It was amazing. Now it takes like, if I was to put it on say today, it would take maybe like four days for the effects to kind of kick in. Which is still not too bad. Ella says using topical steroids is an extra thing to fit in. Could I ask a bit about that in relation to your creams and how long it takes you to do those per day? And sometimes other things are more important like my social life or like school work and things like that.
Sometimes-, or like I have ten minutes before I have to go to bed: shall I do ten minutes of work or ten minutes of relaxing or should I like do my skin routine? Like it's just different — what should I decide to do?
Louie finds there are lots of off-putting things about topical steroids. Some of these have an impact on school life for him. Adam worries that using steroid cream on his face has damaged the skin. I then, will then kind of go, like brush over my face with it. And then hydrocortisone, I generally apply that just around my nose and here.
And I think that is a risk of- that you get from applying strong steroids ointments. Megan has different topical steroids for parts of her body. Yeah and that was really confusing. But we labelled them and kept them all together, so that we knew which one was which.
Louis talks about using steroid creams on his face. None of them gave me side effects per se. The stronger steroids, you're not supposed to put on your face for a long time because they thin your skin. And a long time is sort of months at a time. So I was getting towards the stage where I would be at risk of actually damaging my skin from putting steroids on for too long.
But there wasn't really another option at that point. So I sort of just took that risk and hoped for the best. And it did sort of go away. Especially from my face. It wasn't on my face for much more than about two or three weeks. So I didn't do myself any long term damage. But that was a worry, that I'd have to sort of keep chucking the stuff on and then it would eventually give me some problems.
But it was that putting it on was much better than not putting it on. So you sort of had to go with it. Adam has tried various topical treatments. One steroid cream was very effective at clearing up his psoriasis.
And it was this tiny tube and I was able to get everything out of the tube and I put it all over my body. And I woke up the next morning and my psoriasis was gone. And I just, I just remember it being the happiest, kind of like one of the happiest days of my life. Cos all of a sudden like something worked. Again, things did work in the past and then they stopped working.
Some of them worked again. And this ointment worked. But if I put it on, I probably put it on like now. Thinning of skin, loss of elasticity resulting in stretch marks, easy bruising, and dilated surface blood vessels are potential risks associated with steroid use.
These side effects can occur even when low-potency topical steroids are used. Skin changes that are mild typically reverse when you stop using steroids, but more visible changes in skin texture can be permanent. Systemic side effects. When steroids are absorbed into the skin, you run the risk of them affecting internal organs. This can occur when steroids are applied to large areas of skin, are used for long periods of time, or involve excessive use of occlusion -- covering the affected area with a dressing after applying medication to increase its effectiveness and absorption.
Following these tips will help:. Use the appropriate potency. Limit your chances of developing side effects by using the lowest potency possible. Topical corticosteroids are classified according to strength: very low to very high, with very high-potency compounds being 1, times more potent than very low-potency steroids.
Corticosteroids for psoriasis are not one-size-fits-all. Different areas of your body require different steroid strengths. Wear gloves during application. An important tip for safe use is to use gloves for applying the medication, said Matthew Pitlick, PharmD, an assistant professor at St. Louis College of Pharmacy. If topical steroid medication remains on your fingertips, it can be transferred to children, pets, or other parts of your own body.
Rotate steroid use with other treatments. Limit your exposure to steroids by rotating treatment options. Use all steroid medications as directed by your health care provider. In cases of severe side effects, contact your physician to determine the best course of action.
This is especially true with respect to the genitals and face. Unless your doctor tells you otherwise, never apply topical corticosteroids to the eyelids or under the eyes. Topical steroids should never be used internally or applied to cracked, bleeding, or infected skin.
Class I steroids are not just a little stronger than Class VII; they are between and 1, times stronger. These ultra-high-potency preparations have the greatest efficacy overall, but also the most side effects. As a result, a Class VII topical steroid may only be prescribed for two to three weeks, while a Class I drug may be used for longer periods. The incidence of side effects increases in tandem with the strength of the drug and the duration of treatment.
As such, it is important to use the corticosteroid as prescribed and to not assume that "more is better. Among the possible sides effects are:. Many of the more severe symptoms can occur after weeks or months of treatment. It is important to stop treatment and call your doctor should any skin abnormality develop. Any damage to the skin may be permanent. If a topical corticosteroid is used for an extended period, it may induce withdrawal symptoms if stopped abruptly. Withdrawal symptoms may include a severe rebound of psoriasis symptoms, extreme sensitivity to heat or cold, and resistance to topical medications.
To prevent steroid withdrawal, your doctor will taper the dose gradually over weeks or months. If you experience a worsening of symptoms during the tapering phase, call your doctor. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Topical corticosteroids in plaque psoriasis: a systematic review of efficacy and treatment modalities.
Journal of the European Academy of Dermatology and Venereology. Gabros S, Zito PM. Topical Corticosteroids. In: StatPearls [Internet]. Jacob SE, Steele T. Corticosteroid classes: A quick reference guide including patch test substances and cross-reactivity.
Journal of the American Academy of Dermatology. Topical Corticosteroids: Comparison of representative topical corticosteroid preparations classified according to the US system. Updated Das A, Panda S. Indian J Dermatol. Uva, L. Mechanisms of Action of Topical Corticosteroids in Psoriasis.
Int J Endocrinol. Das, A. Table of Contents View All. Table of Contents. How They Work. Safe Application. Side Effects. What Are the Symptoms of Psoriasis? The 7 Types of Psoriasis. Treating Psoriasis With Topical Retinoids. Was this page helpful? Thanks for your feedback! Sign Up. Potential side effects of topical steroids include skin damage, such as skin thinning, changes in pigmentation, easy bruising, stretch marks, redness and dilated surface blood vessels.
Steroids can be absorbed through the skin and affect internal organs when applied to widespread areas of skin, used over long periods of time, or used with excessive occlusion. There are some combination treatment options available. For instance, calcipotriene combined with the steroid betamethasone dipropionate slows skin cell growth, flattens lesions, removes scale and reduces itch and inflammation.
Common side effects of this treatment include itching, rash, skin thinning and burning. Less common side effects include redness of the skin, folliculitis, skin irritation, worsening of psoriasis, skin color changes and swollen fine blood vessels at the application site. Have more questions about whether a topical treatment is for you? Your health care provider can provide you with more information related to these treatments, and discuss if they are a fit for your treatment plan.