TOPICAL STEROIDS




Steroids - Topical

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Topical steroids are a group of medicines that are carefully regulated and only available on prescription through Doctors and Dermatologists. They may be used in the treatment of various skin disorders and diseases including Psoriasis and Eczema. Any skin patient using steroids should take the necessary steps to ensure they are familiar with the application methods of their prescribed treatment and to ensure that they abide by the advice given by medical professionals.

Special care should be taken to ensure that topical steroids are not misused and that any contraindications or side effects are immediately reported to the prescribing doctor.

Topical steroids are available in different strengths depending on the nature of the skin disorder or skin disease and may be placed in to 4 distinct categories.


Steroid Categories
Class 4 - Mild
Hydrocortisone 0.5-2.5%
Class 3 - Moderate (2-25 times as potent as hydrocortisone)
Clobetasone butyrate
Triamcinolone acetonide
Fluocinolone acetonide
Class 2 - Potent (50-100 times as potent as hydrocortisone)
Betamethasone valerate
Betamethasone dipropionate
Diflucortolone valerate
Fluticasone valerate
Hydrocortisone 17-butyrate
Mometasone furoate
Methylprednisolone aceponate
Class 1 - Very potent (up to 600 times stronger than hydrocortisone)
Betamethasone dipropionate
Clobetasol propionate
Side Effects of Steroids


Potential side effects that must be considered are raised blood pressure, fluid retention, diabetes and suppression of the Adrenal Gland, which may result in the patient becoming ill when trying to come off the steroid treatment.

Also, users of steroids have recorded side effects of Atrophy (irreversible thinning of the skin), tearing, bruising, Striae (stretch marks), rash and telangiectasia (enlarged blood vessels in the skin).


Application of Steroids
Steroids should be used sparingly where possible. It is important that the use of andytopical steroid is applied under the strict guidance of a medical professional. They will be able to give best advice regarding the surface area of the skin that needs treatment, the strength of the application best suited for you and the how often the steroid should be applied.

Ignore their advice at your peril. The SkinCell Forum has a number of members who have personally suffered direct side effects such as Atrophy and tearing of their skin directly due to steroid overuse. If you have any doubts about the strength of the steroid you have been prescribed or the length of time you have been taking it please consider getting a second medical opinion. Remember, The effects of steroid cannot be reversed.



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