Skin Condition Treatment Finder
Find the best treatment options for your skin condition. This tool uses information from the article to recommend alternatives to Temovate based on your specific needs.
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Temovate (clobetasol propionate) is one of the strongest topical corticosteroids available by prescription. It’s often prescribed for stubborn skin conditions like severe eczema, psoriasis, and lichen planus. But it’s not the only option-and for many people, it’s not the best long-term choice. If you’ve been using Temovate and are wondering if there’s something safer, cheaper, or just as effective, you’re not alone.
What Temovate Actually Does
Temovate contains clobetasol propionate, a Class I corticosteroid-the strongest category approved for topical use in the UK and US. It works by suppressing the immune response in the skin, reducing redness, swelling, itching, and scaling. For some, it’s a miracle worker: flare-ups clear up in days. But that power comes with risks.
Using Temovate for more than two weeks straight can thin your skin, cause stretch marks, or even lead to adrenal suppression. It’s not meant for the face, groin, or armpits unless a doctor specifically says so. And it won’t fix the root cause of your skin condition-it just puts out the fire.
Why People Look for Alternatives
Many patients switch from Temovate because:
- They’ve used it too long and their skin got worse
- They’re tired of the side effects-burning, stinging, or visible thinning
- They need something for daily use, not just emergencies
- They’re pregnant, breastfeeding, or treating a child
- They can’t afford it or it’s not covered by their insurance
It’s not about avoiding steroids altogether. It’s about using the right tool for the job-and knowing when to step down.
Top Alternatives to Temovate
There are several options that work well depending on your condition, skin type, and how long you need treatment. Here are the most common alternatives, ranked by strength and use case.
1. Betamethasone Valerate (Diprosone)
Betamethasone valerate is a Class II steroid-slightly weaker than clobetasol but still potent. It’s often used for moderate to severe psoriasis and eczema. Many dermatologists prefer it for long-term maintenance because it’s less likely to cause skin atrophy than Temovate. It comes in cream, ointment, and scalp solution forms, making it versatile.
2. Mometasone Furoate (Elocon)
Mometasone is a Class II steroid with a strong safety profile. It’s approved for use in children as young as two and is often recommended for facial eczema. Unlike Temovate, it doesn’t typically cause visible skin thinning even with daily use over several weeks. It’s also less irritating, which makes it a good choice for sensitive skin.
3. Hydrocortisone Butyrate (Locoid)
This is a Class III steroid-noticeably milder than Temovate but still effective for many cases of mild-to-moderate eczema. It’s often prescribed as a step-down option after initial control with stronger steroids. Locoid is less likely to cause rebound flares when discontinued, making it a smart choice for chronic conditions.
4. Calcineurin Inhibitors (Tacrolimus, Pimecrolimus)
These aren’t steroids at all. Tacrolimus (Protopic) and pimecrolimus (Elidel) work by blocking the immune cells that trigger inflammation. They’re FDA and NICE-approved for atopic dermatitis and are especially useful on the face and neck where steroid use is risky.
They don’t cause skin thinning, but they can cause a temporary burning sensation when first applied. Studies show they’re as effective as mid-strength steroids for maintenance. Many patients use them daily after a steroid course to prevent relapse.
5. Crisaborole (Eucrisa)
Crisaborole is a non-steroidal, PDE4 inhibitor approved for mild-to-moderate eczema in adults and children over two. It’s a topical ointment applied twice daily. Unlike steroids, it doesn’t suppress the immune system broadly-it targets a specific inflammation pathway. Side effects are minimal: mild stinging in a small percentage of users.
It’s more expensive than most steroids, but it’s safe for long-term use and doesn’t carry the same risks. It’s becoming a go-to for parents of kids with chronic eczema.
6. Coal Tar and Emollient-Based Treatments
For psoriasis, coal tar (in shampoos, creams, or baths) has been used for over a century. It slows skin cell growth and reduces scaling. While it smells strong and can stain clothes, it’s safe for long-term use and works well alongside other treatments.
Emollients (moisturisers) like Cetraben, E45, or Aqueous Cream aren’t treatments on their own-but they’re essential. Dry skin worsens eczema and psoriasis. Using a thick emollient twice daily can cut flare-ups by up to 40%, according to the British Association of Dermatologists.
Comparison Table: Temovate vs Key Alternatives
| Treatment | Class/Type | Strength | Best For | Side Effects | Safe for Long-Term Use? |
|---|---|---|---|---|---|
| Temovate (Clobetasol) | Class I Steroid | Very High | Severe flare-ups, thick plaques | Skin thinning, stretch marks, adrenal suppression | No |
| Betamethasone Valerate | Class II Steroid | High | Psoriasis, moderate eczema | Mild thinning with prolonged use | With caution |
| Mometasone Furoate | Class II Steroid | High | Facial eczema, children | Low risk of thinning | Yes, under supervision |
| Tacrolimus (Protopic) | Calcineurin Inhibitor | Medium | Face, neck, sensitive areas | Burning on first use | Yes |
| Crisaborole (Eucrisa) | PDE4 Inhibitor | Low-Medium | Mild eczema, children | Minimal | Yes |
| Coal Tar | Non-steroidal | Low | Chronic psoriasis | Odor, staining | Yes |
When to Use Each Option
There’s no one-size-fits-all. Your choice depends on your condition, skin area, and treatment goals.
- For sudden, severe flare-ups: Temovate or betamethasone for 7-14 days, then step down.
- For face or folds (armpits, groin): Mometasone, tacrolimus, or crisaborole.
- For children: Mometasone, crisaborole, or emollients. Avoid Temovate unless absolutely necessary.
- For maintenance after flare-up: Tacrolimus or crisaborole 2-3 times a week.
- For psoriasis plaques: Coal tar + emollient + occasional steroid pulse therapy.
Many dermatologists use a ‘stepping ladder’ approach: start strong, then reduce strength and frequency over time. This prevents dependency and minimises side effects.
What Doesn’t Work
Some people try OTC hydrocortisone 1% for severe eczema or psoriasis. It’s too weak. Others use natural oils like coconut or tea tree oil. These might soothe dry skin but won’t reduce inflammation like a prescription treatment. And never mix steroids with other topical treatments without checking with your doctor-some combinations can irritate or reduce effectiveness.
What to Do If Temovate Stops Working
If you’ve been using Temovate for weeks and your skin isn’t improving-or it’s getting worse-you might be dealing with:
- Topical steroid withdrawal (red burning skin after stopping)
- Resistance (rare, but possible with long-term misuse)
- An underlying infection (like fungal or bacterial)
Stop using it and see your GP or dermatologist. They may switch you to a non-steroidal option or prescribe an oral medication like methotrexate or ciclosporin for severe cases.
Final Thoughts
Temovate is powerful, but it’s not the endgame. It’s a tool for short-term control, not lifelong management. The best outcomes come from combining the right medication with good skincare habits: moisturising daily, avoiding triggers (like harsh soaps or stress), and knowing when to switch to safer long-term options.
Don’t be afraid to ask your doctor about alternatives. There’s no shame in needing something gentler-or more sustainable. Your skin will thank you.
Is Temovate stronger than hydrocortisone?
Yes, Temovate (clobetasol) is a Class I steroid-the strongest available topically. Hydrocortisone 1% is a Class VII steroid, which is very mild. Temovate is about 500 times more potent. They’re not interchangeable. Using hydrocortisone for severe eczema or psoriasis won’t work.
Can I use Temovate on my face?
Only if your doctor specifically tells you to. The skin on your face is thin and sensitive. Using Temovate there can cause acne, redness, or permanent skin thinning. Mometasone or tacrolimus are much safer for facial use.
How long should I use Temovate?
Typically no more than 1-2 weeks at a time. For chronic conditions, doctors often prescribe it for 7 days, then switch to a weaker steroid or non-steroidal option. Long-term use increases the risk of side effects like skin atrophy and adrenal suppression.
Are there any natural alternatives to Temovate?
There’s no natural product that matches Temovate’s strength. Coconut oil, aloe vera, or oat baths can soothe dry skin but won’t reduce inflammation like a prescription steroid. For true eczema or psoriasis flare-ups, natural remedies alone aren’t enough. Always pair them with proven medical treatments.
What’s the cheapest alternative to Temovate?
Betamethasone valerate and mometasone are often cheaper than Temovate, especially as generics. Emollients like E45 or aqueous cream are very low cost and essential for daily use. Coal tar products are also affordable and effective for psoriasis. Ask your pharmacist about generic versions-they’re just as effective.
9 Comments
Diane Thompson
November 1, 2025 AT 00:03 AMTemovate is basically the nuclear option for skin stuff. I used it for a month because my eczema was screaming, and then my skin started looking like tracing paper. Not cute. Switched to mometasone and my face stopped looking like a raisin. Stay away from the face unless you want to look like a ghost who lost a fight with a razor.
Helen Moravszky
November 2, 2025 AT 15:06 PMomg yes!! i was on temovate for 3 weeks and my skin just… gave up. like it became translucent?? i started using protopic and it burned like hell at first but now my skin is actually healing?? also emollients are life. i use e45 like it’s my job. no joke. my dermatologist said i’m basically a moisturizing queen now 😅
Reginald Matthews
November 4, 2025 AT 12:41 PMInteresting breakdown. I’ve been using crisaborole for my kid’s eczema for over a year now. No side effects, no weird rebound flares, and it’s actually helped reduce how often we need to use steroids. The cost is rough, but insurance covered it after a prior auth. Worth it if you’re looking for long-term management instead of just putting out fires.
Debra Callaghan
November 6, 2025 AT 08:28 AMIf you're using Temovate for more than a week, you're doing it wrong. And if you think natural oils are a substitute, you're delusional. This isn't a spa day, it's a medical condition. Stop wasting time with coconut oil and get a real prescription. Your skin isn't a TikTok trend.
Mitch Baumann
November 6, 2025 AT 21:22 PMActually… I must respectfully, yet emphatically, point out that the Class I steroid designation is often misunderstood. Clobetasol propionate’s molecular structure (C25H32O5) confers a unique glucocorticoid receptor affinity - far exceeding that of betamethasone valerate (C24H31FO5). 🤓 Also, coal tar? *Sigh.* It’s like using a typewriter in the age of AI. 🤦♂️ #SkincareScience
Gina Damiano
November 7, 2025 AT 02:16 AMWait so if I use mometasone on my armpits, will it stop the smell too?? I’ve been using Temovate there because the itching was unbearable… but now I’m scared to stop. What if I start stinking?? 😭
Emily Duke
November 7, 2025 AT 19:25 PMEveryone’s acting like they’re dermatologists now… but you don’t know what you’re talking about. I’ve had psoriasis for 15 years. Temovate is the only thing that works. The rest? Just fancy moisturizers with big price tags. You think your ‘natural’ routine is better? Go ahead. Keep crying into your aloe vera. I’ll be here with my Class I steroid and my perfectly controlled plaques. 😘
Stacey Whitaker
November 8, 2025 AT 02:07 AMBeen in Thailand for 6 months. Here, they use turmeric paste + rice bran for eczema. Doesn’t cure it, but it calms the burn. No steroids. No doctor visits. Just grandma wisdom. I miss my skin before the American pharmacy system. 🌿
thilagavathi raj
November 8, 2025 AT 16:20 PMStep-down protocol is gold. Clobetasol → mometasone → crisaborole → emollient. Done. No drama. No withdrawal. Just science. #DermatologyLife