|
|
(6 intermediate revisions by 3 users not shown) |
Line 1: |
Line 1: |
| {{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]]
| |
| | |
| {{WikiDoc Help Menu}}
| |
| {{WS}}
| |