1/22/2024 0 Comments Hydrocortisone 1![]() ![]() What are the side effects of topical steroids?Ĭommon side effects reported with topical steroids include: Topical steroids should not be confused with anabolic steroids often abused by body-builders to increase muscle mass.įor a complete list of severe side effects, please refer to the individual drug monographs. Glaucoma or cataracts caused by excessive use of topical steroids near the eye.Cushing syndrome: Rare, but the risk is higher if large quantities of a topical corticosteroid (>50g/week of clobetasol propionate or >500g/week of hydrocortisone) are used long-term.Serious side effects are uncommon or rare when topical corticosteroids are used exactly as directed and for the time intended, but may include: This grouping of potencies is based on the best effort accumulation of data. Note that potency charts vary depending on the source. Hydrocortisone is the least potent topical corticosteroid. Generic alclometasone dipropionate cream/ointment These topical corticosteroids are slightly more potent than topical hydrocortisone. Generic hydrocortisone valerate cream/ointment These topical corticosteroids are between 2 and 25 times more potent than topical hydrocortisone. Regular betamethasone dipropionate cream 0.05% These topical corticosteroids are up to 25 times more potent than topical hydrocortisone. Topicort cream/ointment (0.25%), Topicort gel (0.05%) Generic betamethasone dipropionate cream AF, Diprolene lotion, Diprosone ointment These topical corticosteroids are 100-150 times more potent than topical hydrocortisone.Īugmented betamethasone dipropionate lotion and cream (0.05%), regular betamethasone dipropionate ointment (0.05%) These topical corticosteroids are up to 600 times more potent than topical hydrocortisone.Īugmented betamethasone dipropionate gel and ointment 0.05%Ĭormax cream/solution, Clobex lotion/spray/shampoo, Olux foam, Olux E foam, Temovate cream/ointment/solution Combination antibacterial/corticosteroid preparations should only be used short-term (for less than one week) to reduce the risk of antimicrobial resistance developing.Īugmented preparations are those that have been modified so that they are absorbed through the skin faster. Topical steroids are sometimes combined with other ingredients, such as antifungal or antibacterial agents. The skin of the palms and soles is thick and mild topical steroids are usually ineffective.Ībsorption (and potency) is greatly enhanced by occlusion (covering the area with impermeable or semi-impermeable dressings).The skin of the eyelids, genitals, and skin creases is thin and potent topical steroids should be avoided.In some instances, absorption of different formulations containing the same active ingredient can vary (for example, betamethasone ointment is absorbed better than betamethasone cream) which can also affect potency. Topical steroids come in various potencies (strengths), ranging from very high potency (Class 1) to low potency (Class 7). Are there any differences between topical steroids? Generally, the weakest effective steroid should be used however, some doctors may choose to use a more potent topical steroid initially for the first few days. Psoriatic plaques and psoriasis that affects the palms, soles, elbows, or knees.More potent topical corticosteroids may be used for the treatment of: ![]() seborrheic dermatitis of the face and intertriginous areas.psoriasis of the face and intertriginous areas.lichen planus of the face and intertriginous areas.itching confined to small areas of skin.discoid lupus erythematosus of the face and skin folds (intertriginous areas).Topical steroids of low to medium potency may be used for the treatment of various skin disorders that respond to corticosteroids such as: In addition to reducing inflammation (redness and swelling) in the area that they are applied, topical corticosteroids also suppress the immune response, reduce cell turnover, and constrict (narrow) blood vessels. Topical steroids are aerosols, creams, gels, lotions, solutions, and tapes that contain corticosteroids (often abbreviated to steroids) which are designed to be applied externally to the scalp or the skin, depending on the condition being treated.Ĭorticosteroids control inflammation by mimicking naturally occurring corticosteroid hormones produced by our adrenal glands, which are two small glands that sit on top of our kidneys. ![]()
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