Tenovate is a potent topical steroid used for stubborn skin conditions like eczema, psoriasis, and dermatitis. Its active ingredient, clobetasol propionate, works fast - often reducing redness, itching, and scaling in just a few days. But it’s not the only option. Many people wonder: is Tenovate the best choice, or are there safer, cheaper, or equally effective alternatives? The answer depends on your skin type, condition severity, and how long you need treatment.
What Tenovate Actually Does
Tenovate contains clobetasol propionate at a 0.05% concentration. That makes it a Class I steroid - the strongest available without a prescription in many countries, including Australia. It suppresses inflammation by slowing down the immune response in the skin. For severe flare-ups, it’s one of the most effective tools dermatologists have.
But strength comes with risks. Using Tenovate for more than two weeks straight can thin your skin, cause stretch marks, or even trigger rebound flare-ups. It shouldn’t be used on the face, groin, or underarms unless a doctor specifically says so. That’s why knowing your alternatives matters.
Alternative 1: Betnovate (Betamethasone Valerate)
Betnovate is another high-strength steroid, but it’s slightly less potent than Tenovate. Betamethasone valerate is a Class II steroid, meaning it’s still powerful but carries a lower risk of side effects with long-term use. Many patients switch to Betnovate after a short burst of Tenovate to maintain control without pushing their skin too hard.
It works just as well for plaque psoriasis and atopic dermatitis, but you might need to apply it twice daily instead of once. It’s also available in lotion and scalp solution forms, which makes it easier to use on hairy areas or large patches of skin.
Alternative 2: Dermovate (Clobetasol Propionate - Same Active Ingredient)
Here’s something important: Dermovate is literally the same drug as Tenovate. Both contain 0.05% clobetasol propionate. The only differences are the brand name, packaging, and price. Dermovate is often cheaper, especially if you’re buying it without a prescription or through international pharmacies.
Some patients don’t realize they’re paying more for Tenovate when Dermovate does the exact same job. If cost is a factor and your pharmacist confirms the strength matches, switching brands makes perfect sense. Always check the active ingredient - not the brand name.
Alternative 3: Elocon (Mometasone Furoate)
Elocon is a Class III steroid, so it’s less strong than Tenovate but still effective for moderate to severe cases. Mometasone furoate is known for being gentler on sensitive skin. Many dermatologists recommend it for children over 2 years old or for long-term maintenance therapy.
It’s also less likely to cause skin thinning if used correctly. If you’ve had side effects from Tenovate before - like visible blood vessels or shiny patches - Elocon might be a better fit. It’s available as a cream, ointment, and scalp solution, giving you flexibility in application.
Alternative 4: Hydrocortisone 1% (Over-the-Counter)
Hydrocortisone 1% is the most common OTC steroid cream. It’s a Class VII steroid - the weakest. It’s great for mild rashes, insect bites, or short-term irritation. But if you’re dealing with thick, scaly psoriasis or chronic eczema, it won’t cut it.
Some people try hydrocortisone first, then jump to Tenovate when it fails. That’s risky. Skipping intermediate options can lead to overuse of strong steroids. A better approach: use hydrocortisone for flares that are just starting, then step up only if needed. Never use it on the face for more than a week.
Alternative 5: Non-Steroid Options - Protopic and Elidel
If you’re tired of steroids or need something safe for long-term use, consider non-steroid treatments like Protopic (tacrolimus) and Elidel (pimecrolimus). These are topical calcineurin inhibitors. They work differently - targeting immune cells without thinning the skin.
They’re FDA-approved for atopic dermatitis and often used on the face and neck where steroids are risky. Side effects include a burning sensation when first applied, but that fades after a few days. They’re more expensive than steroids and usually require a prescription, but they’re a game-changer for people who can’t tolerate long-term steroid use.
Alternative 6: Taclonex (Calcipotriene + Betamethasone)
Taclonex is a combination product: it pairs a vitamin D analog (calcipotriene) with a steroid (betamethasone). This combo is especially effective for scalp psoriasis. The vitamin D component helps normalize skin cell growth, while the steroid reduces inflammation.
Studies show it clears psoriasis faster than either ingredient alone. It’s also less likely to cause rebound flares after stopping. If you’ve been using Tenovate for scalp psoriasis and the condition keeps coming back, Taclonex might be the next step.
Which One Should You Choose?
There’s no single best option. Your choice depends on three things: how bad your skin is, where it’s located, and how long you need treatment.
- For severe, thick plaques on elbows or knees: Tenovate or Dermovate for 1-2 weeks, then switch to a milder steroid or non-steroid.
- For sensitive areas (face, groin): Skip steroids entirely. Use Elidel or Protopic.
- For long-term control: Rotate between low-potency steroids and non-steroids to avoid skin damage.
- For scalp psoriasis: Taclonex or a clobetasol scalp solution.
- For mild flare-ups: Hydrocortisone 1% for 3-5 days max.
Many people use a "step-down" approach: start strong, then reduce. For example: Tenovate for 7 days, then Elocon for 14 days, then hydrocortisone as needed. This keeps symptoms under control while protecting your skin.
What Not to Do
Don’t buy steroid creams online without checking the label. Some websites sell fake or diluted products. Even legitimate pharmacies sometimes mislabel strengths.
Don’t use steroids on broken skin unless directed. It can increase absorption and raise the risk of systemic side effects like adrenal suppression.
Don’t share your cream with someone else. What works for you might be too strong - or too weak - for them.
When to See a Dermatologist
If you’ve used Tenovate or any strong steroid for more than two weeks without improvement, it’s time to see a specialist. You might need a different diagnosis - like fungal infection, lichen planus, or even skin cancer.
Also, if you notice:
- Skin becoming paper-thin or translucent
- Red streaks or visible blood vessels
- Acne-like bumps or hair growth in treated areas
- Worsening symptoms after stopping the cream
These are signs your skin has been over-treated. A dermatologist can help you recover and build a safer long-term plan.
Final Thoughts
Tenovate is powerful, but it’s not always the best tool for the job. Many alternatives exist - some stronger, some gentler, some non-steroid. The goal isn’t to find the strongest cream. It’s to find the right one for your skin, your condition, and your life.
Use steroids like a scalpel - not a hammer. Short bursts, targeted application, and careful tapering are key. And never underestimate the value of non-steroid options. They’re not second-rate - they’re often smarter.
Is Tenovate stronger than hydrocortisone?
Yes, Tenovate is much stronger. Tenovate contains clobetasol propionate, a Class I steroid, while hydrocortisone 1% is a Class VII steroid. Tenovate works for severe, chronic conditions like psoriasis, while hydrocortisone is only for mild, short-term irritation. Using hydrocortisone for psoriasis won’t help - it’s like using a bandage for a broken bone.
Can I use Tenovate on my face?
Only under strict medical supervision. The skin on your face is thin and sensitive. Long-term use of Tenovate can cause redness, acne, visible blood vessels, or even permanent skin thinning. If you need treatment for facial eczema or rosacea, non-steroid options like Protopic or Elidel are safer and preferred.
Is Dermovate the same as Tenovate?
Yes. Both contain 0.05% clobetasol propionate. They’re identical in strength, effectiveness, and side effects. The difference is only in the brand name, packaging, and price. Dermovate is often cheaper, especially outside Australia. Always check the active ingredient - not the brand - when comparing products.
How long can I use Tenovate safely?
For most adults, no more than two weeks at a time. After that, the risk of skin thinning and rebound flares increases. If your condition isn’t better in 14 days, see a doctor. For maintenance, switch to a weaker steroid or non-steroid treatment. Never use it continuously for months without supervision.
Are there natural alternatives to Tenovate?
There’s no natural product that matches the strength of Tenovate. Coconut oil, aloe vera, or oatmeal baths can soothe mild itching, but they won’t stop inflammation from psoriasis or severe eczema. Relying on them instead of proven treatments can delay healing and make your condition worse. Always combine natural remedies with medical advice - don’t replace it.