Betamethasone: Difference between revisions

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{{drugbox |
{{Details0|Betamethasone sodium phosphate (injection)}}
| image=Betamethasone.png
{{Details0|Betamethasone dipropionate (topical)}}
| IUPAC_name = 9-fluoro-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13,16-<br />trimethyl-6,7,8,9,10,11,12,13,14,15,16,17-<br />dodecahydrocyclopenta[a]phenanthren-3-one
{{Details0|Betamethasone valerate (aerosol)}}
| CAS_number = 378-44-9
{{Details0|Betamethasone valerate (topical)}}
| ATC_prefix= A07
| ATC_suffix= EA04
| ATC_supplemental = {{ATC|C05|AA05}} {{ATC|D07|AC01}} {{ATC|D07|XC01}} {{ATC|H02|AB01}} {{ATC|R01|AD06}} {{ATC|R03|BA04}} {{ATC|S01|BA06}} {{ATC|S01|CB04}} {{ATC|S02|BA07}} {{ATC|S03|BA03}}
| PubChem= 9782
| DrugBank= APRD00513
| C=22 | H=29 | F=1 | O=5 
| molecular_weight = 392.461
| bioavailability = ? 
| metabolism = [[hepatic]] [[CYP3A4]]
| elimination_half-life = 5.6 hours
| excretion = ?
| pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X -->
| pregnancy_US = C
| pregnancy_category =
| legal_AU = <!-- Unscheduled / S2 / S4 / S8 -->
| legal_UK = <!-- GSL / P / POM / CD -->
| legal_US = <!-- OTC / Rx-only -->
| legal_status = Rx-only
| routes_of_administration = oral or topical  
}}  
{{CMG}}
 
 
 
'''Betamethasone''' is a moderate-potent [[glucocorticoid]] [[steroid]] with [[anti-inflammatory]] and [[immunosuppressant|immunosuppressive]] abilities, used especially where water retention is undesirable. It is applied as a [[topical]] cream, ointment, foam, lotion or gel to treat [[pruritus|itching]] (e.g. from [[eczema]]).
 
It is available as a number of [[ester]]s: [[propionate|Dipropionate]] (branded as Diprosone®, Diprolene® and others), Sodium Phosphate and [[Valerate]] (branded as Betnovate®, Celestone® and others).
 
Betamethasone sodium phosphate is sometimes prescribed as an [[intramuscular injection]] (I.M) for itching from various ailments including allergic reactions to [[poison ivy]] and similar plants.
 
== Indications ==
Betamethasone is a [[corticosteroid]] used to stimulate fetal lung maturation, and to decrease the incidence and mortality from intracranial hemorrhage in premature infants.
 
It is also used as a topical cream to relieve skin irritation.
 
0.05% Betamethasone cream appears effective in treating [[phimosis]] in boys, and often averts the need for [[circumcision]].
 
Betamethasone sodium phosphate is used orally and via [[injection]] with the same indications as other [[steroids]].
 
== Fetal risk ==
As it crosses the placenta, which is required for its beneficial effects, it may also be associated with complications, such as [[hypoglycemia]] and [[Neutrophil leucocytosis|leucocytosis]] in newborns exposed [[in utero]].
 
==Notes==
<References/>
 
== External links ==
* {{cite web | title=Betamethasone | url=http://www.safefetus.com/DrugDetail.asp?DrugId=709&TradeName=Betaval&TradeId=775 | publisher=safefetus.com}}
* {{cite web | title=Betamethasone | url=http://www.musc.edu/pharmacyservices/Drugs/B/Betamethasone.htm | work=Pharmacy Services | publisher=Medical University of South Carolina}}
 
 
{{Corticosteroids}}
{{Antidiarrheals, intestinal anti-inflammatory/anti-infective agents}}
{{Vasoprotectives}}
{{Corticosteroids for systemic use}}
{{Nasal preparations}}
{{Otologicals}}
[[Category:Steroids]]
[[Category:Organofluorides]]
<br>
[[de:Betamethason]]
[[fr:Bétaméthasone]]
[[hu:Betametazon]]
[[ru:Бетаметазон]]
 
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Latest revision as of 14:16, 7 May 2015