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January 17
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A MyPrurigoTeam Member

Thanks to all who replied to my question, very helpful.

January 17
A MyPrurigoTeam Member

The clobetesol I use is only for scalp. I have used a little on a facial nodule and it totally worked. I also use Dupixent which helps overall. Both require prescriptions so talk to your Dermatologist as Cathy suggested. Good luck with whatever you are prescribed.

January 17
A MyPrurigoTeam Member

Hi Tracy! My suggestion is to use the Dupixent if it is working for you and then use the Clobetesol topical ointment for flares of PN or on nodules that are slow to heal. In my opinion, not medications are valuable. The Clobetesol is a steroid ointment and the Dupixent is a biological that is used to address the cause of PN. I would also suggest that you contact your dermatologist to discuss it.

January 17
MyPrurigoTeam

Is clobetasol propionate better than Dupixent injections for prurigo nodularis?

These treatments work differently and aren't directly comparable - they're often used at different stages of PN management.

Clobetasol propionate is a strong topical corticosteroid that helps reduce inflammation and itching when applied to the Show Full Answer

Is clobetasol propionate better than Dupixent injections for prurigo nodularis?

These treatments work differently and aren't directly comparable - they're often used at different stages of PN management.

Clobetasol propionate is a strong topical corticosteroid that helps reduce inflammation and itching when applied to the skin. However, topical steroids can be less effective for PN because the thick nodules and layers of dead skin make it hard for the medication to penetrate deeply enough.

Dupixent (dupilumab) is the first FDA-approved medication specifically for PN. It's an injectable biologic that blocks inflammatory messengers throughout your body. Clinical studies showed that after four months, about 45% of people experienced complete remission, and those who didn't still had dramatically decreased itching.

The choice between these treatments typically depends on:
* Severity of your PN
* How well topical treatments have worked for you
* Whether you have thick, stubborn nodules
* Your overall treatment goals

Many people start with topical steroids, and if those aren't effective enough, their doctor may recommend Dupixent. Some people use both - topical treatments for targeted relief and Dupixent for overall disease management.

Talk with your dermatologist about which approach makes sense for your specific situation.

January 17

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