Topical Steroids

What are topical steroids?

Topical steroids are among the most frequently prescribed medications in dermatology, used to manage a wide range of skin conditions such as contact dermatitis, psoriasis, and eczema. These medications, including alclometasone, triamcinolone, and clobetasol, function by reducing inflammation in the skin, which is often the underlying cause of these dermatological issues. Topical steroids vary in potency and are carefully selected based on the specific area of the body being treated.

What are possible side effects of topical steroids?

Extended use of topical steroids, or using a potent steroid on sensitive skin areas like the face, armpits, or genitals, can lead to skin thinning (atrophy). To mitigate this risk, it's often advised to follow an intermittent application schedule, such as applying the medication from Monday to Friday and taking a break on the weekend. Although rare, allergic reactions to steroids can occur, necessitating a switch to a different class of medication.

How are topical steroids used?

Topical steroids are available in various formulations, including solutions, creams, ointments, and gels. If you encounter difficulties in using your prescribed steroid, consult your doctor for possible alternatives that may be easier to apply. The general treatment approach often starts with a potent steroid to quickly manage the condition, followed by a taper to a lower-potency steroid or a non-steroidal option like a topical calcineurin inhibitor for maintenance therapy. The frequency of application may range from once to twice daily, depending on the specific condition and treatment plan.