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About Dr Alan Galbraith
Expertise
I can answer most questions on most drugs. Answers can be given in either technical or layperson terminology. My main areas of interest are psychiatric, gastrointestinal and cardiovascular drugs.

Experience
I have been a university lecturer/head of department for almost thirty years, but am now retired. My research interests were alcohol, smoking and cardiovascular disease.

Organizations
Institute of Biology, London.


Publications
Author of "Fundamentals of Pharmacology" 5th Edition published in November 2007 by Pearson Education, Australia.

Education/Credentials
BSc(Hons);MSc;PhD;MIBiol; Cert Biol; HECert

 
   

You are here:  Experts > Health/Fitness > Pharmacology > Pharmacy > clobetasole or mometasone

Pharmacy - clobetasole or mometasone


Expert: Dr Alan Galbraith - 4/7/2009

Question
Respected Sir,

Many many regards from Harsvadan from India. I have a psoriasis for which I was first prescribed Betamethasone +salicylic acid 6 mg After 3 years, I was given clobetasol with slicylic acid Recently my dermatologist prescribed Mometasone with salicylic acid. I read in the leaflet that mometasone should not be used for more than 2 weeks and maximum is 50 mg. While I read elsewhere that Mometasone is mild potent steriod whereas clobetasol is very potent. My query is whether mometasone is mild as compared to clobetasole and whether prolonged use of either cause any problem ? Mometasone is very costly whereas clobetasole is cheaper To put it, cost of cream 10 gm having mometsaone with salicylic acid is  equal to clobetasole with salicylic acid 20 gm cream and that mometasone is said to be mild than clobetsaole. When I asked my dr as to why she is prescribing mometasone with salicylic acid, she said it is milder thatn clobetasole. I am confused. Should I continue clobetasole with salicylic acid or betamethasone with salicylic acid because my overall psoriasis is under control with all three molecule with occassional flare up that too mild. Can U guide me.

Answer
Dear Harsvadan

Good to hear from you again.

I need some more information from you before I can answer your question properly. I have to know the ester of the corticosteroid ie is it clobetasol propionate or is it clobetasone butyrate. I think you will mean the former but in case I am wrong can you tell me this? I'll answer tomorrow as I am just about to go to bed.


Regards

Alan Galbraith

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