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Dovobet® gel

What is in this leaflet
1. What Dovobet® is and what it is used for
2. What you need to know before you use
3. How to use Dovobet®
4. Possible side effects
5. How to store Dovobet®
6. Contents of the pack and other information

Dovobet® is used as topical treatment of scalp
psoriasis in adults and on the skin of other
body areas to treat mild to moderate plaque
psoriasis (psoriasis vulgaris) in adults.
Psoriasis is caused by your skin cells being
produced too quickly. This causes redness,
scaling and thickness of your skin.
Dovobet® contains calcipotriol and
betamethasone. Calcipotriol helps to bring the
rate of skin cell growth back to normal and
betamethasone acts to reduce inflammation.

Do not use Dovobet®
• If you are allergic (hypersensitive) to
calcipotriol, betamethasone or any of the
other ingredients of Dovobet® (listed in
section 6)
• If you have problems with calcium levels in
your body (ask your doctor)
• If you have certain types of psoriasis: these
are erythrodermic, exfoliative and pustular
(ask your doctor).
As Dovobet® contains a strong steroid do NOT
use it on skin affected by
• infections caused by viruses (e.g. cold sores
or chicken pox)
• infections caused by a fungus (e.g. athlete’s
foot or ringworm)
• infections caused by bacteria
• infections caused by parasites (e.g. scabies)
• tuberculosis (TB) or syphilis
• perioral dermatitis (red rash around the
• thin skin, easily damaged veins, stretch
• ichthyosis (dry skin with fish-like scales)
• acne (pimples)
• rosacea (severe flushing or redness of the
skin on the face)
• ulcers or broken skin
• itching of the anus (back passage) or genitals
(sex organs).
Warning and precautions
Talk to your doctor/nurse/ pharmacist before
using Dovobet® if
• you are using other medicines that contain
corticosteroids as you may get side-effects
• you have used this medicine for a long time
and plan to stop (as there is a risk your
psoriasis will get worse or ‘flare up’ when
steroids are stopped suddenly)
• you have diabetes mellitus (diabetes) as your
blood sugar/glucose level may be affected by
the steroid
• your skin becomes infected as you may need
to stop your treatment
• you have a certain type of psoriasis called
guttate psoriasis
• you have serious liver or kidney disease.
Special precautions
• Avoid use on more than 30 % of your body or
using more than 15 grams per day
• Avoid using under a bathing cap, bandages
or dressings as it increases the absorption of
the steroid
• Avoid use on large areas of damaged skin or
skin folds (groin, armpits, under breasts) as it
increases the absorption of the steroid
• Avoid use on your face or genitals (sex
organs) as they are very sensitive to steroids
• Avoid excessive sunbathing, excessive use of
solarium and other forms of light treatment.
Dovobet® is not recommended for the use in
children below the age of 18 years.
Other medicines and Dovobet®
Please tell your doctor, pharmacist or nurse if
you are taking or have recently taken any other
medicines, including medicines obtained
without a prescription.

Pregnancy and breast-feeding
Do not use Dovobet® if you are pregnant (or
might be pregnant) or if you are breastfeeding, unless you have agreed it with your
doctor first. If your doctor has agreed that you
can breast-feed, take care and do not apply
Dovobet® to the breast area.
Ask your doctor or pharmacist for advice
before taking any medicine.
Driving and using machines
This medicine should not have any effect on
your ability to drive or use machines.
Important information about some of the
ingredients of Dovobet®
Dovobet® contains butylated hydroxytoluene
(E321), which may cause local skin reactions
(e.g. contact dermatitis), or irritation to the
eyes and mucous membranes.

Always use Dovobet® exactly as your doctor
has told you. You should check with your
doctor or pharmacist if you are not sure.
How to put on Dovobet®: Cutaneous use.
Instructions for proper use
• Use only on your psoriasis and do not use on
skin which does not have psoriasis
• Shake the bottle before use and remove the
• Squeeze the gel onto a clean finger or directly
onto the area affected by psoriasis.
• Apply Dovobet® to the affected area with
your fingertips, and rub it in gently until the
area affected by psoriasis is covered by a thin
layer of gel.
• Do not bandage, tightly cover or wrap the
treated skin area
• Wash your hands well after using Dovobet®.
This will avoid accidentally spreading the gel
to other parts of your body (especially the
face, mouth and eyes)
• Do not worry if some gel accidentally gets on
normal skin near your psoriasis, but wipe it
off if it spreads too far
• In order to achieve optimal effect, it is
recommended not to take a shower or bath
immediately after application of Dovobet® gel
• After applying the gel, avoid contact with
textiles which are easily stained by grease
(e.g. silk).
If you have scalp psoriasis
• Before applying Dovobet® to the scalp, comb
the hair to remove any loose scales. Tilt your
head to make sure Dovobet® does not run
onto your face. It may help to part your hair
before you use Dovobet®. Apply Dovobet® to
the affected area with your fingertips, and rub
it in gently
• For treatment of the scalp usually an amount
between 1 g and 4 g per day is sufficient (4 g
corresponds to one teaspoon)
• Washing your hair before application of
Dovobet® is not necessary
• In order to achieve optimal effect, it is
recommended that the hair is not washed
immediately after application of Dovobet®.
Let Dovobet® remain on the scalp during the
night or during the day.
Duration of treatment
• Use the gel once a day. It may be more
convenient to use the gel in the evening
• The normal initial treatment period is 4 weeks
for scalp areas and 8 weeks for non-scalp areas
• Your doctor may decide on a different
treatment period
• Your doctor may decide on repeated
• Do not use more than 15 grams in one day.
If you use other calcipotriol containing
medicines, the total amount of calcipotriol
medicines must not exceed 15 grams per day
and the area treated should not exceed 30 % of
the total body surface.
What should I expect when I use Dovobet®?
Most patients see obvious results after 2
weeks, even if the psoriasis is not yet cleared
at that point.
If you have used more Dovobet® than you
Contact your doctor if you have used more
than 15 grams in one day.


Read all of this leaflet carefully before you start using this medicine because it contains
important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor, pharmacist or nurse.
• This medicine has been prescribed for you. Do not pass it on to others. It may harm them,
even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible
side effects not listed in this leaflet. See Section 4.

Excessive prolonged use of Dovobet® may
also cause a problem with calcium in your
blood, which usually normalises when
discontinuing treatment.
Your doctor may need to carry out blood tests
to check that using too much gel has not
caused a problem with calcium in your blood.
Excessive prolonged use can also cause your
adrenal glands to stop working properly (the
adrenal glands are found near the kidneys and
produce hormones).
If you forget to use Dovobet®
Do not take a double dose to make up for
forgotten individual doses.
If you stop using Dovobet®
The use of Dovobet® should be stopped as
indicated by your doctor. It may be necessary
for you to stop this medicine gradually,
especially if you have used it for a long time.
If you have any further questions about the use
of this medicine, ask your doctor or pharmacist.

Like all medicines, Dovobet® can cause side
effects, although not everybody gets them.
Approximately 1 in 12 people may experience
side effects, but most of these are reactions at
the site where the gel has been applied.

Less serious side effects caused by using
betamethasone for a long time, include the
following, and you should tell your doctor or
nurse as soon as possible if you notice any of
• Thinning of the skin
• Appearance of surface veins or stretch marks
• Changes in hair growth
• Red rash around the mouth (perioral
• Skin rash with inflammation or swelling
(allergic contact dermatitis)
• Small white spots (colloid milia)
• Depigmentation (lightening of skin colour).
Less serious side effects known to be caused
by calcipotriol include the following
• Sensitivity of the skin to light resulting in a
• Eczema.
Reporting of side effects
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any
possible side effects not listed in this leaflet.
You can also report side effects directly via the
Yellow Card Scheme at:
By reporting side effects you can help provide
more information on the safety of this

Serious side effects
Tell your doctor/nurse immediately or as soon
as possible if any of the following happens.
You may have to stop your treatment.
The following serious side effects have been
reported for Dovobet®
Uncommon (affect less than 1 in 100 people)
• Worsening of your psoriasis. If your psoriasis
gets worse, tell your doctor as soon as
Some serious side effects are known to be
caused by betamethasone (a strong steroid),
one of the ingredients in Dovobet®. You should
tell your doctor as soon as possible if any of
the serious side effects occur. These side
effects are more likely to happen after longterm use, or use under occlusion.
The side effects include the following:
• Your adrenal glands may stop working
properly. Signs are tiredness, depression and
• Cataracts (signs are cloudy and foggy vision,
difficulty seeing at night and sensitivity to
light) or an increase in pressure inside your
eye (signs are eye pain, red eye, decreased or
cloudy vision)
• Infections (because your immune system,
which fights infections, may be suppressed
or weakened)
• Pustular psoriasis (a red area with yellowish
pustules usually on the hands or feet). If you
notice this, stop using Dovobet® and tell your
doctor as soon as possible
• Impact on the metabolic control of diabetes
mellitus (if you have diabetes you may
experience fluctuations in the blood glucose
Serious side effects known to be caused by
• Allergic reactions with deep swelling of the
face or other parts of the body such as the
hands or feet. Swelling of the mouth/throat
and trouble breathing may occur. If you have
an allergic reaction, stop using Dovobet®, tell
your doctor immediately or go to the casualty
department at your nearest hospital
• Treatment with this gel may cause the level of
calcium in your blood or urine to increase
(usually when too much gel has been used).
Signs of increased calcium in blood are bone
pain, constipation, poor appetite, nausea and
vomiting. This can be serious, and you
should contact your doctor immediately.
However, when the treatment is stopped, the
levels return to normal.
Less serious side effects
The following less serious side effects have
been reported for Dovobet®
Common side effects (affect less than 1 in 10
• Itching.
Uncommon (affect less than 1 in 100 people)
• Eye irritation
• Burning sensation of the skin
• Skin pain or irritation
• Inflammation or swelling of the hair root
• Rash with inflammation of the skin
• Redness of the skin due to widening of the
small blood vessels (erythema)
• Acne (pimples)
• Dry skin
• Rash
• Pustular rash.

• Keep out of the reach and sight of children
• Do not use Dovobet® after the expiry date,
which is stated on the bottle after EXP. The
expiry date refers to the last day of that
• Do not refrigerate. Keep the bottle in the
outer carton in order to protect from light
• Discard the bottle with any remaining gel 3
months after first opening.
Medicines should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of medicines no
longer required. These measures will help to
protect the environment.

What Dovobet® contains
The active substances are:
Calcipotriol and betamethasone.
One gram of gel contains 50 micrograms of
calcipotriol (as monohydrate) and 0.5 mg of
betamethasone (as dipropionate).
The other ingredients are:
• paraffin, liquid
• polyoxypropylene-11 stearyl ether
• castor oil, hydrogenated
• butylhydroxytoluene (E321)
• all-rac-α-tocopherol.
What Dovobet® looks like and the contents of
the pack
Dovobet® is an almost clear, colourless to
slightly off-white gel filled in high-density
polyethylene bottles with low-density
polyethylene nozzle and a high-density
polyethylene screw cap.
The bottles are placed in cartons.
Pack sizes: 15, 30, 60, 2 x 60 g and 3 x 60 g.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and
The Marketing Authorisation holder is:
LEO Pharma A/S
Industriparken 55, DK-2750 Ballerup, Denmark
The manufacturer is:
LEO Laboratories Limited (LEO Pharma)
285 Cashel Road, Dublin, Ireland
For further information about this medicine,
contact the local representative of the
Marketing Authorisation Holder:
LEO Laboratories Limited, Hurley, Berkshire
SL6 6RJ, UK.
Tel: (01844) 347333
This medicine is authorised in the Member
States of the EEA under the following names:
Dovobet® gel: United Kingdom
This leaflet was last revised in October 2013.
For further information about psoriasis, you
can contact:
The Psoriasis Association.


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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.