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Two medicines, side by side

Desonide vs betamethasone

Desonide and betamethasone are both labeled for eczema (atopic dermatitis). Drugs@FDA records approvals of desonide since 1972 and of betamethasone since 1961. Pharmacies paid $0.252 per gram (Desonide 0.05% cream) and $0.418 per gram (Betamethasone dp 0.05% cream) (NADAC, October 7, 2026).

Check it at the source: the desonide FDA label on DailyMed (effective February 3, 2026); the betamethasone FDA label on DailyMed (effective January 28, 2026).

Highlights of the desonide record

Desonide (Tridesilon) · label of February 3, 2026

Used for

From the label: indications

Desonide cream USP, 0.05% is a low potency corticosteroid indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid responsive dermatoses. It should not be used for longer than two weeks unless directed by a physician.

On the market

Earliest approval on file
January 4, 1972
Generic labelers
12 labelers
Pharmacy cost
$0.252 per gram

Supply and safety

Shortage
No current entry
Recalls
2

Highlights of the betamethasone record

Betamethasone (Celestone) · label of January 28, 2026

Used for

From the label: indications

Topical corticosteroids are indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses.

On the market

Earliest approval on file
April 17, 1961
Generic labelers
28 labelers
Pharmacy cost
$0.418 per gram

Supply and safety

Shortage
No current entry
Recalls
13

Source: FDA drug labels via openFDA (Desonide label of February 3, 2026, Betamethasone label of January 28, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do desonide and betamethasone differ on the record?

Both are in FDA's class corticosteroids.

Generics: desonide since 1988; betamethasone since 1979 (Drugs@FDA).

DesonideBetamethasone
Labeled forEczema (atopic dermatitis)Asthma, Eczema (atopic dermatitis), Anemia, Leukemia, lymphoma and myeloma, Multiple sclerosis, Psoriasis
Pharmacologic classCorticosteroidCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)January 4, 1972April 17, 1961
First generic approvedJune 15, 1988January 30, 1979
Generic labelers (NDC)12 labelers28 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.252 per gram (Desonide 0.05% cream)$0.418 per gram (Betamethasone dp 0.05% cream)
12-month price change-21%-23%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded213
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)4,96010,812
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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