Can Betamethasone Dipropionate Cream Help with Keloids? - Pharmacology

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Can betamethasone dipropionate be applied to keloids?


There is a small keloid on my chest.
I visited a dermatologist, and the doctor prescribed Betamethasone dipropionate ointment.
Is this medication used for eczema, and will it also help with the keloid?

Miss Wang, 30~39 year old female. Ask Date: 2005/06/13

Dr. Lin Meili reply Pharmacology


Hello! Betamethasone dipropionate is a corticosteroid ointment that can be applied for eczema and is also used to treat other inflammatory skin conditions.
The physician determines the need for a corticosteroid ointment based on your condition.
If you have any questions, you should consult your doctor, as they are the most knowledgeable about your skin condition.
Regarding keloids, the currently proven effective treatment methods are as follows: 1.
Intralesional steroid injection 2.
Silicone gel sheets 3.
Dye laser therapy 4.
Cryotherapy 5.
Topical retinoids 6.
Surgery combined with radiation therapy.
The physician will provide different treatments based on each patient's situation.
Pharmacist Lin Mei-Li.

Reply Date: 2005/06/13

More Info


Betamethasone dipropionate cream is a potent topical corticosteroid that is commonly used to treat various inflammatory skin conditions, including eczema, dermatitis, and psoriasis. Its primary function is to reduce inflammation, itching, and redness associated with these conditions. However, its application in treating keloids, which are raised scars that form due to excessive collagen production during the healing process, is a bit more nuanced.

Keloids can be challenging to treat, and while Betamethasone dipropionate may not be the first-line treatment for keloids, it can still play a role in managing their symptoms. The corticosteroid works by reducing inflammation and can help flatten the keloid over time. In some cases, dermatologists may prescribe topical corticosteroids like Betamethasone dipropionate as part of a broader treatment plan that may include other modalities such as silicone gel sheets, intralesional steroid injections, laser therapy, or even surgical excision.

The effectiveness of Betamethasone dipropionate in treating keloids can vary from person to person. Some patients may experience a reduction in size and symptoms of the keloid, while others may not see significant improvement. It is essential to have realistic expectations and understand that keloid treatment often requires a combination of therapies for the best results.

If your dermatologist has prescribed Betamethasone dipropionate for your keloid, it is likely because they believe it may help in your specific case. It is crucial to follow their instructions regarding the application frequency and duration of use. Typically, corticosteroids are applied once or twice daily, but your doctor will tailor the regimen based on your individual needs.

In addition to topical treatments, other effective methods for managing keloids include:
1. Intralesional Steroid Injections: These involve injecting a corticosteroid directly into the keloid to reduce its size and flatten it. This method is often more effective than topical applications alone.

2. Silicone Gel Sheets: These are applied over the keloid and can help flatten and soften the scar over time. They are often used in conjunction with other treatments.

3. Laser Therapy: Certain types of lasers can help reduce the redness and size of keloids. This treatment is usually performed by a dermatologist.

4. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size.

5. Surgical Removal: In some cases, keloids can be surgically excised, but there is a risk of recurrence, so this is often combined with other treatments like steroid injections.

6. Pressure Therapy: Applying pressure to the keloid using specialized dressings can help flatten it over time.

It's important to consult with your dermatologist about the best treatment plan for your keloid. They can assess the size, location, and characteristics of the keloid and recommend the most appropriate therapies. If you have concerns about the effectiveness of Betamethasone dipropionate or experience any side effects, be sure to discuss these with your healthcare provider. They can adjust your treatment plan as necessary to ensure the best possible outcome for your skin condition.

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