Understanding Topical Corticosteroids

A Patient's Guide to Steroid Creams and Ointments

Dermatology

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Last updated: Mar 24, 2025

What Are Topical Corticosteroids?

Topical corticosteroids are anti-inflammatory medications applied directly to the skin to treat various skin conditions. They come in different forms including creams, ointments, lotions, and gels.

Strength Classifications

Topical steroids are classified by potency:

  • Mild: hydrocortisone 1%
  • Moderate: triamcinolone 0.1%
  • Potent: betamethasone 0.1%
  • Very potent: clobetasol 0.05%

Common Uses

  • Eczema
  • Psoriasis
  • Dermatitis
  • Allergic skin reactions
  • Insect bite reactions

Proper Application

  1. Wash hands before and after application
  2. Apply a thin layer to affected areas only
  3. Follow the 'fingertip unit' guideline
  4. Use only as prescribed by your healthcare provider

Potential Side Effects

Common Side Effects

  • Skin thinning
  • Increased hair growth
  • Skin color changes
  • Mild burning sensation

Serious Side Effects

  • Stretch marks
  • Skin infections
  • Acne-like eruptions
  • Systemic effects (with long-term use)

Important Precautions

  • Don't use on infected areas without medical advice
  • Avoid application near eyes
  • Don't cover with bandages unless directed
  • Follow prescribed duration of treatment
  • Report any unusual reactions to your doctor

When to Seek Medical Advice

Contact your healthcare provider if:

  • Your condition worsens
  • You develop new symptoms
  • The area becomes infected
  • You experience severe irritation

Treatment Duration

Typically prescribed for short periods (1-2 weeks). Long-term use requires medical supervision.

Storage Guidelines

  • Keep at room temperature
  • Store away from direct sunlight
  • Keep out of reach of children
  • Check expiration dates regularly

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