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Clotrimazole and Betamethasone Dipropionate

These highlights do not include all the information needed to use CLOTRIMAZOLE and BETAMETHASONE DIPROPIONATE CREAM safely and effectively. See full prescribing information for CLOTRIMAZOLE and BETAMETHASONE DIPROPIONATE CREAM. CLOTRIMAZOLE and BETAMETHASONE DIPROPIONATE cream, for topical use Initial U.S. Approval: 1984

Approved
Approval ID

8d03b9ba-f7a8-4fbf-9be1-83d815c2be45

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Jul 19, 2023

Manufacturers
FDA

NORTHSTAR RX LLC

DUNS: 830546433

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Clotrimazole and Betamethasone Dipropionate

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code16714-496
Application NumberANDA075673
Product Classification
M
Marketing Category
C73584
G
Generic Name
Clotrimazole and Betamethasone Dipropionate
Product Specifications
Route of AdministrationTOPICAL
Effective DateSeptember 30, 2019
FDA Product Classification

INGREDIENTS (11)

ceteareth-30Inactive
Code: 1R9DCZ5FOX
Classification: IACT
Betamethasone DipropionateActive
Quantity: 0.64 mg in 1 g
Code: 826Y60901U
Classification: ACTIM
ClotrimazoleActive
Quantity: 10 mg in 1 g
Code: G07GZ97H65
Classification: ACTIB
cetostearyl alcoholInactive
Code: 2DMT128M1S
Classification: IACT
propylene glycolInactive
Code: 6DC9Q167V3
Classification: IACT
phosphoric acidInactive
Code: E4GA8884NN
Classification: IACT
petrolatumInactive
Code: 4T6H12BN9U
Classification: IACT
benzyl alcoholInactive
Code: LKG8494WBH
Classification: IACT
light mineral oilInactive
Code: N6K5787QVP
Classification: IACT
waterInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATEInactive
Code: 593YOG76RN
Classification: IACT

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 9/30/2019

PRINCIPAL DISPLAY PANEL - 45 g Tube Carton

Rx only

NDC 16714-496-02

Clotrimazole and Betamethasone Dipropionate Cream USP

1%/0.05%

ATTENTION PHARMACIST: Dispense with enclosed Patient Information Leaflet.
ATTENTION PATIENT: See Patient Information Leaflet before using this product.

FOR TOPICAL USE ONLY. NOT FOR OPHTHALMIC, ORAL OR INTRAVAGINAL USE. NOT RECOMMENDED
FOR PATIENTS UNDER THE AGE OF 17 YEARS AND NOT RECOMMENDED FOR DIAPER DERMATITIS.

NORTHSTARX®

45 g

PRINCIPAL DISPLAY PANEL - 45 g Tube Carton

NONCLINICAL TOXICOLOGY SECTION

LOINC: 43680-8Updated: 9/30/2019

13 NONCLINICAL TOXICOLOGY

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

Long-term animal studies have not been performed to evaluate the carcinogenic potential of the combination of clotrimazole and betamethasone dipropionate or either component individually.

Betamethasone was negative in the bacterial mutagenicity assay (Salmonella typhimurium and Escherichia coli) and in the mammalian cell mutagenicity assay (CHO/HGPRT). It was positive in the in vitro human lymphocyte chromosome aberration assay, and equivocal in the in vivo mouse bone marrow micronucleus assay.

In a combined study of the effects of clotrimazole on fertility, embryofetal development, and postnatal development, male and female rats were dosed orally (diet admixture) with dose levels of 5, 10, 25, or 50 mg/kg/day from 10 weeks prior to mating until 4 weeks postpartum. No adverse effects on the duration of estrous cycle, fertility, or duration of pregnancy were noted.

Reproductive studies with betamethasone dipropionate conducted in rabbits at doses of 1.0 mg/kg/day by the intramuscular route and in mice up to 33 mg/kg/day by the intramuscular route indicated no impairment of fertility except for dose-related increases in fetal resorption rates in both species.

HOW SUPPLIED SECTION

LOINC: 34069-5Updated: 9/30/2019

16 HOW SUPPLIED/STORAGE AND HANDLING

Clotrimazole and Betamethasone Dipropionate Cream USP, 1%/0.05% is a smooth white cream and supplied in 15-gram (NDC 16714-496-01) and 45-gram (NDC 16714-496-02) tubes; boxes of one.

Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].

INFORMATION FOR PATIENTS SECTION

LOINC: 34076-0Updated: 9/30/2019

17 PATIENT COUNSELING INFORMATION

Advise the patient to read the FDA-approved patient labeling (Patient Information).

Inform the patient of the following:

Pregnancy

Advise pregnant women that clotrimazole and betamethasone dipropionate cream may increase the risk of having a low birthweight infant and to use clotrimazole and betamethasone dipropionate cream on the smallest area of skin and for the shortest duration possible [see Use in Specific Populations (8.1)].

Lactation

Advise a woman to use clotrimazole and betamethasone dipropionate cream on the smallest area of skin and for the shortest duration possible while breastfeeding. Advise breastfeeding women not to apply clotrimazole and betamethasone dipropionate cream directly to the nipple and areola to avoid direct infant exposure [see Use in Specific Populations (8.2)].

Important Administration Instructions

Inform the patient of the following:

  • Use clotrimazole and betamethasone dipropionate cream as directed by the physician. It is for external use only.
  • Avoid contact with the eyes, the mouth, or intravaginally.
  • Advise patients to report any visual symptoms to their healthcare providers.
  • Do not use clotrimazole and betamethasone dipropionate cream on the face or underarms.
  • Do not use more than 45 grams of clotrimazole and betamethasone dipropionate cream per week.
  • When using clotrimazole and betamethasone dipropionate cream in the groin area, patients should use the medication for 2 weeks only, and apply the cream sparingly. Patients should wear loose-fitting clothing. Notify the physician if the condition persists after 2 weeks.
  • Do not use clotrimazole and betamethasone dipropionate cream for any disorder other than that for which it was prescribed.
  • Do not bandage, cover or wrap the treatment area unless directed by the physician. Avoid use of clotrimazole and betamethasone dipropionate cream in the diaper area, as diapers or plastic pants may constitute occlusive dressing.
  • Report any signs of local adverse reactions to the physician. Advise patients that local reactions and skin atrophy are more likely to occur with occlusive use or prolonged use.
  • This medication is to be used for the full prescribed treatment time, even though the symptoms may have improved. Notify the physician if there is no improvement after 1 week of treatment for tinea cruris or tinea corporis, or after 2 weeks for tinea pedis.

SPL PATIENT PACKAGE INSERT SECTION

LOINC: 42230-3Updated: 9/30/2019

Patient Information
Clotrimazole (kloe trim' a zole)
and Betamethasone Dipropionate
(bay" ta meth' a sone dye proe' pee oh nate) Cream USP, 1%/0.05%

This Patient Information has been approved by the U.S. Food and Drug Administration.

Important information: Clotrimazole and betamethasone dipropionate cream is for use on skin only. Do not use clotrimazole and betamethasone dipropionate cream in your eyes, mouth, or vagina.

What is clotrimazole and betamethasone dipropionate cream?

  • Clotrimazole and betamethasone dipropionate cream is a prescription medication used on the skin (topical) to treat fungal infections of the feet, groin, and body in people 17 years of age and older. Clotrimazole and betamethasone dipropionate cream is used for fungal infections that are inflamed and have symptoms of redness or itching.
  • Clotrimazole and betamethasone dipropionate cream should not be used in children under 17 years of age.

Before using clotrimazole and betamethasone dipropionate cream, tell your healthcare provider about all your medical conditions, including if you:

  • are pregnant or plan to become pregnant. It is not known if clotrimazole and betamethasone dipropionate cream will harm your unborn baby. If you use clotrimazole and betamethasone dipropionate cream during pregnancy, use clotrimazole and betamethasone dipropionate cream on the smallest area of the skin and for the shortest time needed.
  • are breastfeeding or plan to breastfeed. It is not known if clotrimazole and betamethasone dipropionate cream passes into your breast milk. Breastfeeding women should use clotrimazole and betamethasone dipropionate cream on the smallest area of skin and for the shortest time needed while breastfeeding. Do not apply clotrimazole and betamethasone dipropionate cream directly to the nipple and areola to avoid contact with your baby.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Especially tell your healthcare provider if you take other corticosteroid medicines by mouth or use other products on your skin or scalp that contain corticosteroids.

How should I use clotrimazole and betamethasone dipropionate cream?

  • Use clotrimazole and betamethasone dipropionate cream exactly as your healthcare provider tells you to use it.
  • Use clotrimazole and betamethasone dipropionate cream for the prescribed treatment time, even if your symptoms get better.
  • Do not use more than 45 grams of clotrimazole and betamethasone dipropionate cream in 1 week.
  • Do not bandage, cover, or wrap the treated area unless your healthcare provider tells you to. Wear loose-fitting clothing if you use clotrimazole and betamethasone dipropionate cream in the groin area.
  • Do not use clotrimazole and betamethasone dipropionate cream on your face or underarms (armpits). *For treatment of fungal infections of the groin and body:
    • Apply a thin layer of clotrimazole and betamethasone dipropionate cream to the affected skin area 2 times a day for 1 week.
    • Tell your healthcare provider if the treated skin area does not improve after 1 week of treatment.
    • Do not use clotrimazole and betamethasone dipropionate cream for longer than 2 weeks. *For treatment of fungal infections of the feet:
    • Apply a thin layer of clotrimazole and betamethasone dipropionate cream to the affected skin area 2 times a day for 2 weeks.
    • Tell your healthcare provider if the treated skin area does not improve after 2 weeks of treatment. Do not use clotrimazole and betamethasone dipropionate cream longer than 4 weeks.
    • Wash your hands after applying clotrimazole and betamethasone dipropionate cream.

What should I avoid while using clotrimazole and betamethasone dipropionate cream?
Clotrimazole and betamethasone dipropionate cream should not be used to treat diaper rash or redness. You should avoid applying clotrimazole and betamethasone dipropionate cream in the diaper area.

What are the possible side effects of clotrimazole and betamethasone dipropionate cream?
** Clotrimazole and betamethasone dipropionate cream may cause serious side effects, including:**

*Clotrimazole and betamethasone dipropionate cream can pass through your skin. Too much clotrimazole and betamethasone dipropionate cream passing through your skin can cause your adrenal glands to stop working. Your healthcare provider may do blood tests to check for adrenal gland problems. *Vision problems. Topical corticosteroids may increase your chance of developing cataracts and glaucoma. Tell your healthcare provider if you develop blurred vision or other vision problems during treatment with clotrimazole and betamethasone dipropionate cream.

The most common side effects of clotrimazole and betamethasone dipropionate cream include burning, tingling, rash, swelling, and infections.

These are not all the possible side effects of clotrimazole and betamethasone dipropionate cream.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store clotrimazole and betamethasone dipropionate cream?

  • Store clotrimazole and betamethasone dipropionate cream at room temperature between 68°F to 77°F (20°C to 25°C).
  • Keep clotrimazole and betamethasone dipropionate cream and all medicines out of the reach of children.

General information about the safe and effective use of clotrimazole and betamethasone dipropionate cream.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use clotrimazole and betamethasone dipropionate cream for a condition for which it was not prescribed. Do not give clotrimazole and betamethasone dipropionate cream to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about clotrimazole and betamethasone dipropionate cream that is written for health professionals.

What are the ingredients in clotrimazole and betamethasone dipropionate cream?
Active ingredients: clotrimazole and betamethasone dipropionate
Inactive ingredients: ceteareth-30, cetostearyl alcohol, mineral oil, phosphoric acid, propylene glycol, purified water, sodium phosphate monobasic monohydrate, white petrolatum; benzyl alcohol as preservative

For more information, contact Northstar RxLLC at 1-800-206-7821.

Manufactured for: Northstar RxLLC, Memphis, TN 38141.

Manufactured by: Taro Pharmaceutical Industries Ltd., Haifa Bay, Israel 2624761.

Revised: September 2019 20902-0919-3 47

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Clotrimazole and Betamethasone Dipropionate - FDA Drug Approval Details