quadriderm af cream - Betamethasone (0.64mg) + Clotrimazole (10mg) medicine

Quadriderm Af Cream: Comprehensive Medicine Guide

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🏭 Fulford India Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (swelling of face, lips, throat, difficulty breathing)
  • Signs of skin atrophy (thinning skin, stretch marks, easy bruising)
  • New or worsening infection
  • Severe burning, blistering, or peeling at the application site
  • Symptoms of adrenal suppression (fatigue, weakness, weight loss)
  • No improvement after 2 weeks of use

If experiencing severe symptoms, call emergency services immediately.

What is quadriderm af cream used for?

This medicine is a topical cream containing betamethasone (a steroid) and clotrimazole (an antifungal). It is used to treat inflamed fungal skin infections like ringworm and jock itch. Apply a thin layer to the affected area twice daily as prescribed.

  • Generic Name: Betamethasone (0.64mg) + Clotrimazole (10mg)
  • Manufacturer: Fulford India Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 quadriderm af cream के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल क्रीम है जिसमें बीटामेथासोन (एक स्टेरॉयड) और क्लोट्रिमाज़ोल (एक एंटीफंगल) शामिल हैं। इसका उपयोग फंगल संक्रमण के साथ सूजन, खुजली और लालिमा वाली त्वचा की समस्याओं जैसे दाद, जॉक इच और एथलीट फुट के इलाज के लिए किया जाता है। यह क्रीम फंगस को मारती है और साथ ही सूजन और खुजली को कम करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में लगाने की जगह पर हल्की जलन, खुजली, लालिमा या सूखापन शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें त्वचा का पतला होना, खिंचाव के निशान, या एलर्जी की प्रतिक्रिया जैसे चेहरे, होंठ या गले में सूजन हो सकती है। यदि आपको कोई गंभीर दुष्प्रभाव दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस क्रीम को केवल त्वचा पर और डॉक्टर के निर्देशानुसार ही लगाएं। आंखों, मुंह और नाक के संपर्क में न आने दें। बिना डॉक्टर की सलाह के इसे लंबे समय तक या बड़े क्षेत्र पर न लगाएं। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। बच्चों में उपयोग से पहले बाल रोग विशेषज्ञ से सलाह लें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 quadriderm af cream Uses & Benefits

[{"condition":"Tinea corporis (ringworm of the body)","description":"This medicine is used to treat ringworm infections of the body that are accompanied by inflammation, reducing both the fungal infection and the associated redness and itching.","evidence":"Well-established"},{"condition":"Tinea cruris (jock itch)","description":"This medicine is effective for inflamed jock itch, providing relief from itching and inflammation while eradicating the fungus.","evidence":"Well-established"},{"condition":"Tinea pedis (athlete's foot)","description":"This medicine is used for inflamed athlete's foot, helping to clear the fungal infection and reduce symptoms such as itching, burning, and scaling.","evidence":"Well-established"},{"condition":"Cutaneous candidiasis","description":"This medicine is used for skin infections caused by Candida species that are associated with inflammation, such as diaper rash or intertrigo.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Seborrheic dermatitis with suspected fungal component","description":"Sometimes prescribed off-label when a fungal element is suspected, but this is not a standard approved use.","evidence":"Limited"}]

Primary treatment for: Fungal skin infections with inflammation

Also treats: Tinea corporis, Tinea cruris, Tinea pedis, Cutaneous candidiasis

📋 Drug Information

Generic Name(s)Betamethasone (0.64mg) + Clotrimazole (10mg)
Brand Namequadriderm af cream
ManufacturerFulford India Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action Class
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Protect from light and moisture. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply a thin layer of the cream to the affected area and rub it in gently.
2
Use the cream exactly as prescribed, usually twice daily for 2-4 weeks.
3
Do not use this cream on the face, groin, or underarms unless specifically instructed by your doctor.
4
Complete the full course of treatment even if symptoms improve to prevent recurrence.
5
If your condition does not improve within 2 weeks, consult your doctor.
6
Avoid using other topical products on the treated area unless advised by your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Itchy, red, circular rash
This medicine is commonly prescribed for ringworm.
Likely Use
✅
Itchy rash in groin area
This medicine is used for jock itch.
Likely Use
❌
Dry, scaly skin without itching
This medicine is not for dry skin alone.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionBetamethasone and clotrimazole are absorbed through the skin. The extent of absorption depends on the area treated, the condition of the skin, and the duration of use. Systemic absorption is minimal when used on intact skin but can be increased with broken skin, large areas, or occlusive dressings.
DistributionOnce absorbed, betamethasone is distributed throughout the body and binds to plasma proteins. Clotrimazole is also distributed to tissues, but specific distribution data for topical use are not well established.
Protein BindingBetamethasone is approximately 60-70% bound to plasma proteins. Clotrimazole is highly protein-bound (approximately 90%).
MetabolismBetamethasone is metabolized in the liver, primarily by CYP3A4. Clotrimazole is metabolized in the liver and undergoes enterohepatic recirculation.
Half-LifeThe elimination half-life of betamethasone is approximately 5-6 hours. The half-life of clotrimazole is not well established for topical use.
ExcretionBetamethasone and its metabolites are excreted primarily in the urine. Clotrimazole is excreted mainly in the feces as metabolites.
BioavailabilityBioavailability of betamethasone and clotrimazole after topical application is not well established and depends on the integrity of the skin and the application site.
Onset of ActionImprovement in itching and inflammation may be noticed within a few days of starting treatment. Antifungal effects typically become apparent within 1-2 weeks.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe anti-inflammatory effect of betamethasone lasts for several hours after application. The antifungal effect of clotrimazole persists for an extended period due to its accumulation in the skin.

How It Works

This medicine combines a corticosteroid and an antifungal agent. Betamethasone is a synthetic corticosteroid that binds to glucocorticoid receptors in the cytoplasm, leading to suppression of inflammatory mediators such as prostaglandins and leukotrienes. This reduces redness, swelling, itching, and pain. Clotrimazole is an imidazole antifungal that inhibits the synthesis of ergosterol, a vital component of fungal cell membranes. This leads to increased permeability and leakage of cellular contents, ultimately causing fungal cell death. Together, they address both the inflammatory symptoms and the underlying fungal infection.

Mechanism Steps

1
Betamethasone binds to glucocorticoid receptors: Betamethasone enters the skin cells and binds to cytoplasmic glucocorticoid receptors, forming a complex that translocates to the nucleus.
2
Suppression of inflammatory genes: The complex inhibits the transcription of pro-inflammatory genes and induces anti-inflammatory proteins, reducing swelling, redness, and itching.
3
Clotrimazole inhibits ergosterol synthesis: Clotrimazole binds to fungal cytochrome P450 14α-demethylase, blocking the conversion of lanosterol to ergosterol, a key component of the fungal cell membrane.
4
Fungal cell death: The lack of ergosterol leads to increased membrane permeability and leakage of intracellular contents, resulting in fungal cell death.

💡 How to Take quadriderm af cream

Strength: Cream containing betamethasone 0.64 mg and clotrimazole 10 mg per gram.

1Wash your hands thoroughly before and after applying the cream.
2Clean and dry the affected area gently.
3Apply a thin layer of the cream to the affected area and rub it in gently.
4Do not cover the area with a bandage unless instructed by your doctor.
5Use the cream exactly as prescribed, usually twice daily.
6Complete the full course of treatment even if symptoms improve.

Dosage Information

Adult DosageApply a thin layer of this medicine to the affected area and surrounding skin twice daily, or as directed by your doctor. The duration of treatment depends on the type and severity of the infection, but typically should not exceed 2-4 weeks. Dose must be individualized by a qualified clinician based on indication, age, and response to treatment.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more susceptible to the effects of corticosteroids. Use with caution and for the shortest duration possible.
Renal ImpairmentNo dosage adjustment is required for renal impairment when used topically, as systemic absorption is minimal.
Hepatic ImpairmentNo specific dosage adjustment is required for hepatic impairment when used topically, but use with caution due to potential systemic absorption.
Maximum Daily DoseNot established from the available information. Use only as prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not apply a double dose to catch up.

⚠️ Side Effects of quadriderm af cream

✅ Common Side Effects

Application site burning (Common (1-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Application site itching (Common (1-10%))
May be a sign of irritation. If it worsens, stop use and consult your doctor.
Application site redness (Common (1-10%))
Monitor. If it spreads or becomes painful, seek medical advice.
Skin dryness (Common (1-10%))
Use a moisturizer if needed. Consult doctor if severe.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of the face, lips, throat, or difficulty breathing.
Skin atrophy (Rare (<0.1%))
Prolonged use can cause thinning of the skin. Consult your doctor if you notice skin thinning, stretch marks, or easy bruising.
Adrenal suppression (Rare (<0.1%))
Prolonged use over large areas can suppress adrenal function. Consult your doctor if you experience fatigue, weakness, or weight loss.

⚠️ Rare Side Effects

Secondary infection
Consult your doctor if you notice new or worsening infection.
Hyperglycemia
Monitor blood sugar if you are diabetic. Consult your doctor if levels rise.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole (oral) Major
Ritonavir Major
Other topical corticosteroids Major
Other topical antifungals Moderate

🚨 Major Interactions

  • Other topical corticosteroids
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)

⚡ Moderate Interactions

  • Other topical antifungals

🍷 Alcohol Interaction

No known interaction between this medicine and alcohol when used topically. However, alcohol consumption may affect underlying skin conditions and should be moderated.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to betamethasone, clotrimazole, or any component of the formulation.","Untreated bacterial or viral skin infections (e.g., herpes simplex, vaccinia, varicella).","Use on the face, groin, or axillae unless directed by a doctor.","Use in children under 2 years of age unless prescribed by a pediatrician."]

⚠️ Warnings & Precautions

["For external use only. Avoid contact with eyes.","Do not use on large areas of the body or for prolonged periods without medical supervision.","Do not use under occlusive dressings unless instructed.","If irritation or sensitization occurs, discontinue use and consult a doctor.","Use with caution in patients with impaired liver function or diabetes.","Do not use for conditions other than those prescribed."]

🤱 Lactation Safety

It is not known whether betamethasone and clotrimazole are excreted in breast milk after topical application. However, systemic absorption is minimal. To be safe, avoid applying the cream to the breast area and consult your doctor before use while breastfeeding.

💊 Overdose Management

Overdose with topical application is unlikely. If accidental ingestion occurs, seek medical attention immediately. Symptoms of overdose may include nausea, vomiting, and signs of corticosteroid excess. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Use this medicine only on the skin and only as prescribed by your doctor. Wash your hands thoroughly before and after applying the cream, unless your hands are the treated area. Avoid contact with the eyes, mouth, nose, and other mucous membranes. Do not cover the treated area with bandages or dressings unless instructed by your doctor, as this can increase absorption and side effects. Do not use this medicine for longer than the prescribed duration. If your condition does not improve within the expected time, or if it worsens, consult your doctor. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine on children unless specifically prescribed by a pediatrician. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to the effects of corticosteroids. Use with caution and for the shortest duration possible.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Topical use is generally considered safe, but use only if clearly needed.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine on surgical wounds or nearby areas, as it may affect wound healing.

🦷 Dental Procedures

No specific considerations for dental procedures, as this medicine is for topical skin use.

💚 Lifestyle Tips for Better Results

🏃
Keep the affected area clean and dry.
🥗
Avoid sharing towels, clothing, or personal items to prevent spread.
😴
Wear loose-fitting, breathable clothing.
💧
Avoid scratching the affected area to prevent secondary infection.
🧘
Complete the full course of treatment as prescribed.

🏋️ Exercise Considerations

No specific exercise restrictions, but avoid activities that cause excessive sweating or friction on the treated area until the infection clears.

🥗 Diet Recommendations

Maintain a balanced diet to support immune function.
Stay well hydrated.
Include foods rich in probiotics like yogurt to support healthy skin flora.

💼 Impact on Daily Work & Life

This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. However, if you experience any dizziness or allergic reaction, avoid these activities.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if your symptoms worsen, if you experience severe irritation, or if you have completed the prescribed course. Do not stop early without consulting your doctor, as the infection may return.

📅 Long-Term Use Effects

Prolonged use or use over large areas can lead to skin atrophy, stretch marks, and systemic absorption of betamethasone, which may cause adrenal suppression. Use for the shortest duration necessary and under medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Clotrimazole alone

For fungal infections without significant inflammation.

Evidence: Well-established
Oral antifungals

For severe or widespread infections.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you are scheduled for vaccination, inform your doctor about this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, continue applying as prescribed; no time adjustment is needed for topical use. Declare it at customs if required.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with itchy, red ringworm on his arm
He was prescribed this medicine twice daily. After 3 days, the itching reduced significantly. He completed the 2-week course as directed, and the infection cleared completely. He learned to apply a thin layer and not to stop early.
💡 Lesson: Consistent use and completing the full course are key to clearing the infection and preventing recurrence.
👤 A 28-year-old woman with jock itch
She used the cream as prescribed but stopped after 5 days when symptoms improved. The infection returned a week later. Her doctor explained the importance of completing the full course. She restarted and completed 3 weeks of treatment, and the infection resolved.
💡 Lesson: Stopping treatment too early can lead to recurrence. Always complete the prescribed duration.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may notice improvement in itching and redness within a few days. The fungal infection typically clears within 2-4 weeks of regular use.

Q: Can I use this cream on my face?

A: No, unless specifically instructed by your doctor. Using it on the face can cause skin thinning and other side effects.

Q: Is it safe during pregnancy?

A: It is generally considered safe for topical use during pregnancy, but should be used only if clearly needed and under medical supervision. Avoid prolonged use or large areas.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this cream for a long time?
  • Will it affect my skin color?
  • Can I use it on my face?
  • Is it safe for children?
  • What if I miss a dose?
  • Can I use it with other creams?

🔄 Substitutes for quadriderm af cream

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This cream can be used for any skin rash.
    Fact: This cream is specifically for fungal infections with inflammation. Using it for other rashes can worsen the condition.
  • Myth: More cream means faster healing.
    Fact: Applying more than a thin layer does not speed up healing and can increase side effects.
  • Myth: You can stop using the cream as soon as symptoms disappear.
    Fact: You should complete the full course as prescribed to prevent the infection from returning.

🔄 Alternative Options

Generic Alternatives

  • Betamethasone and clotrimazole cream (generic)

Brand Alternatives

  • Quadriderm AF Cream
  • Other brands containing betamethasone and clotrimazole

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Betamethasone + Clotrimazole","uses":"Inflamed fungal infections","route":"Topical"},{"medicine":"Clotrimazole alone","composition":"Clotrimazole","uses":"Fungal infections without inflammation","route":"Topical"},{"medicine":"Betamethasone alone","composition":"Betamethasone","uses":"Inflammatory skin conditions","route":"Topical"}]

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