Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Fluocinonide (Vanos) and clobetasol (Clobex, Olux, Tovet, Impeklo, Impoyz) are both topical corticosteroids used to treat skin inflammation and irritation, such as psoriasis and eczema. However, they differ in potency and specific uses. Fluocinonide is available in two strengths: 0.05% and 0.1%, with the latter being very strong but not as potent as clobetasol. Clobetasol is considered a super potent steroid and is used for more severe skin conditions. Fluocinonide comes in forms like cream, ointment, gel, and solution, while clobetasol is available as a cream, shampoo, lotion, and spray. Both medications are for short-term use, but clobetasol has a broader range of formulations, including a shampoo for scalp psoriasis. Common side effects of fluocinonide include headaches and burning at the application site, while clobetasol can cause burning, stinging, and skin irritation. Clobetasol also has a risk of more serious side effects like skin thinning and high blood sugar if used improperly. Both medications should not be used on the face, armpits, or groin, and you should follow your healthcare provider's instructions closely to avoid complications.
Fluocinonide (Vanos)
Clobetasol
Fluocinonide (Vanos)
Clobetasol
Summary of Fluocinonide vs. Clobetasol
Summary for Corticosteroid
Prescription only
Fluocinonide (Vanos) is a strong topical steroid that treats skin inflammation and irritation, but it's not meant for long-term use. The medication comes in many different forms, such as a cream, ointment, gel, and topical solution.
Summary for Corticosteroid
Prescription only
Clobetasol is a super potent (very strong) corticosteroid that's applied to the skin. It helps relieve skin inflammation and irritation from moderate-to-severe skin problems, like psoriasis. Clobetasol is available in many different formulations. This includes a cream, ointment, shampoo, topical solution, and foam. Most formulations are for people 12 years and older. But others, like the shampoo and lotion, are for adults only. Some side effects include burning, stinging, and irritation where it's applied. Clobetasol has both brand-name and generic options.
Indications of Fluocinonide vs. Clobetasol
Indications for
•Skin inflammation disorders, including psoriasis, eczema, and seborrheic dermatitis
Indications for
•Skin rashes and itchy skin - all topical forms except shampoo
•Plaque psoriasis not on the scalp - all topical forms except shampoo
•Moderate-to-severe scalp psoriasis - shampoo and certain foams only
Pros and Cons of Fluocinonide vs. Clobetasol
Pros and Const for Corticosteroid
Pros
•Treats a variety of skin conditions
•Has few side effects when used for short periods of time
•Available as a cream, gel, ointment, and topical solution
•Comes in two different strengths, providing some flexibility based on your symptoms
Cons
•Not meant for long-term use
•Might have to apply it up to 4 times a day
•The higher strength (0.1%) shouldn't be used in children under 12 years old.
•Not the best option for treating the face, underarms, or groin (higher strength can't be used for these areas at all)
Pros and Const for Corticosteroid
Pros
•One of the most potent (strongest) topical steroids
•Applied directly to the affected area(s) of skin
•Many formulations to choose from, such as ointment, cream, and spray