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Halobetasol

Published: July 26, 2026Updated: August 24, 2026

Halobetasol is a high-potency topical corticosteroid used to treat inflammatory and itchy skin conditions such as psoriasis and eczema. It works by reducing inflammation, suppressing immune responses, and decreasing the activity of immune cells in the skin. This medication is typically prescribed for short-term use due to its strength.

Quick summary

Halobetasol is a potent topical corticosteroid cream used to treat inflammatory skin conditions like psoriasis and eczema by reducing inflammation and suppressing local immune responses.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
D07AC21
RxNorm
41208
Generic
Halobetasol
Class
atc-d07
Brands
Bryhali, Lexette, Duobrii, Ultravate
Availability
rx
Pregnancy
C
Lactation
caution
Routes
topical
Forms
cream, ointment
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)cream/lotion
Usual dose
Apply thin layer to affected area twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)cream/lotion
Usual dose
Apply thin layer to affected area once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)cream/lotion
Usual dose
Apply thin layer to affected area once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Not applicable - Halobetasol is a topical medication; toxicity is related to systemic absorption from chronic overuse rather than single-dose ingestion
Chronic overdose: HPA axis suppression may occur with prolonged use over large body surface areas (>20% BSA) or with occlusive dressings
Immediate actions
Discontinue use immediately, wash affected skin area with soap and water if topical exposure
Antidote
No specific antidote exists(N/A - treatment is supportive and involves gradual tapering)
Poison Control: 1-800-222-1222

Special Populations

11 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks; avoid application to large surface areas

Monitor

regular prenatal checkups

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

limit use to small affected areas for short duration

Monitor

routine prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose for shortest duration

Key Recommendations

avoid use on large body surface areas; do not use occlusive dressings

Monitor

fetal growth monitoring if extensive use required

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

if applied to breast, wash thoroughly before breastfeeding; avoid application to nipple area

Monitor

monitor infant for signs of adrenal suppression if extensive maternal use

Use with caution and monitor for adverse effects.

⚠

pediatric_age

under 12 years
caution
FDA Category
C
Dose Adjustment

use with extreme caution in children

Key Recommendations

not recommended for children under 12; if used, limit to small areas, shortest duration possible

Monitor

monitor for growth suppression and adrenal suppression

Use with caution and monitor for adverse effects.

⚠

pediatric_age

12 to 18 years
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

use for limited periods; avoid continuous long-term use

Monitor

monitor growth and adrenal function with prolonged use

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

use lower potency or reduced frequency; monitor for skin thinning

Monitor

regular skin examination for atrophy

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild to moderate
safe
FDA Category
C
Dose Adjustment

no adjustment typically required

Key Recommendations

standard dosing for topical application; monitor for local skin reactions

Monitor

routine monitoring

⚠

renal_impairment

severe
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

minimize use on broken skin to reduce systemic absorption

Monitor

monitor renal function periodically

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

mild to moderate
safe
FDA Category
C
Dose Adjustment

no adjustment typically required

Key Recommendations

standard topical dosing; minimize use on extensive areas of broken skin

Monitor

routine monitoring

⚠

hepatic_impairment

severe
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

limit to smallest effective area; avoid prolonged use

Monitor

monitor hepatic function with extensive use

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA Approval Year

Value:1990s

General prescribing information for Halobetasol propionate topical formulations

drug_classFDA
2023

Drug class

Value:Topical corticosteroid

Classification as super-potent topical corticosteroid

usageMedical guidelines
2023

Common uses

Value:Plaque psoriasis, dermatitis, skin inflammation

Therapeutic indications for Halobetasol topical preparations

potencyFDA
2023

Potency classification

Value:Super-potent (Class 1)

Topical corticosteroid potency classification system

Halobetasol is primarily used to treat plaque psoriasis and other inflammatory skin conditions including eczema and dermatitis. It is prescribed when lower-potency corticosteroids have been ineffective.

As a high-potency topical corticosteroid, halobetasol works by binding to glucocorticoid receptors in skin cells. This interaction reduces the production of inflammatory substances, constricts blood vessels, and suppresses the local immune response that contributes to skin inflammation and scaling.

Halobetasol should be used sparingly and only on affected areas, typically for no more than 2 weeks due to risk of skin thinning and systemic absorption. It is not recommended for use on the face, groin, or underarms unless specifically directed by a physician. Patients should avoid bandaging or wrapping treated areas unless instructed.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy