This paper reviews the published toxicity of beclomethasone dipropiona
te (BDP). BDP is a synthetic glucocorticosteroid which has a powerful
local anti-inflammatory effect but little systemic action. It has been
developed for both dermatological and inhaled applications. LD(50) va
lues and other acute studies indicated low toxicity. Findings publishe
d for repeat dose and reproductive toxicity studies embraced the known
range of metabolic and physiological effects of glucocorticoids. For
repeat dose studies, these included reduction in body weight gains, cu
shingoid syndrome in dogs, reductions in the numbers of lymphocytes an
d the weights of the tissues connected with the immune system, and hep
atic glycogen deposition and fatty liver changes. In reproductive stud
ies, there was an increase in the prevalence of cleft palate in mice a
nd rabbits and in the number of dead foetuses, and ossification was re
tarded. Despite the route of administration, there was a general simil
arity of effects within and between species. All observations were cha
racteristic of synthetic glucocorticoids and related to the intrinsic
effects of these drugs.