• Rapidly reduces itching and redness from eczema flare-ups
  • A potent steroid for stubborn, treatment-resistant skin conditions
  • Available as a cream, ointment, and scalp lotion

How it works?

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Overview

When eczema, dermatitis, or psoriasis flare-ups become too inflamed for mild steroid creams, Betnovate provides stronger relief. Containing betamethasone valerate, a potent corticosteroid, it quickly calms redness, itching, and swelling, helping skin settle when other treatments haven’t been enough.

Available as a cream (lighter, absorbs quickly) or ointment (thicker, more hydrating), Betnovate can be matched to your skin’s needs.

This medicine requires a secure online consultation with a UK-registered prescriber, and will only be supplied if clinically appropriate.


What is Betnovate


Betnovate is a potent corticosteroid designed to reduce inflammation in more severe skin conditions. It works by suppressing the body’s overactive immune response that causes redness, swelling, itching, and irritation.

Because it is stronger than Hydrocortisone or Clobetasone, Betnovate is typically used when milder steroids haven’t worked, or when flare-ups are particularly stubborn or widespread.

Conditions treated with Betnovate include:

  • Moderate to severe eczema
  • Dermatitis (allergic or irritant)
  • Psoriasis (excluding widespread plaque psoriasis)
  • Lichen planus
  • Discoid lupus erythematosus
  • Severe insect bite reactions

Directions

  • Apply a thin layer to the affected skin once or twice daily as directed.
  • Do not use on the face, groin, or armpits unless specifically instructed.
  • Use sparingly — only on inflamed areas.
  • Typically prescribed for up to 2–4 weeks; not for long-term continuous use.
  • Wash hands after applying unless treating the hands themselves.

Side Effects

Like all medicines, Betnovate can cause side effects, although not everyone will experience them. Because it is a stronger steroid, the risk of side effects is higher if it is used for long periods or on sensitive areas of skin.

Common (may affect up to 1 in 10 people, usually with short-term use):

  • Temporary burning or stinging
  • Dryness or itching


Less common (may affect up to 1 in 100 people, more likely with longer use):

  • Thinning of the skin
  • Stretch marks
  • Dilated blood vessels
  • Increased hair growth on treated skin
  • Worsening of untreated skin infections


Most people tolerate Betnovate well when used as directed. If you are concerned about any symptoms, or they do not improve, speak to your doctor, pharmacist, or prescriber.

Disclaimer: This is not a complete list of side effects. Always read the patient information leaflet provided with your medicine for full details. If you experience severe or worrying symptoms, seek medical advice straight away. In an emergency, call 999 or go to A&E.

Warnings

  • Do not use if allergic to betamethasone or other corticosteroids.
  • Not suitable for untreated skin infections, rosacea, acne, or perioral dermatitis.
  • Avoid use on broken skin or large surface areas without medical advice.
  • Not recommended for children under 12 unless prescribed.
  • Pregnant or breastfeeding women should seek prescriber guidance before use.
  • Always follow the course and duration recommended by your prescriber — misuse increases risks of side effects.
Frequently asked questions

  • What is Betnovate Cream and what is it used for?

    Betnovate Cream (betamethasone valerate 0.1%) is a potent topical steroid used to treat inflammatory skin conditions such as eczema, psoriasis and dermatitis. It reduces redness, itching and swelling during flare-ups. Because it is stronger than mild steroids, it is typically used short-term and only on specific areas of affected skin.

  • How does Betnovate Cream differ from milder steroids like hydrocortisone?

    Betnovate Cream is significantly stronger than hydrocortisone and works more effectively on stubborn, inflamed or thickened patches of skin. While hydrocortisone suits mild flare-ups, Betnovate is reserved for moderate to severe symptoms that have not responded to weaker treatments. Its potency means it must be used cautiously and for limited durations.

  • How do I apply Betnovate Cream safely?

    Apply a thin layer once or twice daily using the fingertip-unit method, avoiding broken skin, the face and groin unless advised. Wash hands before and after application. Betnovate is designed for short-term use and should not be applied under airtight dressings unless directed by a clinician.

  • What side effects can Betnovate Cream cause?

    Betnovate may cause burning, stinging or dryness when first applied. Overuse increases the risk of thinning skin, stretch marks, easy bruising, and visible blood vessels. Prolonged or inappropriate use may worsen certain conditions or trigger steroid withdrawal symptoms. Always follow the recommended duration.

  • How long can I use Betnovate Cream for?

    Betnovate should usually be used for no more than 1–2 weeksunless a clinician advises otherwise. Potent steroids reduce inflammation quickly, but using them for too long increases the risk of skin thinning and other complications. If symptoms persist, a review is recommended.

  • Can Betnovate Cream be used on the face?

    Betnovate should not be used on the face unless specifically prescribed for a short course. Facial skin is thinner and absorbs steroids more readily, increasing the risk of side effects such as rosacea, perioral dermatitis and skin thinning.

  • Is Betnovate Cream suitable for psoriasis flare-ups?

    Yes, Betnovate Cream can help reduce inflammation and itching in psoriasis, especially when plaques are thicker. However, potent steroids should be used carefully because abrupt stopping may cause rebound symptoms. Combination treatment with moisturisers or vitamin D creams may be advised.

  • Can Betnovate Cream be used for allergic skin reactions?

    Betnovate can help calm intense inflammation caused by allergic dermatitis, such as reactions to fragrances or nickel. However, long-term use is inappropriate, and identifying the allergen remains essential. If reactions recur frequently, allergy testing or a milder long-term steroid may be more suitable.

  • Can Betnovate Cream be used alongside emollients?

    Yes. Emollients are important for barrier repair and can improve outcomes when used with Betnovate. They should be applied at a different time of day so they do not dilute the steroid. Many people apply Betnovate first, then moisturise later.

  • Is Betnovate Cream safe during pregnancy or breastfeeding?

    Mild steroids are generally preferred during pregnancy, but Betnovate may be used on small areas if necessary under clinical supervision. Avoid applying to the breasts when breastfeeding, and always use the lowest effective amount.

  • Can Betnovate Cream worsen infections?

    Yes. Steroids reduce inflammation but can hide signs of infection, allowing bacterial, viral or fungal conditions to spread. If skin becomes more weepy, swollen or painful, treatment should stop and be clinically reviewed. Sometimes combined steroid–antibiotic creams may be needed.

  • Can Betnovate Cream be used on broken or damaged skin?

    No. Broken skin absorbs steroids more quickly, increasing the risk of side effects. Betnovate should only be applied to intact skin unless a clinician specifically advises otherwise. Consider using emollients to support healing before restarting steroid treatment.

  • Does Betnovate Cream interact with other topical treatments?

    Betnovate can be used with other creams, but timing matters. Applying products too close together may dilute the steroid or cause irritation. Topical antifungals, vitamin D creams and emollients should be spaced apart to avoid interference.

  • Can Betnovate Cream be used during severe eczema flare-ups?

    Yes, Betnovate is often used for short bursts during significant flare-ups where redness and itching are intense. Once symptoms improve, a step-down approach using a milder steroid or emollients is recommended to maintain control safely.

  • Is Betnovate Cream suitable for long-term maintenance?

    No. Betnovate is not intended for continuous use. Long-term control usually relies on moisturisers, trigger management and milder steroids. Prolonged potent steroid use increases the risk of skin thinning and other complications. A clinician should advise on maintenance planning.