What is Dibetalic ?
Dibetalic medicine contains two active ingredients, betamethasone dipropionate and salicylic acid. Betamethasone dipropionate is one of a class of drugs known as topical corticosteroids. It is classified as a potent corticosteroid.
These medications are applied to the surface of the skin to reduce redness and itchiness caused by certain skin problems. Salicylic acid softens the top layer of flakes on the surface of your skin caused by your skin problems. This allows betamethasone dipropionate to reach the diseased skin underneath to help with wound healing.
In adults and children, Dibetalic is used to treat skin conditions in which the outer surface of the skin is covered with a scab. Your ointment will remove the scab and reduce the redness and itching caused by your skin problem.
Drug information Dibetalic
Ingredients of Dibetalic:
- Betamethason dipropionat …………………………………….. 9,6 mg.
- Salicylic acid …………………….. 0.45 g.
Registration Number: VD-23251-15
Packing: Box of 1 tube of 15g topical cream.
Group: dermatological drugs
Production Company: TRAPHACO Joint Stock Company – Vietnam.
- Betamethasone dipropionate, a synthetic fluorinated corticosteroid, has anti-inflammatory, antipruritic effects.
- High concentration of Salicylic Acid will change the affected area on the skin such as changing the pH of the skin, peeling skin (Desquamation) … these things are not favorable for the growth of bacteria and fungi on the skin.
- Betamethasone dipropionate is readily absorbed from topical application sites and is rapidly distributed to all body tissues. It crosses the placenta and may be excreted in small amounts in breast milk.
- The drug is metabolized mainly in the liver but also in the kidneys and is excreted in the urine.
- Salicylic acid is readily absorbed from the skin and excreted slowly in the urine.
What is Dibetalic used for?
Dibetalic is indicated for the treatment of corticosteroid-responsive dermatological conditions such as hyperkeratosis and dryness, such as:
- Chronic atopic dermatitis;
- Seborrheic dermatitis of the scalp;
Who should not take the drug?
- Hypersensitivity to any of the ingredients of Dibetalic.
- Skin lesions, boils, primary infectious lesions caused by bacteria, fungi, viruses, parasites.
- Dibetalic is not used in ophthalmology.
Dosage and how to use Dibetalic?
What is the dose of Dibetalic ?
- Initial dose: apply a thin film to the affected area twice daily in the morning and evening.
- Maintenance treatment: apply a thin film to the affected area once a day until symptoms disappear.
- Children: Apply a thin film to the affected area once a day. For children under 12 months of age: Apply a thin film only to the small affected area of skin and do not bandage the area of application.
How to take Dibetalic
Always use Dibetalic exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are unsure.
Do not use the ointment on the face for more than 5 days.
Do not use large amounts of ointment over large areas of the body for long periods of time.
Avoid getting the ointment in your eyes or inside the nose or mouth.
If you have been using Dibetalic for a long time and your skin problem seems to have improved, you should not suddenly stop using the ointment. If you do, you may notice that your skin becomes red and may feel stinging or burning.
What to do in case of overdose?
Excessive or prolonged use of topical corticosteroids can suppress pituitary-adrenal functions, lead to secondary adrenal insufficiency and produce manifestations of hypercortical disease, including Cushing’s disease.
Excessive or prolonged use of topical preparations containing salicylic acid can cause symptoms of salicylic addiction.
What should I do if I miss a dose?
If you forget to take your medicine at the right time, take it as soon as you remember, then continue as before.
Precautions while you are taking Dibetalic
Absorption: Medicines containing topical (topical) corticosteroids such as Dibetalic are known to be absorbed into the bloodstream if used for long periods of time over large areas of the body. Absorption is higher when the medicine is covered with a bandage. This increases the risk of body-wide side effects from this drug.
Eyes: Use this medicine with caution on lesions near the eyes. Be careful to make sure it doesn’t get into the eye, as it can lead to glaucoma. Cataracts have been reported following the use of internal corticosteroids. Report changes in your vision to your doctor as soon as possible.
Infection: Dibetalic should not be used on any infected area until the infection is gone. Topical corticosteroids may increase the risk of developing skin infections.
Stopping this medicine: Stopping corticosteroids suddenly may cause your skin condition to return. If you have been using this or similar medicine for a long time, discuss with your doctor the best way to stop it.
Thin skin: Long-term use of topical corticosteroids can cause the skin and underlying tissues to thin or soften, or may cause stretch marks.
Pregnancy: Dibetalic should not be used during pregnancy unless the potential benefits outweigh the risks. If you become pregnant while using this medicine, contact your doctor immediately.
Breast- feeding: It is not known whether Dibetalic topical passes into breast milk. If you are breast-feeding and are using this medicine, it may affect your baby. Talk to your doctor about whether you should continue breastfeeding.
Children: Dibetalic belongs to a class of drugs called corticosteroids. Children may be more likely to experience side effects when taking large amounts of this class of drugs for a long time (eg, growth retardation, delayed weight gain).
The use of this medicine in children should be limited to the smallest amount that will be effective, for the shortest time. Discuss the risks and benefits of using this medicine for children with your doctor.
Dibetalic side effects
Side effects are very rare. Adverse reactions that have been reported with the use of Dibetalic include:
- Dry skin;
- Blistering blisters;
- Reduce pigmentation;
- Secondary infection;
- Skin atrophy;
- Skin sensitization.
Inform your doctor of any unusual reactions while using Dibetalic.
What other drugs may interact with Dibetalic ?
No interactions reported.
How to store medicine?
- Store the medicine in a dry place, the temperature is not less than 30 0 C, protect from light.
- Keep this medicine in a safe place. Keep out of reach of children and pets.
The above article is for reference only and is not a substitute for medical diagnosis or treatment. Readers should only follow the instructions of the doctor who is treating you, Index-China disclaims responsibility if problems occur.
Reputable source ThuocLP Vietnamese: Dibetalic medicine: Uses, dosage & usage
Assoc.Prof.Dr. Tran Ngoc Anh is currently Hanoi Medical University Hospital, Associate Professor, Department of Internal Medicine, Gastroenterology and Head of Department of General-Uematology of Hanoi Medical University. Consulting doctor at ThuocLP Pharmacy.
Professional qualifications, Academic degrees – Education:
Graduated from General Practitioner System, Hanoi Medical University
Graduated with a Master degree in Internal Medicine, Hanoi Medical University
Graduated from the training program specialized in Gastrointestinal, Henri Mondor Institute Center, University of Paris 6, French Republic 1996-1997; 1999
Graduated from the training program specialized in Gastrointestinal, North Royal Sydney Hospital, Australia; 2002
Graduated from a training program specialized in chronic liver diseases, Pizza, Italy 2009
Graduated with a PhD in Gastrointestinal, Hanoi Medical University
Associate Professor, Gastroenterology, Hanoi Medical University
Training and Scientific Research:
Published more than 200 articles in domestic and international specialized journals
Editor of many monographs and participates in compiling 2 textbooks.
Guide many students and graduate students of Hanoi Medical University
Manager of many grassroots research projects
Certificate of Good Clinical Practice (GCP: 2012, 2015), Ministry of Health
Specialized certificates: General gastrointestinal endoscopy, Interventional gastrointestinal endoscopy, General gastrointestinal ultrasound, Interventional gastrointestinal ultrasound (Bach Mai BV), Chronic liver disease.