This site uses cookies. By continuing to browse the site you are agreeing to our policy on the use of cookies. Find out more here.

Continue >
The eMC  

Last Updated 27 Oct 2009

You are viewing:

Neomycin 0.5% / Betamethasone valerate 0.1% cream

Betamethasone valerate/Neomycin sulphate (Beeta-meth-a-zone val-er-rate/Nee-oh-my-sin sull-fate) is a medicine which is used in inflammatory skin conditions where infection is also present.

The information in this Medicine Guide for Betamethasone valerate/Neomycin sulphate varies according to the condition being treated and the particular preparation used.

There are 2 preparations of Betamethasone valerate/Neomycin sulphate available. If Neomycin 0.5% / Betamethasone valerate 0.1% cream is not the preparation you are looking for, please select from the drop down list below.

Select your preparation (type) of Betamethasone valerate/Neomycin sulphate

Neomycin 0.5% / Betamethasone valerate 0.1% cream

Information specific to Neomycin 0.5% / Betamethasone valerate 0.1% cream when used in inflammatory skin conditions where infection is also present

Print this medicine guide

Can't read the PDF? Download Adobe Reader at adobe.com.

Your medicine

Betamethasone valerate/Neomycin sulphate contains two different medicines - neomycin sulphate and betamethasone valerate. Betamethasone valerate/Neomycin sulphate is used to treat skin problems caused by inflammation and infection of the skin. Neomycin sulphate is an antibacterial which can help to treat certain types of skin infections. Betamethasone valerate reduces inflammation and can help to relieve the symptoms of inflammatory skin problems.

Other information about Betamethasone valerate/Neomycin sulphate:

  • this medicine can only be used for a maximum of five days in children
  • if your symptoms get worse or do not improve within seven days of starting treatment with Betamethasone valerate/Neomycin sulphate you should contact your prescriber
  • if this medicine accidentally gets into your eye, wash your eye immediately with plenty of water
  • this medicine should not be used on the face for a long period of time

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should use. It also tells you how often you should use your medicine. This is the dose that you and your prescriber have agreed you should use. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

Back to top

When to take your medicine

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by the times at which you take other medicines.

Specific information on when to use Betamethasone valerate/Neomycin sulphate can be found in the Patient Information Leaflet that comes with this medicine. Alternatively, you can request information about when to take your medicine from your doctor or pharmacist.

Back to top

How to take your medicine

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

Specific information on how to use Betamethasone valerate/Neomycin sulphate can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to take your medicine from your doctor or pharmacist.

If you are having problems taking this form of Betamethasone valerate/Neomycin sulphate, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other preparations that are easier for you to take.

Back to top

Taking too much of your medicine

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or call 111 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

Back to top

Stopping your medicine

If you are not having any problems taking this medicine then do not stop taking it, even if you feel better, unless advised to do so by your prescriber. If, however, you find that this medicine is causing you problems then you should talk to your prescriber about your concerns.

If your medical team decides that it is best that you do not take this medicine any more, they may advise that you do not stop Betamethasone valerate/Neomycin sulphate abruptly. This is because, in some instances, stopping Betamethasone valerate/Neomycin sulphate abruptly can cause withdrawal symptoms or cause your original condition to return. In these instances, reducing the dose of Betamethasone valerate/Neomycin sulphate gradually over time may reduce the chances of having these problems.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or call 111.

Back to top

Looking after your medicine

The instructions on how you should keep your medicine are on the pharmacy label. It is a good idea to keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

Specific information on how to look after Betamethasone valerate/Neomycin sulphate can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to look after your medicine from your doctor or pharmacist.

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

Back to top

Whether this medicine is suitable for you

Betamethasone valerate/Neomycin sulphate is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

  • are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
  • have a large area of skin that needs treating with Betamethasone valerate/Neomycin sulphate for a long period of time
  • have inflamed skin which needs treatment in the area around the mouth, back passage or genitals
  • have kidney problems
  • have skin problems such as acne, rosacea, nappy rash or certain types of infection in the area where Betamethasone valerate/Neomycin sulphate needs to be applied
  • need treatment for an ear problem and have a damaged ear drum

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a newborn or an infant.

Over time it is possible that Betamethasone valerate/Neomycin sulphate can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Betamethasone valerate/Neomycin sulphate has become unsuitable, it is important that the prescriber is contacted immediately.

Back to top

Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

The frequency of these side-effects is unknown:

  • antibiotic resistance to Betamethasone valerate/Neomycin sulphate in patients who are using Betamethasone valerate/Neomycin sulphate to treat psoriasis
  • application site problems or hypersensitivity reactions such as burning sensation, itching, skin colour changes, dermatitis or hair overgrowth - you should stop applying Betamethasone valerate/Neomycin sulphate immediately and seek medical advice if you get any type of hypersensitivity reactions
  • eye or eyesight problems - this may occur if Betamethasone valerate/Neomycin sulphate gets into the eye
  • if Betamethasone valerate/Neomycin sulphate is used in large amounts or for a long period of time, it may have some effects on the skin such as thinning, striae or dilation of superficial blood vessels
  • if Betamethasone valerate/Neomycin sulphate is used in large amounts or for a long period of time, the amount of Betamethasone valerate/Neomycin sulphate which is absorbed into the body may be increased and certain side-effects may occur. These side-effects are related to the effect that corticosteroids have on the whole body. These may include Cushing's syndrome or cushing-like symptoms or adrenal problems
  • increased absorption of Betamethasone valerate/Neomycin sulphate when the treated area of skin is tightly covered or sealed - this may make side-effects more likely to occur
  • worsening of the problem that Betamethasone valerate/Neomycin sulphate is being used to treat. If the skin infection gets worse during treatment with Betamethasone valerate/Neomycin sulphate you should seek medical advice

These side-effects have been reported when people have taken neomycin which is one of the ingredients in Betamethasone valerate/Neomycin sulphate. The frequency of these side-effects is unknown :

  • damage to the ear
  • damage to the kidney

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call 111.

Back to top

Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following types of medicine may interact with Betamethasone valerate/Neomycin sulphate:

If you are taking Betamethasone valerate/Neomycin sulphate and one of the above types of medicines, make sure your prescriber knows about it.

Back to top

Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.

If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Betamethasone valerate/Neomycin sulphate.

Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.

If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.

Back to top

Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

Like all medicines Betamethasone valerate/Neomycin sulphate can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.

Back to top

Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Betamethasone valerate/Neomycin sulphate:

  • there are no specific foods that you must exclude from your diet when using Betamethasone valerate/Neomycin sulphate
Back to top

Alcohol

Alcohol can interact with certain medicines.

In the case of Betamethasone valerate/Neomycin sulphate:

  • there are no known interactions between alcohol and Betamethasone valerate/Neomycin sulphate
Back to top

Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Betamethasone valerate/Neomycin sulphate:

  • the use of this medicine during pregnancy is not recommended

Careful consideration needs to be given to the risks and the benefits of using this medicine during pregnancy.

You need to discuss your specific circumstances with your doctor to make a decision about whether you are going to take this medicine during pregnancy. You should only take this medicine during pregnancy if your doctor thinks you need to take it. If the decision is that you should not have Betamethasone valerate/Neomycin sulphate, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

Back to top

Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Betamethasone valerate/Neomycin sulphate:

  • breast-feeding is not recommended while using this medicine

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.

Back to top

Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's appearance and to make it easier to use. Some may be used to prolong the life of the medicine.

This medicine contains betamethasone valerate and neomycin sulphate.

We are unable to list all of the ingredients for your medicine here. For a full list, you should refer to the patient information leaflet that comes with this medicine. You should check that you are able to take the ingredients of your medicine, especially if you have any allergies. You should also check whether any of these ingredients are known to have side-effects.

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Betamethasone valerate/Neomycin sulphate before, do not take Betamethasone valerate/Neomycin sulphate. Talk to your prescriber, pharmacist or nurse as soon as possible.

Back to top

Betamethasone valerate/Neomycin sulphate, Version 2, last updated 27 Oct 2009