various scalp and skin conditions, including psoriasis (a skin disease in which red, scaly patches form on some areas of the body) and eczema (a skin disease that causes the skin to be dry and itchy and to sometimes develop red, scaly rashes). Clobetasol is in a class of medications called corticosteroids. It works by activating natural substances in the skin to reduce swelling, redness, and itching.
Read the full MedlinePlus article ↗- It calms inflamed, itchy skin and scalp conditions, including plaque psoriasis. The exact use depends on your product, such as shampoo for scalp psoriasis or spray for plaque psori...
- Usually only a short time, often 2 weeks and up to 4 weeks for some products. Stop when your skin is under control. If you see no improvement in 2 weeks, check back with your presc...
- Generally no. Most clobetasol skin products should not be used on the face, armpits or groin. Keep it out of your eyes and mouth, and follow your product's directions.
- Mild burning, stinging, itching or dryness where you apply it. Call your doctor if your skin thins, breaks out, looks infected or gets worse. Also call for signs of steroid effects...
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Clobetasol Propionate — tap one for details:
Clobetasol may be associated with lower levels of 8 nutrients — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per g | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | $0.405 | $20.25 / 50 g |
| Medicaid paysCMS SDUD · 12 mo | $0.5399 | $27.00 / 50 g |
| Medicare drug plans payPart D · Q2 2026 | $0.5620 | $28.10 / 50 g |
Where does this data come from?
- CMS NADAC weekly file · file of Sep 30, 2026
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · through Q1 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Per unit | Per pack | Marketing start | Marketing end | Status |
|---|---|---|---|---|---|---|
| 45802-0437-32 You're viewing this Main listing | 1 CAN in 1 CARTON / 50 g in 1 CAN | $0.4050 / g | $20.25 | 2008-03-20 | — | Active |
| 45802-0437-33 45802-437-33 | 1 CAN in 1 CARTON / 100 g in 1 CAN | $0.3045 / g | $30.45 | 2008-03-20 | — | Active |
Per g, this pack runs about 33% above the cheapest pack (NDC 45802-0437-33, $0.3045 vs $0.4050 NADAC).
In Medicaid, this is the most-dispensed pack of this product — about 70% of fills over the last four reported quarters. See all packs ↓
Pack size FAQ
What quantity is in this package?
What NDC number is used to bill for this package of Clobetasol Propionate .5 mg/g Aerosol, Foam?
Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Clobetasol Propionate .5 mg/g 62332-0707-31 | Alembic | 1 can | $0.304 | AB1 | Availability likely | save 25% |
| Clobetasol Propionate .5 mg/gthis 45802-0437-32 | Padagis | 1 can | $0.405 | AB1 | Availability likely | — |
| Clobetasol Propionate .5 mg/g 51672-4193-03 | Sun | 1 can | $0.405 | AB1 | Availability likely | — |
| Clobetasol Propionate .5 mg/g 68462-0608-27 | Glenmark | 50 g | $0.405 | AB1 | Availability likely | — |
| Tovet (emollient formulation) .5 mg/g 43538-0952-10 | Medimetriks | 1 canister | $1.789 | AB2 | Availability likely | +342% |
| clobetasol propionate emollient formulation .5 mg/g 45802-0637-32 | Padagis | 1 can | $2.236 | AB2 | Availability likely | +452% |
| clobetasol propionate .5 mg/g 68462-0625-27 | Glenmark | 50 g | $2.236 | AB2 | Availability likely | +452% |
| Clobetasol Propionate .5 mg/g 46708-0707-31 | Alembic | 1 can | — | AB1 | FDA listed | — |
| Clobetasol Propionate .5 mg/g 63629-9460-01 | Bryant | 1 can | — | AB1 | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file · file of Sep 30, 2026
Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII 3K9958V90M
A liquid solvent derived from fermentation or chemical synthesis. In medicines, alcohol dissolves active ingredients, helps preserve the product, and improves how the body absorbs certain drugs.
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UNII 936JST6JCN
Cetyl alcohol is a waxy, fatty substance derived from plant or animal sources. It acts as an emulsifier and thickener in medicines, helping blend oil and water components and giving products a smooth, creamy texture.
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UNII CAL22UVI4M
A synthetic emulsifier derived from sorbitol and fatty acids. It helps mix oil and water-based ingredients together and improves the texture and stability of the medicine.
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UNII 6DC9Q167V3
Propylene glycol is a clear liquid derived from petroleum or vegetable sources. It acts as a solvent, humectant, and preservative in medicines, helping dissolve active ingredients and maintain product stability.
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UNII 2KR89I4H1Y
Stearyl alcohol is a waxy, fatty substance derived from natural oils or made synthetically. It acts as an emulsifier and thickener in medicines, helping mix ingredients together and give the product the right texture.
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UNII 059QF0KO0R
Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.
6 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 3, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from Padagis Israel Pharmaceuticals Ltd labeler code 45802
- Ammonium Lactate 12 g/100g Lotion NDC 45802-419-26
- Desonide .5 mg/g Ointment NDC 45802-423-35
- pseudoephedrine hydrochloride Pseudoephedrine HCl 30 mg Tablet, Film Coated NDC 45802-432-62
- dextromethorphan polistirex extended release 30 mg/5mL Suspension NDC 45802-433-21
- clotrimazole 1 g/100g Cream NDC 45802-434-01
- TAZAROTENE .5 mg/g Gel NDC 45802-436-01
- hydrocortisone 1 g/100g Cream NDC 45802-438-03
- Penciclovir 10 mg/g Cream NDC 45802-440-75
- fluticasone propionate .5 mg/mL Lotion NDC 45802-441-02
- TAZAROTENE 1 mg/g Gel NDC 45802-442-01
- ESTRADIOL 1 mg/g Gel NDC 45802-452-30
- Adapalene .1 g/100g Cream NDC 45802-453-84
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
1 INDICATIONS AND USAGE Clobetasol Propionate Foam, 0.05% is a corticosteroid indicated for treatment of moderate to severe plaque psoriasis of the scalp and mild to moderate plaque psoriasis of non-scalp regions of the body excluding the face and intertriginous areas in patients 12 years and older. Clobetasol Propionate Foam, 0.05% is a corticosteroid indicated for treatment of moderate to severe plaque psoriasis of the scalp and mild to moderate plaque psoriasis of non-scalp regions of the body excluding the face and intertriginous areas in patients 12 years and older.
( 1 )
⏱️ Dosage and Administration ▾
2 DOSAGE AND ADMINISTRATION Apply a thin layer of Clobetasol Propionate Foam, 0.05% to the affected skin areas twice daily. Clobetasol Propionate Foam, 0.05% is a super-high-potency topical corticosteroid; therefore, limit treatment to 2 consecutive weeks. Patients should not use greater than 50 grams per week or more than 21 capfuls per week because of the potential for the drug to suppress the hypothalamic-pituitary-adrenal (HPA) axis [see Warnings and Precautions (5.1)].
Therapy should be discontinued when control is achieved. Clobetasol Propionate Foam, 0.05% should not be used with occlusive dressings unless directed by a physician. Clobetasol Propionate Foam, 0.05% is for topical use only.
It is not for oral, ophthalmic, or intravaginal use. Avoid contact with eyes. Wash hands after each application.
Avoid use on the face, groin, or axillae, or if skin atrophy is present at the treatment site. • Apply a thin layer to the affected skin areas twice daily. ( 2 ) • Limit treatment to 2 consecutive weeks. ( 2 ) • Do not use more than 50 grams per week or more than 21 capfuls per week.
( 2 ) • Discontinue therapy when control is achieved. ( 2 ) • Do not use with occlusive dressings unless directed by physician. ( 2 ) • Avoid use on the face, groin, or axillae, or if skin atrophy is present at the treatment site.
( 2 )
💊 Dosage Forms and Strengths ▾
3 DOSAGE FORMS AND STRENGTHS Clobetasol Propionate Foam, 0.05% contains 0.5 mg of clobetasol propionate, USP per gram. • Foam, 0.05% ( 3 )
⛔ Contraindications ▾
4 CONTRAINDICATIONS None. • None ( 4 )
⚠️ Warnings and Cautions ▾
5 WARNINGS AND PRECAUTIONS • Clobetasol Propionate Foam, 0.05% can cause reversible HPA axis suppression with the potential for glucocorticosteroid insufficiency during and after withdrawal of treatment. Risk factors include the use of high-potency topical corticosteroid, use over a large surface area or to areas under occlusion, prolonged use, altered skin barrier, liver failure, and use in pediatric patients. Modify use should HPA axis suppression develop.
( 5.1 , 8.4 ) • Clobetasol Propionate Foam, 0.05% may increase the risk of cataract and glaucoma. If visual symptoms occur, consider referral to an ophthalmologist. ( 5.2 ) • Clobetasol Propionate Foam, 0.05% is flammable.
Avoid fire, flame, or smoking during and immediately following application. ( 5.4 )
5.1Effects on Endocrine System Clobetasol Propionate Foam, 0.05% can cause reversible hypothalamic-pituitary-adrenal (HPA) axis suppression with the potential for glucocorticosteroid insufficiency. This may occur during treatment or after withdrawal of treatment. Factors that predispose a patient to HPA axis suppression include the use of high-potency steroids, large treatment surface areas, prolonged use, use of occlusive dressings, altered skin barrier, liver failure, and young age.
Evaluation for HPA axis suppression may be done by using the adrenocorticotropic hormone (ACTH) stimulation test. In a trial evaluating the effects of clobetasol propionate foam, 0.05% on the HPA axis, 13 subjects applied clobetasol propionate foam, 0.05% to at least 20% of involved body surface area for 14 days. HPA axis suppression was identified in 5 out of 13 subjects (38%) [ see Clinical Pharmacology (12.2) ].
If HPA axis suppression is documented, gradually withdraw the drug, reduce the frequency of application, or substitute with a less potent corticosteroid. Cushing’s syndrome and hyperglycemia may also occur due to the systemic effects of the topical corticosteroid. These complications are rare and generally occur after prolonged exposure to excessively large doses, especially of high-potency topical corticosteroids.
Pediatric patients may be more susceptible to systemic toxicity due to their larger skin surface to body mass ratios [ see Use in Specific Populations (8.4) ].
5.2Ophthalmic Adverse Reactions Use of topical corticosteroids, including Clobetasol Propionate Foam, 0.05%, may increase the risks of glaucoma and posterior subcapsular cataract. Glaucoma and cataracts have been reported in postmarketing experience with the use of topical corticosteroid products, including topical clobetasol products. Avoid contact of Clobetasol Propionate Foam, 0.05% with eyes.
Advise patients to report any visual symptoms and consider referral to an ophthalmologist for evaluation.
5.3Allergic Contact Dermatitis Allergic contact dermatitis with corticosteroids is usually diagnosed by observing failure to heal rather than noting a clinical exacerbation. Such an observation should be corroborated with appropriate diagnostic patch testing.
5.4Flammable Contents Clobetasol Propionate Foam, 0.05% is flammable. Avoid fire, flame, or smoking during and immediately following application.
🤒 Adverse Reactions ▾
6 ADVERSE REACTIONS The following adverse reactions are discussed in greater detail in other sections of the labeling: • Effects on Endocrine System [see Warnings and Precautions (5.1)] • Ophthalmic Adverse Reactions [see Warnings and Precautions (5.2)] Most common adverse reactions (≥ 4%) are application site burning and other application site reactions. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Padagis at 1-866-634-9120 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
6.1Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. In a controlled clinical trial involving 188 subjects with psoriasis of the scalp, there were no localized scalp adverse reactions reported in the subjects treated with clobetasol propionate foam, 0.05%. In 2 controlled clinical trials with clobetasol propionate foam, 0.05% in 360 subjects with psoriasis of non-scalp regions, localized adverse events that occurred in the subjects treated with clobetasol propionate foam, 0.05% included application site burning (10%), application site dryness (<1%), and other application site reactions (4%).
In larger controlled trials with other clobetasol propionate formulations, the most frequently reported local adverse reactions have included burning, stinging, irritation, pruritus, erythema, folliculitis, cracking and fissuring of the skin, numbness of the fingers, skin atrophy, and telangiectasia (all less than 2%).
6.2Postmarketing Experience Because adverse reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Local adverse reactions to topical corticosteroids may include: striae, itching, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, secondary infection, hypertrichosis, and malaria. Ophthalmic adverse reactions may include: cataracts, glaucoma, increased intraocular pressure, and central serous chorioretinopathy.
👥 Use in Specific Populations ▾
8 USE IN SPECIFIC POPULATIONS
8.1Pregnancy Risk Summary There are no available data on Clobetasol Propionate Foam, 0.05% use in pregnant women to inform of a drug-associated risk for adverse developmental outcomes. Published data report a significantly increased risk of low birth weight with the use of greater than 300 grams of potent or very potent topical corticosteroid during a pregnancy. Advise pregnant women of the potential risk to a fetus and to use Clobetasol Propionate Foam, 0.05% on the smallest area of skin and for the shortest duration possible ( see Data ).
In animal reproduction studies, increased malformations, such as cleft palate and skeletal abnormalities, were observed after subcutaneous administration of clobetasol propionate to pregnant mice and rabbits. No comparison of animal exposure with human exposure was computed. The estimated background risk of major birth defects and miscarriage for the indicated population is unknown.
All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Data Human Data Multiple observational studies found no significant associations between maternal use of topical corticosteroids of any potency and congenital malformations, preterm delivery, or fetal mortality.
However, when the dispensed amount of potent or very potent topical corticosteroid exceeded 300 g during the entire pregnancy, use was associated with an increase in low birth weight infants [adjusted RR, 7.74 (95% CI, 1.49–40.11)]. In addition, a small cohort study, in which 28 sub-Saharan women using potent topical corticosteroids (27/28 used clobetasol propionate 0.05%) for skin lightening during pregnancy, noted a higher incidence of low birth weight infants in the exposed group. The majority of exposed subjects treated large areas of the body (a mean quantity of 60 g/month [range, 12–170g]) over long periods of time.
Animal Data Embryofetal development studies conducted with clobetasol propionate in mice using the subcutaneous route resulted in fetotoxicity at the highest dose tested (1 mg/kg) and malformations at all dose levels tested down to 0.03 mg/kg. Malformations seen included cleft palate and skeletal abnormalities. In an embryofetal development study in rabbits, subcutaneous administration of clobetasol propionate resulted in malformations at doses of 0.003 and 0.01 mg/kg.
Malformations seen included cleft palate, cranioschisis, and other skeletal abnormalities.
8.2Lactation Risk Summary There is no information regarding the presence of clobetasol propionate in breast milk or its effects on the breastfed infant or on milk production. Systemically administered corticosteroids appear in human milk and can suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects. It is not known whether topical administration of clobetasol propionate could result in sufficient systemic absorption to produce detectable quantities in human milk.
The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for Clobetasol Propionate Foam, 0.05% and any potential adverse effects on the breastfed infant from Clobetasol Propionate Foam, 0.05% or from the underlying maternal condition. Clinical Considerations To minimize potential exposure to the breastfed infant via breast milk, use Clobetasol Propionate Foam, 0.05% on the smallest area of skin and for the shortest duration possible while breastfeeding. Advise breastfeeding women not to apply Clobetasol Propionate Foam, 0.05% directly to the nipple and areola to avoid direct infant exposure.
8.4Pediatric Use Safety and effectiveness of clobetasol propionate foam, 0.05% in patients younger than 12 years of age have not been established; therefore, use in children younger than 1… [Excerpted — this section continues on DailyMed.]
🤰 Pregnancy ▾
8.1Pregnancy Risk Summary There are no available data on Clobetasol Propionate Foam, 0.05% use in pregnant women to inform of a drug-associated risk for adverse developmental outcomes. Published data report a significantly increased risk of low birth weight with the use of greater than 300 grams of potent or very potent topical corticosteroid during a pregnancy. Advise pregnant women of the potential risk to a fetus and to use Clobetasol Propionate Foam, 0.05% on the smallest area of skin and for the shortest duration possible ( see Data ).
In animal reproduction studies, increased malformations, such as cleft palate and skeletal abnormalities, were observed after subcutaneous administration of clobetasol propionate to pregnant mice and rabbits. No comparison of animal exposure with human exposure was computed. The estimated background risk of major birth defects and miscarriage for the indicated population is unknown.
All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Data Human Data Multiple observational studies found no significant associations between maternal use of topical corticosteroids of any potency and congenital malformations, preterm delivery, or fetal mortality.
However, when the dispensed amount of potent or very potent topical corticosteroid exceeded 300 g during the entire pregnancy, use was associated with an increase in low birth weight infants [adjusted RR, 7.74 (95% CI, 1.49–40.11)]. In addition, a small cohort study, in which 28 sub-Saharan women using potent topical corticosteroids (27/28 used clobetasol propionate 0.05%) for skin lightening during pregnancy, noted a higher incidence of low birth weight infants in the exposed group. The majority of exposed subjects treated large areas of the body (a mean quantity of 60 g/month [range, 12–170g]) over long periods of time.
Animal Data Embryofetal development studies conducted with clobetasol propionate in mice using the subcutaneous route resulted in fetotoxicity at the highest dose tested (1 mg/kg) and malformations at all dose levels tested down to 0.03 mg/kg. Malformations seen included cleft palate and skeletal abnormalities. In an embryofetal development study in rabbits, subcutaneous administration of clobetasol propionate resulted in malformations at doses of 0.003 and 0.01 mg/kg.
Malformations seen included cleft palate, cranioschisis, and other skeletal abnormalities.
🧒 Pediatric Use ▾
8.4Pediatric Use Safety and effectiveness of clobetasol propionate foam, 0.05% in patients younger than 12 years of age have not been established; therefore, use in children younger than 12 years is not recommended. Because of a higher ratio of skin surface area to body mass, pediatric patients are at a greater risk than adults of systemic toxicity when they are treated with topical drugs. They are, therefore, also at greater risk of adrenal insufficiency upon the use of topical corticosteroids.
Rare systemic toxicities such as Cushing’s syndrome, linear growth retardation, delayed weight gain, and intracranial hypertension have been reported in pediatric patients especially those with prolonged exposure to large doses of high potency topical corticosteroids. Local adverse reactions including striae have also been reported with use of topical corticosteroids in pediatric patients. Avoid use of Clobetasol Propionate Foam, 0.05% in the treatment of diaper dermatitis.
🧓 Geriatric Use ▾
8.5Geriatric Use Clinical studies of clobetasol propionate foam, 0.05% did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range.
🧬 Clinical Pharmacology ▾
12 CLINICAL PHARMACOLOGY
12.1Mechanism of Action Corticosteroids play a role in cellular signaling, immune function, inflammation, and protein regulation; however, the precise mechanism of action in corticosteroid-responsive dermatoses is unknown.
12.2Pharmacodynamics In a controlled pharmacokinetic trial, 5 of 13 subjects experienced reversible suppression of the adrenals at any time during the 14 days of therapy with clobetasol propionate foam, 0.05% applied to at least 20% of involved body surface area. Of the 13 subjects studied, 1 of 9 with psoriasis was suppressed after 14 days and all 4 of the subjects with atopic dermatitis had abnormal cortisol levels indicative of adrenal suppression at some time after starting therapy with clobetasol propionate foam, 0.05% (See Table 1 below).
Table 1: Subjects With Reversible HPA Axis Suppression at Any Time During Treatment Dermatosis Clobetasol Propionate Foam, 0.05% Psoriasis 1 of 9 Atopic Dermatitis a 4 of 4 a Clobetasol propionate foam, 0.05% is not indicated for non-scalp atopic dermatitis, as the safety and efficacy of clobetasol propionate foam, 0.05% in non-scalp atopic dermatitis has not been established. Use in children under 12 years of age is not recommended.
12.3Pharmacokinetics Topical corticosteroids can be absorbed from intact healthy skin. The extent of percutaneous absorption of topical corticosteroids is determined by many factors, including the product formulation and the integrity of the epidermal barrier. Occlusion, inflammation, and/or other disease processes in the skin may also increase percutaneous absorption.
Once absorbed through the skin, topical corticosteroids are metabolized, primarily in the liver, and are then excreted by the kidneys. Some corticosteroids and their metabolites are also excreted in the bile.
🧬 Mechanism of Action ▾
12.1Mechanism of Action Corticosteroids play a role in cellular signaling, immune function, inflammation, and protein regulation; however, the precise mechanism of action in corticosteroid-responsive dermatoses is unknown.
📦 How Supplied / Storage and Handling ▾
16 HOW SUPPLIED/STORAGE AND HANDLING
16.1How Supplied Clobetasol Propionate Foam, 0.05% contains 0.5 mg of clobetasol propionate, USP per gram. The white aerosol foam is available as follows: • 50 g aluminum can NDC 45802-437-32 • 100 g aluminum can NDC 45802-437-33
16.2Storage and Handling Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.] FLAMMABLE. AVOID FIRE, FLAME, OR SMOKING DURING AND IMMEDIATELY FOLLOWING APPLICATION . Contents under pressure. Do not puncture or incinerate. Do not expose to heat or store at temperatures above 120°F (49°C). Keep out of reach of children.
📋 Description ▾
11 DESCRIPTION Clobetasol Propionate Foam, 0.05%, is a white thermolabile hydroethanolic aerosol foam containing the active ingredient, clobetasol propionate, USP, a synthetic corticosteroid, for topical use. Clobetasol, an analog of prednisolone, has a high degree of glucocorticoid activity and a slight degree of mineralocorticoid activity. Clobetasol propionate is 21-chloro-9-fluoro-11ß,17-dihydroxy-16ß-methylpregna-1,4-diene-3,20-dione 17-propionate, with the empirical formula C 25 H 32 CIFO 5 , a molecular weight of 466.97.
The following is the chemical structure: Clobetasol propionate is a white or almost white crystalline powder, practically insoluble in water. Each gram of Clobetasol Propionate Foam, 0.05% contains 0.5 mg clobetasol propionate, USP. The foam also contains cetyl alcohol, ethanol (60%), polysorbate 60, propylene glycol, purified water and stearyl alcohol pressurized with a hydrocarbon (propane/butane) propellant.
9f0-structure
💬 Information for Patients ▾
17 PATIENT COUNSELING INFORMATION See FDA-approved patient labeling (Patient Information and Instructions for Use) Effects on Endocrine System Clobetasol Propionate Foam, 0.05% may cause HPA axis suppression. Advise patients that use of topical corticosteroids, including Clobetasol Propionate Foam, 0.05%, may require periodic evaluation for HPA axis suppression. Topical corticosteroids may have other endocrine effects.
Concomitant use of multiple corticosteroid-containing products may increase the total systemic exposure to topical corticosteroids. Patients should inform their physician(s) that they are using Clobetasol Propionate Foam, 0.05% if surgery is contemplated [see Warnings and Precautions (5.1)]. Ophthalmic Adverse Reactions Advise patients to report any visual symptoms to their healthcare providers [see Warnings and Precautions (5.2)] .
Local Adverse Reactions Report any signs of local adverse reactions to the physician. Advise patients that local reactions and skin atrophy are more likely to occur with occlusive use or prolonged use [see Warnings and Precautions (5.3)] . Pregnancy Advise pregnant women of the potential risk to a fetus and to use Clobetasol Propionate Foam, 0.05% on the smallest area of skin and for the shortest duration possible [see Use in Specific Populations (8.1)] .
Lactation Advise a woman to use Clobetasol Propionate Foam, 0.05% on the smallest area of skin and for the shortest duration possible while breastfeeding. Advise breastfeeding women not to apply Clobetasol Propionate Foam, 0.05% directly to the nipple and areola to avoid direct infant exposure [see Use in Specific Populations (8.2)]. Important Administration Instructions Inform patients of the following: • Avoid use of Clobetasol Propionate Foam, 0.05% on the face, underarms, or groin areas unless directed by the physician. • Do not occlude the treatment area with bandage or other covering, unless directed by the physician. • Discontinue therapy when control is achieved.
If no improvement is seen within 2 weeks, contact the physician. • For proper dispensing of foam, hold the can upside down and depress the actuator. Dispensing directly onto hands is not recommended (unless the hands are the affected area), as the foam will begin to melt immediately upon contact with warm skin. • Limit treatment to 2 consecutive weeks. Use no more than 50 grams of Clobetasol Propionate Foam, 0.05% per week, or more than 21 capfuls per week. • Avoid use of Clobetasol Propionate Foam, 0.05% in the diaper area, as diapers or plastic pants may constitute occlusive dressing. • The product is flammable; avoid heat, flame, and smoking when applying this product. • Do not use other corticosteroid-containing products without first consulting with the physician.
🧬 Pharmacokinetics ▾
12.3Pharmacokinetics Topical corticosteroids can be absorbed from intact healthy skin. The extent of percutaneous absorption of topical corticosteroids is determined by many factors, including the product formulation and the integrity of the epidermal barrier. Occlusion, inflammation, and/or other disease processes in the skin may also increase percutaneous absorption.
Once absorbed through the skin, topical corticosteroids are metabolized, primarily in the liver, and are then excreted by the kidneys. Some corticosteroids and their metabolites are also excreted in the bile.
🧬 Pharmacodynamics ▾
12.2Pharmacodynamics In a controlled pharmacokinetic trial, 5 of 13 subjects experienced reversible suppression of the adrenals at any time during the 14 days of therapy with clobetasol propionate foam, 0.05% applied to at least 20% of involved body surface area. Of the 13 subjects studied, 1 of 9 with psoriasis was suppressed after 14 days and all 4 of the subjects with atopic dermatitis had abnormal cortisol levels indicative of adrenal suppression at some time after starting therapy with clobetasol propionate foam, 0.05% (See Table 1 below).
Table 1: Subjects With Reversible HPA Axis Suppression at Any Time During Treatment Dermatosis Clobetasol Propionate Foam, 0.05% Psoriasis 1 of 9 Atopic Dermatitis a 4 of 4 a Clobetasol propionate foam, 0.05% is not indicated for non-scalp atopic dermatitis, as the safety and efficacy of clobetasol propionate foam, 0.05% in non-scalp atopic dermatitis has not been established. Use in children under 12 years of age is not recommended.
🔬 Clinical Studies ▾
14 CLINICAL STUDIES
14.1Scalp Psoriasis A well-controlled clinical trial evaluated 188 subjects with moderate to severe scalp psoriasis. Subjects were treated twice daily for 2 weeks with one of 4 treatments: clobetasol propionate foam, 0.05%, vehicle foam, a commercially available clobetasol propionate solution (TEMOVATE ® Scalp Application), or vehicle solution. The efficacy of clobetasol propionate foam, 0.05% in treating scalp psoriasis at the end of the 2 weeks' treatment was superior to that of vehicle (foam and solution), and was comparable to that of TEMOVATE Scalp Application (Table 2).
Table 2. Efficacy Results From a Controlled Clinical Trial in Scalp Psoriasis Clobetasol Propionate Foam, 0.05% n (%) Vehicle Foam n (%) Total number of subjects 62 31 Subjects with treatment success a 39 (63) 1 (3) Subjects with parameter Clear at endpoint (scalp psoriasis) Scaling - Clear at endpoint 42 (68) 3 (10) Erythema - Clear at endpoint 27 (44) 2 (6) Plaque Thickness - Clear at endpoint 41 (66) 3 (10) a Defined as a composite of an Investigator's Global Assessment of "completely clear " or "almost clear," a plaque thickness score of 0, an erythema score of 0 or 1, and a scaling score of 0 or 1 at endpoint, scored on a severity scale of 0 to 4.
14.2Non-scalp Psoriasis Another well-controlled clinical trial evaluated 279 subjects with mild to moderate plaque-type psoriasis (mean body surface area at baseline was 6.7% with a range from 1% to 20%) of non-scalp regions. Subjects were treated twice daily for 2 weeks with clobetasol propionate foam, 0.05% or vehicle foam. The face and intertriginous areas were excluded from treatment.
The efficacy of clobetasol propionate foam, 0.05% in treating non-scalp psoriasis at the end of 2 weeks' treatment was superior to that of vehicle foam (Table 3). Table 3. Efficacy Results From a Controlled Clinical Trial in Non-scalp Psoriasis Clobetasol Propionate Foam, 0.05% n (%) Vehicle Foam n (%) Total number of subjects 139 140 Subjects with treatment success a 39 (28) 4 (3) Physician's Static Global Assessment -Clear or almost clear at endpoint 94 (68) 30 (21) Scaling - Clear or almost clear at endpoint 101 (73) 42 (30) Erythema - Clear or almost clear at endpoint 88 (63) 35 (25) Plaque Thickness - Clear at endpoint 44 (32) 5 (4) a Defined as a composite of a Physician's Static Global Assessment score of 0 or 1, scaling score of 0 or 1, an erythema score of 0 or 1 and a plaque thickness score of 0, based on a severity scale of 0 to 5 at endpoint.
🧪 Nonclinical Toxicology ▾
13 NONCLINICAL TOXICOLOGY
13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Long-term animal studies have not been performed to evaluate the carcinogenic potential of clobetasol propionate foam, 0.05% or clobetasol propionate. In a 90-day repeat-dose toxicity study in rats, topical administration of clobetasol propionate foam at dose concentrations from 0.001% to 0.1% or from 0.03 to 0.3 mg/kg/day of clobetasol propionate resulted in a toxicity profile consistent with long-term exposure to corticosteroids including adrenal atrophy, histopathological changes in several organ systems indicative of severe immune suppression, and opportunistic fungal and bacterial infections.
A no observable adverse effect level could not be determined in this study. Although the clinical relevance of the findings in animals to humans is not clear, sustained glucocorticoid-related immune suppression may increase the risk of infection and possibly the risk for carcinogenesis. Clobetasol propionate was nonmutagenic in the Ames test, the mouse lymphoma test, the Saccharomyces cerevisiae gene conversion assay, and the E. coli B WP2 fluctuation test.
In the in vivo mouse micronucleus test, a positive finding was observed at 24 hours, but not at 48 hours, following oral administration at a dose of 2,000 mg/kg. Studies in the rat following subcutaneous administration of clobetasol propionate at dosage levels up to 0.05 mg/kg per day revealed that the females exhibited an increase in the number of resorbed embryos and a decrease in the number of living fetuses at the highest dose.
📄 Carcinogenesis, Mutagenesis, Impairment of Fertility ▾
13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Long-term animal studies have not been performed to evaluate the carcinogenic potential of clobetasol propionate foam, 0.05% or clobetasol propionate. In a 90-day repeat-dose toxicity study in rats, topical administration of clobetasol propionate foam at dose concentrations from 0.001% to 0.1% or from 0.03 to 0.3 mg/kg/day of clobetasol propionate resulted in a toxicity profile consistent with long-term exposure to corticosteroids including adrenal atrophy, histopathological changes in several organ systems indicative of severe immune suppression, and opportunistic fungal and bacterial infections.
A no observable adverse effect level could not be determined in this study. Although the clinical relevance of the findings in animals to humans is not clear, sustained glucocorticoid-related immune suppression may increase the risk of infection and possibly the risk for carcinogenesis. Clobetasol propionate was nonmutagenic in the Ames test, the mouse lymphoma test, the Saccharomyces cerevisiae gene conversion assay, and the E. coli B WP2 fluctuation test.
In the in vivo mouse micronucleus test, a positive finding was observed at 24 hours, but not at 48 hours, following oral administration at a dose of 2,000 mg/kg. Studies in the rat following subcutaneous administration of clobetasol propionate at dosage levels up to 0.05 mg/kg per day revealed that the females exhibited an increase in the number of resorbed embryos and a decrease in the number of living fetuses at the highest dose.
📄 Patient Package Insert ▾
Patient Information Clobetasol Propionate Foam, 0.05% Important: Clobetasol Propionate Foam, 0.05% is for use on the skin only. Do not get Clobetasol Propionate Foam, 0.05% in your eyes, mouth, or vagina. What is Clobetasol Propionate Foam, 0.05%?
Clobetasol Propionate Foam, 0.05% is a prescription corticosteroid medicine used in people 12 years of age and older for the treatment of: • moderate to severe plaque psoriasis of the scalp and • mild to moderate plaque psoriasis of the skin except the face and areas where the skin may touch or rub together. It is not known if Clobetasol Propionate Foam, 0.05% is safe and effective in children under 12 years of age. Clobetasol Propionate Foam, 0.05% is not recommended in children under 12 years of age.
Before using Clobetasol Propionate Foam, 0.05%, tell your healthcare provider about all of your medical conditions, including if you: • have had irritation or other skin reaction to a steroid medicine in the past. • have a skin infection. You may need medicine to treat the skin infection before using Clobetasol Propionate Foam, 0.05%. • have diabetes. • have adrenal gland problems. • have liver problems. • plan to have surgery. • are pregnant or plan to become pregnant. It is not known if Clobetasol Propionate Foam, 0.05% will harm your unborn baby.
If you use Clobetasol Propionate Foam, 0.05% during pregnancy, use Clobetasol Propionate Foam, 0.05% on the smallest area of skin and for the shortest time needed. • are breastfeeding or plan to breastfeed. It is not known if Clobetasol Propionate Foam, 0.05% passes into your breast milk. If you use Clobetasol Propionate Foam, 0.05% while breastfeeding, use Clobetasol Propionate Foam, 0.05% on the smallest area of skin and for the shortest time needed.
Do not apply Clobetasol Propionate Foam, 0.05% directly to the nipple and areola to avoid getting Clobetasol Propionate Foam, 0.05% into your baby’s mouth. Tell your healthcare provider about all the medicine you take including prescription or over-the-counter medicines, vitamins, and herbal supplements. Do not use other products containing a corticosteroid medicine during treatment with Clobetasol Propionate Foam, 0.05% without talking to your healthcare provider first.
How should I use Clobetasol Propionate Foam, 0.05%? See the “Instructions for Use” for detailed information about the right way to apply Clobetasol Propionate Foam, 0.05%. • Use Clobetasol Propionate Foam, 0.05% exactly as your healthcare provider tells you to use it. • Apply a thin layer of Clobetasol Propionate Foam, 0.05% to the affected skin areas 2 times each day. • Avoid using Clobetasol Propionate Foam, 0.05% on your face, underarms (armpits), groin area, or in areas with thinning skin (atrophy). • Avoid using Clobetasol Propionate Foam, 0.05% on skin in a diaper area. • Do not bandage or cover your treated area unless your healthcare provider tells you to. • Do not use Clobetasol Propionate Foam, 0.05% for longer than 2 weeks in a row. • You should not use more than 50 grams or 21 capfuls of Clobetasol Propionate Foam, 0.05% in 1 week. • Talk to your healthcare provider if your skin or scalp does not improve after 2 weeks of treatment with Clobetasol Propionate Foam, 0.05%. • Wash your hands after using Clobetasol Propionate Foam, 0.05%.
What should I avoid while using Clobetasol Propionate Foam, 0.05%? Clobetasol Propionate Foam, 0.05% is flammable. Avoid heat, flame, or smoking during and right after you apply Clobetasol Propionate Foam, 0.05% to your skin.
What are the possible side effects of Clobetasol Propionate Foam, 0.05%? Clobetasol Propionate Foam, 0.05% may cause serious side effects, including: • Clobetasol Propionate Foam, 0.05% can pass through your skin. Too much Clobetasol Propionate Foam, 0.05% passing through your skin can cause adrenal glands to stop working. • Cushing’s syndrome, a condition that happens when the body is exposed to too much of the hormone cortisol. • High blood sugar (hyperglycemia… [Excerpted — this section continues on DailyMed.]
📖 Instructions for Use ▾
Instructions for Use Clobetasol Propionate Foam, 0.05% Important: Clobetasol Propionate Foam, 0.05% is for use on the skin only. Do not get Clobetasol Propionate Foam, 0.05% in your eyes, mouth or vagina. How to apply Clobetasol Propionate Foam, 0.05%: Step 1: Remove the cap and save for further use.
Figure A Step 2: Before applying Clobetasol Propionate Foam, 0.05% for the first time, break the tiny plastic piece at the base of the can’s rim by gently pushing back (away from the piece) on the nozzle. (see Figure A ) Figure B Step 3: Turn the can upside down. Push the button to dispense a small amount of Clobetasol Propionate Foam, 0.05% into the cap of the can, or on your affected skin area.
(see Figure B ) This amount should be no more than 1½ capfuls, about the size of a golf ball. • Do not dispense Clobetasol Propionate Foam, 0.05% directly onto your hands (unless your hands are the affected areas), because the foam will begin to melt right away on contact with your warm skin. • If your fingers are warm, rinse them in cold water first. Be sure to dry them thoroughly before handling the foam. • If the can seems warm or the foam seems runny, run the can under cold water. Figure C Figure D Step 4: Using your fingertips, gently massage a thin layer of Clobetasol Propionate Foam, 0.05% into the affected areas until the foam disappears.
(see Figures C and D ) Figure E Step 5: If you are treating areas with hair, such as the scalp, move any hair away so that the foam can be applied directly to the affected areas. (see Figure E ) • Repeat until the affected areas are treated. Keep the foam away from your eyes, as it will sting and may cause eye problems if there is frequent contact with your eyes.
If the foam gets in your eyes, rinse them well with cold water right away. If the stinging continues, contact your healthcare provider right away. Figure F Step 6: Wash your hands after applying Clobetasol Propionate Foam, 0.05%.
(see Figure F ) • Throw away any of the unused medicine that you dispensed out of the can. This Instructions for Use has been approved by the U.S. Food and Drug Administration. figure-a.jpg figure-b.jpg figure-c.jpg figure-d.jpg figure-e.jpg figure-f.jpg
📄 Recent Major Changes ▾
Warnings and Precautions, Ophthalmic Adverse Reactions ( 5.2 ) 04/2018
📄 Package Label / Principal Display Panel ▾
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL Rx Only Clobetasol Propionate Foam, 0.05% For Topical Use Only. Not for Ophthalmic, Oral or Intravaginal Use. 50 g The following image is a placeholder representing the product identifier that is either affixed or imprinted on the drug package label during the packaging operation. 50g carton serialization-example