Review Article

Mechanisms of Action of Topical Corticosteroids in Psoriasis

Table 1

Corticosteroid classification system, adapted from [12].

ClassNameVehicle
OinmtentCreamLotion

Superpotent  
 Class I USA; class I UK; class IV Germany
Betamethasone dipropionate glycol 0.05%
Clobetasol 17-propionate 0.05%
Halobetasol propionate 0.05%

High potency  
 Class II/III USA; class II UK; class III Germany
Amcinonide 0.1%
Betamethasone dipropionate 0.05%
Desoximetasone 0.25%
Diflucortolone valerate 0.1%
Fluocinonide 0.05%
Halcinonide 0.1%
Mometasone furoate 0.1%
Triamcinolone acetonide 0.5%

Moderate potency  
 Class IV/V USA; class III UK; class II Germany
Betamethasone dipropionate 0.05%
Betamethasone valerate 0.1%
Clobetasone 17-butyrate 0.05%
Desonide 0.05%
Desoximetasone 0.05%
Fluocinonide 0.025%
Hydrocortisone 17-valerate 0.2%
Prednicarbate 0.1%
Triamcinolone acetonide 0.1%

Low potency  
 Class VI/VII USA; class IV UK; class I Germany
Betamethasone valerate 0.05%
Desonide 0.05%
Fluocinonide 0.01%
Hydrocortisone 1.0%, 2.5%
Hydrocortisone acetate 0.5%, 1.0%
Prednicarbate 0.05%
Triamcinolone acetonide 0.025%