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Impoyz cream

Pronunciation: Im-poise
Generic name: clobetasol propionate 0.025%
Brand name: Impoyz
Dosage form: cream
Drug class: Topical steroids

Medically reviewed by Carmen Pope, BPharm. Last updated on Oct 26, 2023.

What is Impoyz cream?

Impoyz cream is a highly potent topical steroid that may be applied to the skin to reduce inflammation and itching caused by moderate to severe plaque psoriasis in adults aged 18 years and older. It contains clobetasol propionate 0.025% and should not be used for longer than 2 weeks.

Impoyz cream is specially formulated using an ingredient called Transcutol that enhances the solubility of clobetasol and its permeation into plaques. This means that Impoyz is just as effective as other clobetasol creams but with half the usual concentration of clobetasol, which decreases its risk of side effects including absorption into the bloodstream. Transcutol is also less disrupting to the skin’s lamellar structure (a layer of lipids and water in the stratum corneum) than propylene glycol, which is traditionally used in creams to enhance drug solubility.

Impoyz was FDA approved on December 1, 2017.

Warnings

Impoyz cream contains clobetasol propionate which can be absorbed through the skin into the bloodstream and cause reversible hypothalamic-pituitary-adrenal (HPA) axis suppression with the potential for glucocorticosteroid insufficiency, including Cushing’s syndrome, hyperglycemia, and glucosuria. Do not use for longer than 2 weeks and do not exceed the recommended dose. Periodic monitoring for HPA suppression may be required.

Occlusive dressings should not be used unless under the advice of the doctor because these increase the risk of side effects.

Before taking this medicine

You should not use Impoyz if you are allergic to it.

Tell your doctor if you have ever had:

Topical corticosteroids can increase the glucose (sugar) levels in your blood or urine. Tell your doctor if you have diabetes.

Children are more susceptible to systemic absorption of topical corticosteroids and Impoyz is not for use in children or young adults under the age of 18.

It is not known whether Impoyz will harm an unborn baby. Tell your doctor if you are pregnant. If you are instructed to use Impoyz cream, use only a small amount and for the shortest time possible.

It may not be safe to breastfeed while using this medicine. If you are instructed to use Impoyz cream, use only a small amount and for the shortest time possible. Do not apply to the breasts. 

How do I use Impoyz cream?

Apply a thin layer of Impoyz to the affected areas twice a day. Rub in gently and completely. Apply exactly as directed.

Impoyz should only be applied to the skin. Do not take by mouth, apply near your eyes, or insert it.

What are the side effects of Impoyz cream?

The most common side effect of Impoyz Cream includes discoloration of the skin where you have applied it. 

Topical corticosteroids can cause reversible hypothalamic-pituitary-adrenal (HPA) axis suppression with the potential for glucocorticosteroid insufficiency.

Other side effects reported with topical corticosteroids include:

If you develop a skin infection while using Impoyz your doctor may give you an antimicrobial cream to use as well. If this does not resolve the infection, your doctor may discontinue Impoyz until the infection has cleared.

Possible signs that you may be absorbing this medicine through your skin include weight gain in your face and shoulders, increased body hair, tiredness, mood changes, menstrual changes, and sexual changes.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Impoyz?

Creams applied to the skin such as Impoyz are not likely to be affected by other drugs you use. But you should not use Impoyz with other topical or oral corticosteroids, because they may have an additive effect.

Tell your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Ingredients

Active ingredients: clobetasol propionate 0.25mg in 1g of cream base (equivalent to 0.025%).

The cream base contains diethylene glycol monoethyl ether (Transcutol), butylated hydroxytoluene, cetostearyl alcohol, cyclomethicone, glyceryl stearate, and PEG 100 stearate, isopropyl myristate, methyl paraben, propylparaben, purified water, and white wax.

Supplied in 60-gram and 112 gram aluminum tubes.

Storage

Store at room temperature 20°C – 25°C (68°F – 77°F). Do not freeze.

Manufacturer

Primus Pharmaceuticals, Inc.

Popular FAQ

Impoyz (clobetasol) topical cream is typically applied as a thin layer to the affected skin areas 2 times each day. Rub the cream in gently and completely. Ask your doctor how much cream to use, where to apply it, and for how long. Always use Impoyz cream exactly as your doctor tells you to use it. Continue reading

Clobetasol can stimulate hair growth. Regrowth may be noticed as early as six weeks into treatment but may take up to 12 to 14 weeks to occur. In some people, hair regrowth does not persist long-term. Clobetasol should only be used for hair loss associated with inflammatory conditions of the scalp such as alopecia areata, scarring alopecia, psoriasis, eczema, or dermatitis. Hair loss or hair thinning may also occur, but this is a very rare side effect and is estimated to occur in only 1 out of every 300 people who use clobetasol. Clobetasol is a potent topical steroid and is not a good option for hair and scalp conditions that are not associated with inflammation. Continue reading

Clobetasol is effective at stimulating hair growth. Research has shown hair regrowth was stimulated in about 20 to 25% of people who used clobetasol ointment and in about 47% of people who used clobetasol foam. Regrowth was noticed as early as six weeks into treatment but may take up to 12 to 14 weeks to develop. Continue reading

It takes about one to three days for clobetasol propionate to start working when it is being used to treat eczema. Some improvement in symptoms such as inflammation (redness) and itching, should be noticed within this time. Other symptoms, such as dryness, crusting, or scaling may take a bit longer to resolve, but improvement should occur within a week. Continue reading

Topical clobetasol (Clobex, Impoyz, generics) is considered a very high potency topical corticosteroid (“steroid”) used on the skin, while triamcinolone (Kenalog, Triderm, generics) is a medium-to-low potency medicine. These prescription products may be used to treat conditions such as eczema, dermatitis, psoriasis, skin allergies or rashes or serious insect bites. Continue reading

Halobetasol and clobetasol are both classified as super high-potency or high-potency topical corticosteroid (“steroid”) creams used on the skin. They are both FDA-approved to treat plaque psoriasis and skin conditions that are responsive to topical corticosteroids, such as dermatitis and eczema (atopic dermatitis). They lessen skin redness and pain, itching, dryness and scaling. Continue reading

Clobetasol should not be used to treat toenail fungus, but it may be used to treat toenail psoriasis, which can resemble toenail fungus. Around 30% of people with nail psoriasis also have a fungal nail infection. Using clobetasol alone to treat toenail fungus may cause the toenail fungus to worsen and spread to other nails. Continue reading

Clobetasone propionate may be used to treat poison ivy rash if it has not yet blistered, or the rash is confined to a small area and oral corticosteroids are contraindicated. Clobetasone propionate is a super potent topical corticosteroid cream that is only approved for adults and children over the age of 12. Treatment should not exceed two weeks and no more than 50g of clobetasol propionate should be used over one week. Continue reading

It is unknown how long clobetasol stays in your system because the half-life of the drug is not available through any reference source. Some researchers have found that suppression of cortisol levels is still apparent 96 hours after topical use of this medicine, which implies that clobetasol can stay in your system for long periods of time, possibly for up to a few weeks. Clobetasol is not recommended to be used for more than two consecutive weeks. Continue reading

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.