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Betamil Gm Cream

Manufacturer: Merck Ltd
Medicine composition: Betamethasone, Gentamicin, Miconazole
Prescription vs.OTC: Prescription by Doctor not required

Betamil Gm Cream belonging to the glucocorticoid class of medication, acts as a steroid. It treats various rheumatic disorders such as systemic lupus erythematous and rheumatoid arthritis. Many skin diseases including psoriasis and dermatitis, allergic conditions such as angioedema and asthma, certain blood disorders, certain eye and skin conditions. Multiple sclerosis, crohn's disease and leukaemia can also be treated with Betamil Gm Cream. It can be administered into the body orally, in the form of an injection or applied as a cream. Being a corticosteroid, it works by decreasing inflammation and modifying the body's immune response to various conditions.

You are advised to not take this medication if you have allergy, systemic fungal infection or an active untreated infection. Betamil Gm Cream can interact with a few other medicines so inform your doctor if you take amlodipine, mifepristone, warfarin, ethinyl, estradiol, insulin, ciprofloxacin, BCG vaccine. Also inform your doctor if you suffer from tuberculosis, electrolytic imbalance, gastrointestinal perforations, infections, myocardial infarction, ocular herpes infection, scleroderma or threadworm infection. This medicine is not recommended to use during pregnancy or breastfeeding unless absolutely required, in which case breastfeeding should be discontinued.

Serious side effects may include an increased risk of infection, severe allergic reactions, muscle weakness, and psychosis. Using Betamil Gm Cream for a long time can cause adrenal insufficiency. Discontinuing the medication suddenly after a long-term use may be dangerous. The cream commonly results in skin irritation and increased hair growth.

Take Betamil Gm Cream as instructed by the doctor. Your dosage duration, timings, forms and other attributes can vary depending on the medical condition and hence following instructions are necessary to ensure this medicine is safe and effective to use.

Allergy and inflammation
This medicine is used to reduce or prevent swelling and irritation associated with conditions like asthma, colitis etc.
Joint inflammation
This medicine is used to relieve swelling and pain associated with diseases like arthritis, rheumatoid arthritis, osteoarthritis, bursitis, tendinitis, gout etc.
Eye inflammation
This medicine is used to relieve swelling, irritation, burning of the eye caused due to infections, allergy, exposure to chemicals etc.
This medicine is used to relieve swelling, itching, redness, and burning associated with various allergic skin conditions like pruritus, pemphigus vulgaris, seborrhoeic dermatitis etc.
This medicine is not recommended for use if you have a known history of allergy to it or any other medicine belonging to the category of corticosteroids.
Systemic Fungal Infection
This medicine is not recommended for use if you have a fungal infection affecting an internal organ/organs in the body.
Active untreated infection
This medicine is not recommended for use in patients suffering from any serious infection and is yet to receive any treatment for the same.
In addition to its intended effect, Betamil Gm Cream may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Blurred vision Moderate Less Common
Increased appetite Moderate Less Common
indigestion Moderate Less Common
Anxiety and nervousness Moderate Less Common
Skin itch Moderate Less Common
Drying and cracking of skin Moderate Less Common
Acne Moderate Less Common
Change in skin color Moderate Less Common
Persistent infections Moderate Less Common
Irregular menstrual periods Moderate Less Common
depression Moderate Less Common
Growth retardation in children Moderate Less Common
Hoarseness of voice Moderate Less Common
How long is the duration of effect?
The time duration for which this medicine remains effective is subject to vary depending on the form and route of administration.
What is the onset of action?
The effect of this medicine can be observed within a few minutes after oral administration as it is rapidly absorbed from the gastrointestinal tract. It is subject to vary depending on the route of administration.
Are there any pregnancy warnings?
Use of this medicine during pregnancy is not recommended unless absolutely necessary and the benefits outweigh the risks. Consult your doctor before using this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
Use of this medicine while breastfeeding is not recommended. However, if it absolutely necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.
Missed Dose instructions
Contact your doctor for instructions if you missed a scheduled dose of this medicine. A self-attempt to make up for the lost dose may result in adverse effects.
Overdose instructions
Contact your doctor if an overdose with this medicine for is suspected especially when the prescribed dose is very high. Symptoms may include thinning of the skin, easy bruising and bleeding, body fat deposits etc.
Betamil Gm Cream is a potent glucocorticoid with minimal mineralocorticoid action. It decreases inflammation by inhibiting the migration of leukocytes and reduces the permeability of capillaries and inhibiting prostaglandins and other inflammatory mediators.
Ques: What is Betamil gm cream?
Ans: Betamil GM cream is an ointment which has Betamethasone Topical, Gentamicin Topical, and Miconazole Topical as active elements present in it. This ointment performs its action by restricting the swelling mediators, binding to 30 S ribosomal subunit, providing the ability to avoid the synthesis of the proteins, restricting the growth and reproduction of bacteria, producing the antifungal effect. Betamil GM cream is used to treat conditions such as Bacterial infections, Have skin problems, Napkin rash, Dermatological problems, Vaginal yeast infections Itch or rash, Tinea versicolor, Skin inflammation, Atopic dermatitis, Allergic disorders, Folliculitis, Blood poisoning, Allergic diseases, Furunculosis, Paronychia, etc.
Ques: What is the use of Betamil gm cream?
Ans: Betamil GM cream is a medication, which is used for the treatment and prevention from conditions and symptoms of diseases like Minor bacterial skin infections, Cutaneous candidiasis, Tinea pedis, Tinea corporis, Skin problems, Pruritic manifestations of corticosteroid-responsive dermatoses, Eczema, Jock itch, Athlete's foot, Tinea cruris, Vaginal yeast infection, Fungal and bacterial infections. Apart from these, it can also be used to treat conditions like Skin conditions, Inflammatory manifestations of corticosteroid-responsive dermatoses, Bacterial infections, Have skin problems, Napkin rash, Dermatological problems, Vaginal yeast infections, Itch or rash, Tinea versicolor, Skin inflammation, Atopic dermatitis, Allergic disorders, Folliculitis, etc. The patient should inform the doctor about any ongoing medications and treatment before using Betamil GM cream to avoid undesirable effects.
Ques: What are the side effects of Betamil gm cream?
Ans: Betamil GM cream is a medication which has some commonly reported side effects. These side effects may or may not occur always and some of them are rare but severe. This is not a complete list and if you experience any of the below-mentioned side effects, contact your doctor immediately. Here are some side effects of Betamil GM cream which are as follows: Allergic contact dermatitis, Itchy skin rash, Application site itchiness, Burning, Itch, Face, Abnormal amount of hair growth over the body, Eczema, Erosion, Folliculitis, Itching, Irritation, Dryness, Acneiform eruptions, Hypopigmentation. It is a list of possible side-effects which may occur due to the constituting ingredients of Betamil GM cream.
Ques: Can Betamil Gm Cream be used for minor bacterial skin infections and cutaneous candidiasis?
Ans: Yes, Betamil GM cream is an ointment which can be used for the treatment of conditions such as minor bacterial skin infections and cutaneous candidiasis. Do not apply Betamil Gm cream for above-mentioned conditions without consulting first with your doctor. The patient should consult a doctor for its further uses and side effects and should inform the doctor about any ongoing medications and treatment before using to avoid undesirable effects.
What are you using Betamil Gm Cream for?
Skin disorders
Allergy and inflammation
Other
Joint inflammation
Eye inflammation
Skin itch
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
More than 2 days
Within a day
Within 2 days
Within 2 hours
Within 6 hours
How frequently did you take this medicine?
Once a day
Twice a day
Not taking on daily level
Four times A Day
Thrice a day
How did you take this medicine?
With or without food
With Food
Empty stomach
What were the side effects of this medicine?
Skin itch
Change in skin color
Drying and cracking of skin
Acne
Indigestion
Blurred vision
Anxiety and nervousness
No Side Effects
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I got a fungal infection in my thigh area. The pharmaceutical man gave me Betamil Gm. And it works perfect! But its application need to be permanent! Is there any tablets to be taken along with using Betamil Gm for perfect results?

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mumbai
I got a fungal infection in my thigh area. The pharmaceutical man gave me Betamil Gm. And it works perfect! But its a...
If you continue using betamil gm, you will have serious and permanent damage to the skin. You may be suffering from tinea cruris which is fungal infection of the inner thighs and buttocks area. It can be treated by taking four to six weeks of anti fungal treatment which includes tablets along with creams. Do not use soap over that area. Mistreatment with over the counter Steroid containing creams like betamil gm, panderm, quadriderm, hh zole, candid b etc lead to repeated case of recurrence and also side effects due to application. Do not use steroid containing combination creams. Please call me or contact me using online consult option with photos for detailed prescription. Do not delay treatment as it may spread further on your body and also to other people living in the household.
6 people found this helpful

I have fungus problem in my right little finger. use 'Betamil' and also Candid. Did not solve the Problem. Could I get any suggestion.

Fellowship in Cosmetology, MECAMS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Bangalore
There are three forms of Fungal infection of nails- distal subungual, superficial white, and proximal subungual. Distal subungual onychomycosis is the most common form.Betamil is a steroid which should be avoided in any infection unless it is inflammed. Usually Tab . Terbest 250 mg daily once for 6 weeks is the treatment , the dose of which is again adjusted according to the weight. Combined with this topical nail on nail laquer daily once application can be done. But please check with your doctor before takin the medication.
1 person found this helpful

I have underarm darkness. Can I use betamil gm cream for removing it? Is there any side effects for the cream. Please help me or can you suggest any allopathic creams for removing underarm darkness. thank you.

MD, MBBS
Dermatologist, Chennai
I have underarm darkness. Can I use betamil gm cream for removing it? Is there any side effects for the cream. Please...
No. Fungal infection or Ring worm. When occurs in groin, called as jock itch. Usually fungal infection is common in moist areas of body like skin folds. It's mostly circular or round in appearance. May be red or black in colour. Treatment depending on the type and severity. Avoid sharing clothes, towels and soap; sweating also increases it. As it has to be differentiated from eczema and infection, its a must to see and confirm the diagnosis for proper treatment. So, please send photos of the affected area for accurate diagnosis and treatment.

Hello sir or mam I have got rashes under my hips what I have to do right now I had applied some betamil gm and microdrum c powder on them.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hello sir or mam I have got rashes under my hips what I have to do right now I had applied some betamil gm and microd...
You have fungal infection and need to apply antifungal creams like Candid cream .Betamil is steroid and should not be used

Is there any problem for using betamil gm for itching and sores in areas of groins and around? Or what else be the treatment?

MD, MBBS
Dermatologist, Chennai
Is there any problem for using betamil gm for itching and sores in areas of groins and around?
Or what else be the tr...
Stop it. Specific medicine required. Fungal infection or Ring worm. When occurs in groin, called as jock itch. Usually fungal infection is common in moist areas of body like skin folds. It's mostly circular or round in appearance. May be red or black in colour. Treatment depending on the type and severity. Avoid sharing clothes, towels and soap; sweating also increases it. As it has to be differentiated from eczema and infection, its a must to see and confirm the diagnosis for proper treatment. So, please send photos of the affected area by direct online consultation for accurate diagnosis and treatment.
2 people found this helpful

Popular Health Tips

Piezogenic Pedal Papules - What Can Be Done To Get Relief?

DD & STD, MBBS
Dermatologist, Panchkula
Piezogenic Pedal Papules - What Can Be Done To Get Relief?

When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

  • Obesity
  • Orthopedic problems
  • Flat feet
  • Collagen disorders such as EDS
  • Jobs which entail standing for long hours
  • Excessive weight bearing

This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

  • In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
  • Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
  • Heel taping
  • Compression stockings
  • Avoid excessive or prolonged weight bearing
  • Avoid standing for extended periods and try not to run too much
  • Rest the feet and keep them elevated to help alleviate the symptoms
  • Lose weight if you are on the heavier side
  • Electro acupuncture

Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist.

2528 people found this helpful

What are Piezogenic Pedal Papules?

M Derm, DNB (Dermatology & Venereology) , MBBS
Dermatologist, Gurgaon
What are Piezogenic Pedal Papules?

When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

  • Obesity
  • Orthopedic problems
  • Flat feet
  • Collagen disorders such as EDS
  • Jobs which entail standing for long hours
  • Excessive weight bearing

This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

  • In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
  • Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
  • Heel taping
  • Compression stockings
  • Avoid excessive or prolonged weight bearing
  • Avoid standing for extended periods and try not to run too much
  • Rest the feet and keep them elevated to help alleviate the symptoms
  • Lose weight if you are on the heavier side
  • Electro acupuncture

Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist.

2680 people found this helpful

Uncommon Penis Problems: How to Handle Phimosis?

MD - General Medicine
Sexologist, Delhi
Uncommon Penis Problems: How to Handle Phimosis?

Uncommon Penis Problems: How to Handle Phimosis?

Men who suffer from phimosis might wonder what it will take to overcome the condition. The good news is that careful penis care, under a doctor's supervision, is likely to solve the problem with time and patience. However, there are other options as well. Here's what a man needs to know about this uncommon penis problem.

What is phimosis, anyway?

Phimosis is a condition in which the foreskin of the penis cannot retract beyond the head of the penis. Obviously, this is a condition found only in intact men. Being unable to retract the foreskin is actually very common in babies and young children, but as they begin to mature, the foreskin should eventually move freely over the head of the penis.

For some men, however, the problem never resolves. Or perhaps it does, but then suddenly becomes an issue again for no apparent reason.

There are several different types of phimosis:

1) Pathological phimosis is when the ability of the foreskin to move is reduced by infection, inflammation or scarring. This is the most unlikely cause, but it does happen to men of any age.

2) Congenital phimosis means that the foreskin has been tight since birth, and that it didn't loosen up with time. This isn't caused by any sort of medical condition, trauma or the like. Fortunately, this is the easiest to treat.

3) Common phimosis is usually found in young male children, when the foreskin adheres to the head of the penis. This is something a boy grows out of over time; if he does not, it will become apparent that common phimosis is actually congenital phimosis.

What's the treatment for phimosis?

When it comes to treatment of phimosis, there are several ways to go. In the earliest stages, there is often a 'wait and see' approach. During this time, a man can try numerous types of manual stretching to see if the problem resolves on its own. This stretching is quite similar to masturbation, as a man simply works to move the foreskin up and down, gradually opening it up a bit more to allow for it to retract. However, in extremely tight cases this might not work.

Another option is medication. Two drugs that have been tried with some success include betamethasone and hyaluronidase. When given to young men in a study, there was a 54% success rate when they were given the combination, and all patients tolerated the medication very well.

However, the above methods don't have the best success long-term. That's why many doctors look to surgery as the answer. Circumcision is the most common treatment for phimosis, as it removes the foreskin and immediately resolves the issue. However, some men will opt for a partial circumcision, which means that the surgeon makes a series of tiny incisions in the foreskin to help it open up, but doesn't remove it entirely.

Keep in mind that surgery is often not recommended when a man is young, as everyone develops differently and phimosis might go away on its own as he matures. However, those over the age of 18 might be a candidate for circumcision if this penis problem continues and causes significant discomfort or an inability to enjoy sexual pleasure.

Those who are trying to use the manual method to stretch the foreskin might have better luck if they employ a specially formulated penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) during each attempt. The right crème will contain Shea butter and vitamin E, which provide ample hydration to soothe the skin and keep it as pliable as possible, thus possibly enhancing the work a man does to resolve phimosis through manual stretching.

5 people found this helpful

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

201 people found this helpful

Vitiligo - Know How To Treat It!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Vitiligo - Know How To Treat It!

Vitiligo is a long-term skin condition characterized by patches of the skin losing their pigment. The patches of skin affected become white and usually have sharp margins. The hair from the skin may also become white. The inside of the mouth and nose may also be involved. Typically both sides of the body are affected. often the patches begin on areas of skin that are exposed to the sun. It is more noticeable in people with dark skin. Vitiligo may result in psychological stress and those affected may be stigmatized. 
The exact cause of vitiligo is unknown. It is believed to be due to genetic susceptibility that is triggered by an environmental factor such that an autoimmune disease occurs. This results in the destruction of skin pigment cells. Risk factors include a family history of the condition or other autoimmune diseases, such as
Hyperthyroidism, alopecia areata, and pernicious anemia. It is not contagious. Vitiligo is classified into two main types: segmental and non-segmental. Most cases are non-segmental, meaning they affect both sides; and in these cases, the affected area of the skin typically expands with time. About 10% of cases are segmental, meaning they mostly involve one side of the body; and in these cases, the affected area of the skin typically does not expand with time. Diagnosis can be confirmed by tissue biopsy.
There is no known cure for vitiligo. For those with light skin, sunscreen and makeup are all that is typically recommended. Other treatment options may include
Steroid creams or phototherapy to darken the light patches. Alternatively, efforts to lighten the unaffected skin, such as with hydroquinone, may be tried. A number of surgical options are available for those who do not improve with other measures. A combination of treatments generally has better outcomes. Counselling to provide emotional support may be useful.
Globally about 1% of people are affected by vitiligo. Some populations have rates as high as 2–3%. Males and females are equally affected. About half show the disorder before age 20 and most develop it before age 40. Vitiligo has been described since ancient history. 
 

Signs and symptoms-

  • Vitiligo on lighter skin
  • Vitiligo on darker skin
  • The only sign of vitiligo is the presence of pale patchy areas of depigmented skin which tend to occur on the extremities. The patches are initially small, but often grow and change shape. When skin lesions occur, they are most prominent on the face, hands and wrists.
  •  The loss of skin pigmentation is particularly noticeable around body orifices, such as the mouth, eyes, nostrils,
  • Genitalia and umbilicus. Some lesions have increased skin pigment around the edges. Those affected by vitiligo who are stigmatized for their condition may experience depression and similar mood disorders.

Causes-

  • Although multiple hypotheses have been suggested as potential triggers that cause vitiligo, studies strongly imply that changes in the immune system are responsible for the condition. Vitiligo has been proposed to be a multifactorial disease with genetic susceptibility and environmental factors both thought to play a role.
  • The tyr gene encodes the protein tyrosinase, which is not a component of the immune system, but is an enzyme of the melanocyte that catalyzes melanin biosynthesis, and a major autoantigen in generalized vitiligo.  The nih states that sunburns can cause the disease but there is not good evidence to support this. 
  • Preliminary evidence suggests a possible association with eating gluten.

Immune-

  • Variations in genes that are part of the immune system or part of melanocytes have both been associated with vitiligo. It is also thought to be caused by the immune system attacking and destroying the melanocytes of the skin. A genomewide association study found approximately 36 independent susceptibility loci for generalized vitiligo. 
  • Autoimmune associations
  • Vitiligo is sometimes associated with autoimmune and
  • Inflammatory diseases such as hashimoto's thyroiditis,
  • Scleroderma, rheumatoid arthritis, type 1 diabetes mellitus, psoriasis, addison's disease, pernicious anemia,
  • Alopecia areata, systemic lupus erythematosus, and celiac disease.
  • Among the inflammatory products of nalp1 are caspase 1 and caspase 7, which activate the inflammatory cytokine
  • Interleukin-1β. Interleukin-1β and interleukin-18 are expressed at high levels in patients with vitiligo. In one of the mutations, the amino acid leucine in the nalp1 protein was replaced by histidine (leu155->His). The original protein and sequence is highly conserved in evolution, and is found in humans, chimpanzee, rhesus monkey, and the bush baby. Addison's disease (typically an autoimmune destruction of the adrenal glands) may also be seen in individuals with vitiligo. 

Diagnosis-

  • Uv photograph of a hand with vitiligo
  • Uv photograph of a foot with vitiligo
  • An ultraviolet light can be used in the early phase of this disease for identification and to determine the effectiveness of treatment. Skin with vitiligo, when exposed to a blacklight, will glow blue. In contrast, healthy skin will have no reaction.

Classification
Classification attempts to quantify vitiligo have been analyzed as being somewhat inconsistent, while recent consensus have agreed to a system of segmental vitiligo (sv) and non-segmental vitiligo (nsv). Nsv is the most common type of vitiligo.
Non-segmental

  • Eyelid vitiligo

In non-segmental vitiligo (nsv), there is usually some form of symmetry in the location of the patches of depigmentation. New patches also appear over time and can be generalized over large portions of the body or localized to a particular area. Extreme cases of vitiligo, to the extent that little pigmented skin remains, are referred to as vitiligo universalis. Nsv can come about at any age (unlike segmental vitiligo, which is far more prevalent in teenage years). 
Classes of non-segmental vitiligo include the following:

  • Generalized vitiligo: the most common pattern, wide and randomly distributed areas of depigmentation 
  • Universal vitiligo: depigmentation encompasses most of the body
  • Focal vitiligo: one or a few scattered macules in one area, most common in children 
  • Acrofacial vitiligo: fingers and periorificial areas 
  • Mucosal vitiligo: depigmentation of only the mucous membranes

Segmental-
Segmental vitiligo (sv) differs in appearance, cause, and frequency of associated illnesses. Its treatment is different from that of nsv. It tends to affect areas of skin that are associated with dorsal roots from the spinal cord and is most often unilateral. It is much more stable/static in course and its association with autoimmune diseases appears to be weaker than that of generalized vitiligo. SV does not improve with topical therapies or uv light, however surgical treatments such as cellular grafting can be effective. 
Differential diagnosis
Chemical leukoderma is a similar condition due to multiple exposures to chemicals. Vitiligo however is a risk factor. Triggers may include inflammatory skin conditions, burns, intralesional steroid injections and abrasions. 
Other conditions with similar symptoms include the following:

  • Pityriasis alba
  • Tuberculoid leprosy
  • Postinflammatory hypopigmentation
  • Tinea versicolor 
  • Albinism
  • Piebaldism
  • Idiopathic guttate hypomelanosis 
  • Progressive macular hypomelanosis
  • Primary adrenal insufficiency

Treatment
There is no cure for vitiligo but several treatment options are available. The best evidence is for applied steroids and the combination of ultraviolet light in combination with creams. Due to the higher risks of skin cancer, the united kingdom's national health service suggests phototherapy only be used if primary treatments are ineffective. Lesions located on the hands, feet, and joints are the most difficult to repigment; those on the face are easiest to return to the natural skin color as the skin is thinner in nature.

  • Immune mediators- Topical preparations of immune suppressing medications including glucocorticoids (such as 0.05% clobetasol or 0.10% betamethasone) and calcineurin inhibitors (such as Tacrolimus or pimecrolimus) are considered to be first-line vitiligo treatments. 
  • Phototherapy- Phototherapy is considered a second-line treatment for vitiligo. Exposing the skin to light from uvb lamps is the most common treatment for vitiligo. The treatments can be done at home with an uvb lamp or in a clinic. The exposure time is managed so that the skin does not suffer overexposure. Treatment can take a few weeks if the spots are on the neck and face and if they existed not more than 3 years. If the spots are on the hands and legs and have been there more than 3 years, it can take a few months. Phototherapy sessions are done 2–3 times a week. Spots on a large area of the body may require full body treatment in a clinic or hospital. Uvb broadband and narrowband lamps can be used, But narrowband ultraviolet picked around 311 nm is the choice. It has been constitutively reported that a combination of uvb phototherapy with other topical treatments improves re-pigmentation. However, some vitiligo patients may not see any changes to skin or re-pigmentation occurring. A serious potential side effect involves the risk of developing skin cancer, the same risk as an over-exposure to natural sunlight.Ultraviolet light (uva) treatments are normally carried out in a hospital clinic. Psoralen and ultraviolet a light (puva) treatment involves taking a drug that increases the skin's sensitivity to ultraviolet light, then exposing the skin to high doses of uva light. Treatment is required twice a week for 6–12 months or longer. Because of the high doses of uva and psoralen, puva may cause side effects such as sunburn-type reactions or skin freckling. Narrowband ultraviolet b (nbuvb) phototherapy lacks the side-effects caused by psoralens and is as effective as puva as with puva, treatment is carried out twice weekly in a clinic or every day at home, and there is no need to use psoralen.
  • Skin camouflage- In mild cases, vitiligo patches can be hidden with makeup or other cosmetic camouflage solutions. If the affected person is pale-skinned, the patches can be made less visible by avoiding tanning of unaffected skin. 
  • De-pigmenting- In cases of extensive vitiligo the option to de-pigment the unaffected skin with topical drugs like monobenzone, Mequinol, or hydroquinone may be considered to render the skin an even colour. The removal of all the skin pigment with monobenzone is permanent and vigorous. Sun-safety must be adhered to for life to avoid severe Sunburn and melanomas. Depigmentation takes about a year to complete.

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