Potent corticosteroid + imidazole antifungal
Betamethasone with clotrimazole
Brand names: Lotriderm
Adult dose
Dose: Apply BD
Route: Topical
Frequency: BD ≤7 days
Clinical pearls
- NICE CKS Tinea / NG198: limited role — combination obscures fungal diagnosis. Use plain antifungal preferred
- BAD; specialist use only
- Short courses (≤7 days)
Contraindications
- Untreated viral skin infection
- Acne
- Children <2 (relative)
- Hypersensitivity
Side effects
- Skin atrophy
- Telangiectasia
- Folliculitis
- Worsening of fungal infection if steroid masks signs
Monitoring
- Skin response
- Local atrophy
Reference: BNF; NICE CKS Tinea; BAD; https://bnf.nice.org.uk/drugs/betamethasone-with-clotrimazole/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Pathways
- Suspicious Pigmented Lesion — Melanoma Pathway · NICE NG14 2015 / BAD
- Cellulitis and Erysipelas · NICE NG141 2019 / CREST
- Psoriasis — Severity Assessment and Step-Up Therapy · NICE NG153 2019 / BAD
- Atopic Eczema — Assessment and Step-Up Therapy · NICE NG95 2023
- Urticaria and Angioedema · BSACI / EAACI Guidelines 2022
- Acne Vulgaris — Grading and Treatment · NICE NG198 2021 / BAD