Clobetasol Propionate is a type of steroid cream or ointment which can be applied to skin to reduce inflammation. It is used to treat many skin conditions of the vulval area and control symptoms such as itch, stinging or discomfort.

This is the steroid most commonly recommended to treat many vulval skin conditions, but other steroids may be recommended.

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How should I apply the cream or ointment?

Apply the cream or ointment sparingly (1/2 to 1 fingertip) to affected area.

• First month – apply once nightly
• Second month – apply on alternate nights
• Third month – apply twice a week

After the three-month course, you may be advised to continue once weekly or to stop treatment. If you experience a flare-up in symptoms, you can use the cream or ointment every night for two weeks to control your symptoms, then try to reduce the frequency as above.

If symptoms keep coming back quickly when you stop using the cream, you may be advised or prefer to continue the cream regularly once or twice a week. Long-term use is safe and a 30g tube should last at least three months.

It is best to apply the steroid at night before you go to bed onto clean skin. An emollient can be applied over the steroid cream or ointment if required.

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Are there any side effects of treatment?

Stinging for a few minutes after application is quite normal. However, if it persists for greater than 1-2 hours after application, you may be sensitive to the cream or ointment. If this occurs, wash the area thoroughly and STOP using the cream. There are several alternative creams and you should contact your clinic for advice. Long term use is safe so long as one 30g tube lasts at least three months. More than this may cause skin thinning.