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Topical Steroids
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
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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