![]() ![]() ![]() Topical steroid may be falsely blamed for a sign when underlying disease or another condition is responsible (for example, postinflammatory hypopigmentation or undertreated atopic eczema). Side effects are uncommon or rare when topical steroids are used appropriately under medical supervision. What are the side effects of topical steroid? Moderate (2–25 times as potent as hydrocortisone) Betamethasone dipropionate ( cream, ointment, gel).Potent (100–150 times as potent as hydrocortisone) Betamethasone dipropionate (in an optimised vehicle).Very potent or superpotent (up to 600 times as potent as hydrocortisone) The products listed here are those available in New Zealand in November 2017. They are classified according to their strength. Topical steroids are medicines regulated by Health Authorities. Which topical steroids are available in New Zealand? Topical corticosteroid/antibiotic preparations should be used rarely, and short-term (eg, three times daily for one week for a small area of infected dermatitis), to reduce the risk of antimicrobial resistance. Topical steroid is sometimes combined with another active ingredient, including antibacterial, antifungal agent or calcipotriol. It is often appropriate to use a potent preparation for a short time to ensure the skin condition clears completely. Contain corticosteroid, often fludroxycortide, in the adhesiveĪs a general rule, use the weakest possible steroid that will do the job.Occlusive, increasing risk of folliculitis and miliaria.No requirement for preservative, reducing risk of irritancy and contact allergy.The most suitable formulation for dry, non-hairy skin.Creams and lotions are general purpose and are the most popular formulations. Several formulations are available for topical steroids, intended to suit the type of skin lesion and its location. The least absorption occurs through the thick skin of palms and soles, where a mild topical steroid is ineffective.Ībsorption also depends on the vehicle in which the topical steroid is delivered and is greatly enhanced by occlusion.The greatest absorption occurs through the thin skin of eyelids, genitals, and skin creases when a potent topical steroid is best avoided.After the first 2 or 3 applications, there is no additional benefit from applying a topical steroid more than once daily.Ī topical steroid is absorbed in different rates depending on skin thickness. There is little point in diluting a topical steroid, as their potency does not depend much on concentration and diluting the product does not reduce the risk of adverse effects. The amount that reaches the target cell.The potency of a topical steroid depends on: It is also important information to carry with you in case of emergencies.The effects of topical steroid on various cells in the skin are: You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. Tell your doctor if your skin condition gets worse or does not go away. If you still have symptoms of infection after you finish the nystatin and triamcinolone, call your doctor. Ask your pharmacist any questions you have about refilling your prescription. Do not apply dressings, bandages, cosmetics, lotions, or other skin medications to the area being treated unless your doctor tells you.ĭo not let anyone else use your medication. Do not let nystatin and triamcinolone get into your eyes, nose, or mouth, and do not swallow it. This medication is for external use only. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. See the FDA's Safe Disposal of Medicines website ( ) for more information if you do not have access to a take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Instead, the best way to dispose of your medication is through a medicine take-back program. However, you should not flush this medication down the toilet. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Keep this medication in the container it came in, tightly closed, and out of reach of children. ![]()
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