BOOK TRIAL
Medical

Are topical steroids safe?

August 2, 2019

 

 

You may have read in the news recently about an infant who developed Cushing’s Syndrome from using a cream containing steroids.

 

So one might ask, “Are topical steroids safe?”

 

 

The answer to that is a little more complicated than a simple Yes or No.

 

 

What are Topical Steroids?

Topical steroids are creams, gels, solutions that contain steroids. They are frequently-prescribed dermatology drugs and have been used to treat inflammatory skin conditions e.g. eczema, contact dermatitis etc for more than 60 years.

 

 

Potential Side Effects of Steroids

They are effective and when used correctly, are very safe.

 

Undeniably, topical steroids have the potential to cause serious side effects such as Cushing’s Syndrome, thin skin, abnormal skin pigmentation etc.

 

However, those side effects are usually the result of long-term use of topical steroids, often for months and with no break.

 

 

How to Use Steroids Safely?

By adhering to the following principles, topical steroids can be used safely and side effects avoided:

 

Adopt a stepped approach to steroid use.

 

Start application of topical steroids when a flare is evident and step-down when the flare subsides – e.g. daily for 7-10 days, reduce to every other day for the next 7-10 days and stop. Such a stepped approach helps to reduce the incidence of steroid rebound, which is a rapid recurrence of a rash after the steroid is stopped and which is often more severe than the original rash.

 

Use the least potent topical steroid

 

Use the least potent topical steroid to control inflammation-match potency of topical steroid to the severity of the disease.

 

Use different potencies for different body areas.

 

Generally, only mild to moderate potency for face and flexural regions. Low to very high potency can be used for all other regions, but it must be matched to the severity of the disease.

 

Use as indicated & Apply thinly

 

Typically once or twice daily. More than 2x application a day has no additional benefits and increases the risk of developing side effects.

 

Use plenty of emollients

 

Use plenty of emollients on a continual basis for conditions such as eczema and chronic dermatitis. That can help prevent flare-ups.

 

 

Do not be afraid of topical steroids

When used correctly, they are the mainstay of treatment of many inflammatory skin conditions. Please clarify with your doctor if you have any doubts regarding the use of topical steroids.

Suggested Articles

OUR CLINICS

AESTHETIC

Healthsprings Laser & Aesthetic Clinic

  • 541 Orchard Road #11-01, Liat Towers Singapore 238881

  • 9728 2861

  • 6836 8386

  • Opening hours: Monday to Friday: 9am to 5pm
    Saturday: 9am to 1pm.
    Sun/Public holiday: Close

MEDICAL

Healthsprings Medical Associates

  • 541 Orchard Road #10-02, Liat Towers Singapore 238881

  • 9728 7793

  • 6734 5260

  • Opening hours: Monday to Friday: 9am to 5pm
    Saturday: 9am to 1pm.
    Sun/Public holiday: Close

MEDISPA

Healthsprings Aesthetic

  • 541 Orchard Road #10-01A, Liat Towers Singapore 238881

  • 9088 8775

  • 6262 3660

  • Opening hours: Monday to Friday: 9am to 6pm
    Saturday: 9am to 1pm.
    Sun/Public holiday: Close

MEDICAL

Healthsprings Medical Clinic

  • 524A, Greenridge Shopping Centre, #02-01, Jelapang Road, Singapore 671524

  • 8799 8936

  • 6892 6681

  • Monday to Thursday:  8am to 4pm, 6pm to 9pm
    Friday:  8am to 4pm
    Saturday:  8.30am to 1 pm
    Sun/Public holiday:  Close

AESTHETIC

Aesthetics @ Healthsprings

  • 524A, Greenridge Shopping Centre, #02-02, Jelapang Road, Singapore 671524

  • 8799 8936

  • 6892 0789

  • Monday to Thursday: 9am to 5pm, 6pm to 9pm
    Friday: 9am to 5pm
    Saturday:  9am to 1pm
    Sun/Public holiday:  Close

MEDICAL & AESTHETIC

Healthsprings Medical & Laser Clinic

  • 105A Bidadari Park Drive

    #01-09 Singapore 341105

  • 8616 6166

  • 6970 7933

  • Monday to Friday: 8.30am to 4pm

    Saturday: 8.30am to 1pm

Healthsprings was established in 2000 with its first medical clinic located at Bukit Panjang. In 2001, the company ventured into the medical aesthetic field and has been offering Lasers, Peels, Fillers, Botulinum Injections and other aesthetic services. In 2008, Healthsprings Laser and Aesthetic is opened in Orchard Road and has been known to specialise in different aesthetic procedures for the skin, face, body, and hair.

Read More ...

BOOK TRIAL OR APPOINTMENT

RECENT POST

COVID-19 vaccine, how far are we away from one?

November 26, 2020

In the last 2 weeks, both Pfizer and Moderna announced that their vaccines are respectively 90% and 94.5% effective, and both appear to be safe. […]

READ MORE

Suffering from breakouts under your mask? How to prevent maskne, according to an aesthetic doctor

October 29, 2020

Thank you Reta Lee , Editor of Yahoo Lifestyle for visiting us  

READ MORE

Botox treatment for teeth grinding and jaw (TMJ) pain

October 27, 2020

Dentists in Singapore and worldwide have reported a rise in teeth grinding or clenching – medically termed bruxism – since the COVID-19 pandemic started...

READ MORE