If you forget to use a hydrocortisone skin treatment, do not worry. Just use it as soon as you remember, unless it's within a few hours of your next dose. In this case, skip the missed dose and go back to your usual routine. Mild hydrocortisone treatments are very safe.
Most people do not have any side effects when they use them for less than 4 weeks. Some people get a burning or stinging feeling for a few minutes when they put the hydrocortisone on their skin. This stops happening after you've been using it for a few days. You're more likely to have a serious side effect if you use a strong hydrocortisone treatment such as hydrocortisone butyrate or if you use hydrocortisone on a large patch of skin for a long time.
Using hydrocortisone for many months at a time can make your skin thinner or cause stretchmarks. Stretchmarks are likely to be permanent, but they usually fade over time. In rare cases, using hydrocortisone for a long time can slow down the normal growth of children and teenagers. Your child's doctor will monitor their height and weight carefully for as long as they're using hydrocortisone.
This will help them spot any slowing down of your child's growth and change their treatment if needed. Even if your child's growth slows down, it does not seem to have much effect on their overall adult height. It's extremely rare to have an allergic reaction anaphylaxis to hydrocortisone, but if this happens to you get medical help straight away.
These are not all the side effects of hydrocortisone. For a full list see the leaflet inside your medicine packet. Hydrocortisone creams that you buy from a pharmacy can be used in pregnancy or while you're breastfeeding. As a precaution, if you're breastfeeding, wash off any cream you put on your breasts before feeding your baby.
Hydrocortisone butyrate is not normally recommended for pregnant or breastfeeding women. Only use this treatment if a skin specialist dermatologist prescribes it and supervises your treatment. Your doctor will only prescribe hydrocortisone butyrate for you while you're pregnant or breastfeeding if the benefits of the medicine outweigh the risks.
For safety, tell your pharmacist or doctor if you're trying to get pregnant, are already pregnant or if you're breastfeeding. For more information about using hydrocortisone during pregnancy, read this leaflet about steroid creams and ointments on the Best Use of Medicines in Pregnancy BUMPs. It's very unlikely that other medicines — either prescribed or ones you buy from a pharmacy or shop — will affect the way hydrocortisone works.
Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. Hydrocortisone is a steroid also called a corticosteroid. Steroids help to reduce swelling inflammation in the skin and other parts of the body.
Skin gets inflamed when an allergic reaction or irritation causes chemicals to be released in the skin. These make blood vessels widen and the irritated skin becomes red, swollen, itchy and painful. This reduces symptoms like swelling, redness and itching.
For insect bites and stings , nappy rash or contact dermatitis you'll probably only need to use hydrocortisone for up to 1 week. For long-term skin problems such as eczema and psoriasis you may need to use hydrocortisone for longer.
To reduce the risk of side effects your doctor may recommend that you only use hydrocortisone for a few weeks at a time. Do not use a hydrocortisone on your face unless a doctor has told you to and given you a prescription for it. The skin on your face is delicate, so if hydrocortisone damages it, it's particularly noticeable.
Some common skin problems that affect the face, such as impetigo , rosacea and acne , can be made worse by hydrocortisone. Using hydrocortisone for a long time without stopping can mean some of the medicine gets into your blood. If this happens, there's a very small chance it can cause serious side effects, such as adrenal gland problems, high blood sugar hyperglycaemia , or problems with your eyesight.
If you have been using hydrocortisone for a long time, your doctor may tell you to gradually reduce the amount you use before stopping completely. But tell the doctor or nurse that you're using hydrocortisone cream so they can give the vaccine in an untreated area of skin.
Hydrocortisone for skin does not affect any types of contraception, including the combined pill or the emergency contraception. Hydrocortisone does not make you sleepy, so it's safe to drive, ride a bike, or use tools and machinery when using this medicine. Page last reviewed: 10 December Next review due: 10 December About hydrocortisone for skin Hydrocortisone skin treatments can be used to treat swelling, itching and irritation. They can help with the symptoms of: eczema psoriasis contact dermatitis prickly heat rash insect bites and stings nappy rash Most hydrocortisone skin treatments are mild and are available to buy from pharmacies.
They come as: cream ointment lotion Creams for nappy rash and other skin problems in children under 10 years old are only available on prescription. Other types of hydrocortisone There are other ways of taking or using hydrocortisone, including tablets and injections. Most people need to use hydrocortisone treatments once or twice a day for 1 to 2 weeks.
But if you buy it from a pharmacy or shop, do not use it for more than 1 week, talk to a doctor first. Never put hydrocortisone on your face unless your doctor says it's OK and has given you a prescription for it. It can make some skin problems worse like impetigo , rosacea and acne. Only use hydrocortisone skin treatments on children under 10 years old if a doctor recommends it.
Creams you can buy are not supposed to be used on the eyes, around the bottom or genitals, or on broken or infected skin. Hydrocortisone butyrate is stronger than other types of hydrocortisone for skin. It's only available on prescription and is known by the brand name Locoid. Most adults and children aged 10 years and over can use hydrocortisone skin treatments. Tell your pharmacist or doctor before starting the medicine if you: have ever had an allergic reaction to hydrocortisone or any other medicine have a skin infection or eye infection are trying to get pregnant, are already pregnant or you're breastfeeding.
Hydrocortisone is available as a cream, ointment and lotion. Hydrocortisone cream and ointment Creams are better for skin that is moist and weepy. Important: Fire warning Skin creams can dry onto your clothes and bedding. A fingertip unit is generally enough to treat both sides of your hand. A fingertip unit of cream Credit:. How to use skin cream or ointment Wash and dry your hands and then squeeze out the right amount. Spread the cream or ointment in a thin layer over the area of irritated skin.
Carefully smooth it into your skin in the direction the hair grows until it disappears. Use the cream on all the irritated skin, not just the worst areas. Be careful not to get the cream into broken skin or cuts. Wash your hands afterwards unless you are treating the skin on your hands. How to use hydrocortisone skin lotion Lotion is better for treating large or hairier areas of skin. You will usually use hydrocortisone skin lotion once or twice a day. Use a small amount of lotion on the affected areas of skin.
Wash and dry your hands. Facial perioral dermatitis, more commonly seen in females, presents with follicular papules and pustules on an erythematous background, with sparing of the skin near the vermillion border of the lips. Steroid-induced perioral dermatitis is differentiated from common perioral dermatitis by history and clinical examination.
Steroid-induced dermatitis has more erythema, inflammation, and scaling than its counterparts. Patients with steroid-induced dermatitis present with squeezed tubes of steroids that they have used and abused in hope of resolution of the skin condition.
Substitution of hydrocortisone for fluorinated steroids resulted in the improvement of steroid-induced perioral dermatitis. Steroid-induced protein degradation leads to dermal atrophy and loss of intercellular substance, which further cause blood vessels to lose their surrounding dermal matrix, resulting in the fragility of dermal vessels, purpuric hypopigmented, and depressed scars.
Tinea versicolor, onychomycosis, dermatophytosis and Tinea incognito [ Figure 3 ] are the common cutaneous infections aggravated by topical steroids. Granuloma gluteale infantum is a persistent reddish purple, granulomatous, papulonodular eruption on the buttocks and thighs of infants. It occurs when diaper dermatitis is treated with topical steroids.
Delayed wound healing may occur due to various reasons. Inhibition of keratinocytes may cause epidermal atrophy and delayed re-epithelialization. Inhibition of fibroblasts-reduced collagen and ground substance may result in dermal atrophy and striae. Inhibition of vascular connective tissue may cause telangiectasia and purpura. Delayed granulation tissue formation may be caused by inhibition of angiogenesis.
Contact sensitization may occur due to prolonged use of steroids and application of certain drugs e. It is associated with cream formulations of steroids more often than ointments. Contact sensitization to topical steroids occurs due to the binding to amino acid arginine as part of certain proteins. Contact sensitization to steroids must be differentiated from hypersensitivity to other constituents e.
Allergic contact dermatitis to topical steroids, presents as absence of response to treatment or as worsening of the dermatitis. It is usually seen in children with atopic dermatitis. Also, mild potent, steroids used commonly in children like desonide and hydrocortisone butyrate have an allergic property due to their structural instability.
Some commonly used potent steroids are rare allergens, e. Patients with atopic and seborrheic dermatitis on chronic topical steroids, develop a flare around the eyes within days after stoppage of steroids. Topical corticosteroids may induce tachyphylaxis with chronic use. This is why the frequency of application of ultrahigh-potency topical corticosteroids is reduced after the first 2 weeks to no more than four or five times a week. Initially, steroids are effective; however, as time passes, patients stop responding to the same topical steroid and require oral steroids.
A study has shown the association of trichostasis spinulosa with topical steroids. It is characterized by dark-brown, follicular papules involving the face, neck, upper chest, arms, and antecubital areas with a rough sensation on palpation.
On examination, tufts of hairs are visible projecting through each of the tiny papules. Treatment involves daily tretinoin 0. Striae due to steroids must be differentiated from those due to weight gain and pregnancy. Pathogenesis of striae, according to Shuster, is due to the cross linking of immature collagen in the dermis, resulting in intradermal tears causing striae [ Figure 4 ]. Persistent redness of the face, after peel or laser has been noted in patients using topical steroids before the procedure.
Women with status cosmeticus cannot tolerate makeup and complain of a continuous burning sensation after any application. Patients present with erythema and burning disproportionate to the redness. Examination reveals atrophy, telangiectasia, and acneiform papules. With steroid withdrawal, the atrophy eventually clears. Patients present with facial erythema and lichenification on the face, forearms and upper neck.
The difference between this condition and photo exacerbated dermatitis is that even though the rash is on the photo distributed area, it does not flare on sun exposure. The pattern of corticosteroid withdrawal is as follows: A week after corticosteroids are stopped, a mild erythema occurs at the site of the original dermatitis. This flare lasts for 2 weeks ending with desquamation. Dermatitis localized to the eyelids, face, scrotum, or perianal area often persists.
A second flare usually occurs within 2 weeks. This pattern of flare and resolution repeats itself but each time smaller duration of flares and longer resolution periods. The length of the time for which steroids had been used initially determines the duration of the withdrawal phase. The key to safe use of topical steroid is short term use of appropriate potency steroid. However, when the skin condition remains resistant to treatment or affects a particular sensitive area, the prolonged use of steroids is not advisable.
Selective glucocorticoid receptor agonists are being developed that have independent transrepression and transactivation action. This may lead to the development of a topical steroid without its adverse effects. Source of Support: Nil. Conflict of Interest: Nil. National Center for Biotechnology Information , U.
Journal List Indian J Dermatol v. Indian J Dermatol. Anil Abraham and Gillian Roga. Author information Article notes Copyright and License information Disclaimer. Address for correspondence: Dr. E-mail: ni. Received May; Accepted May. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. This article has been cited by other articles in PMC. Abstract Topical steroids, commonly used for a wide range of skin disorders, are associated with side effects both systemic and cutaneous.
Keywords: Cutaneous , adverse , steroids. What was known? Some of these side effects may seriously damage the skin. Hence, topical corticosteroids should be used with utmost caution. Introduction Topical steroids were introduced in , when Sulzberger and Witten first used topical hydrocortisone. Table 1 Adverse effects of topical steroids on skin.
Open in a separate window. Figure 1. Atrophy: Wrinkling and thinning of skin 4 weeks after irregular use of Mometasone. Physiology of skin atrophy due to topical steroids Topical steroids cause the synthesis of lipocortin, which inhibits the enzyme phospholipase A2. Pathogenesis of skin atrophy due to topical steroids Inhibitory effect on keratinocyte proliferation in the epidermis Inhibition of collagen 1 and 3 synthesis in the dermis Inhibition of fibroblasts and hyaluronan synthase 3 enzyme resulting in the reduction of hyaluronic acid in the extracellular matrix leading to dermal atrophy.
Steroid-Induced Telangiectasia Steroid-induced telangiectasia occurs due to stimulation of release of nitric oxide from dermal vessel endothelial cells leading to abnormal dilatation of capillaries.
It should be noted that preteens and teenagers who have never used corticosteroids can also get stretch marks. Permanent skin atrophy from topical corticosteroids is now extremely uncommon when the treatment is used properly. In the past, recommendations did not specify the amount, frequency and duration to apply topical corticosteroids. We now know that these medications are safest when used intermittently, in an appropriate quantity, and for an appropriate length of time.
Many patients with under-treated eczema have the opposite of skin thinning, and actually develop thickening, and sometimes darkening of the skin changes known as lichenification. Frequent and prolonged application of a topical corticosteroid to the eyelids can cause glaucoma and even cataracts. Topical corticosteroids can occasionally cause tiny pink bumps and acne, especially when used on the face and around the mouth. On the body, greasy corticosteroid ointments can rarely cause redness around hair follicles, sometimes with a pus bump centered in the follicle folliculitis.
The risk of adrenal suppression is highest with high potency Class corticosteroids. Infants and young children have a higher ratio of body surface area compared to their weight, so they are more susceptible to corticosteroid absorption. If a child is given corticosteroids by mouth, in large doses or over a long term, prolonged adrenal suppression can be associated with growth suppression and weakened immune responses. Risks of Topical Corticosteriods. Side-effects are unlikely to occur with short courses.
The terms eczema and dermatitis mean much the same. That is, an inflammation of the skin. It causes red, itchy skin which may also blister. See the separate leaflet called Atopic Eczema and one called Contact Dermatitis which provide a general overview of the conditions.
Topical steroids are creams, ointments and lotions which contain steroid medicines. Topical steroids work by reducing inflammation in the skin. They are used for various skin conditions, including eczema. Steroid medicines that reduce inflammation are sometimes called corticosteroids. They are very different to the anabolic steroids which are used by some bodybuilders and athletes.
Book a private appointment with a local pharmacist today to discover treatment options. There are many types and brands of topical steroid. However, they are generally grouped into four categories depending on their strength - mild, moderately potent, potent and very potent. Potent just means 'strong', but doctors tend to use the word potent. There are various brands and types in each category.
The greater the strength potency , the more effect it has on reducing inflammation but the greater the risk of side-effects with continued use. Creams which are usually white are usually best to treat moist or weeping areas of skin. Ointments which are clear, rather than white are usually best to treat areas of skin which are dry or thickened.
Lotions which are like thin creams may be useful to treat hairy areas such as the scalp. As a rule, a course of topical steroid is used when one or more patches of eczema flare up. The aim of treatment is to clear the flare-up and then to stop the steroid treatment. It is common practice to use the lowest-strength topical steroid which clears the flare-up.
This often works well. If there is no improvement after days, a stronger topical steroid is usually then prescribed. For severe flare-ups a very strong topical steroid may be prescribed from the outset. Sometimes two or more preparations of different strengths are used at the same time. For example, a mild steroid for the face and a moderately strong steroid for eczema on the thicker skin of the arms or legs. A very strong topical steroid is often needed for eczema on the palms and soles of the feet of adults because these areas have thick skin.
You should use topical steroids until the flare-up has completely gone and then stop using them. In many cases, a course of treatment for days is enough to clear a flare-up of eczema. In some cases, a longer course is needed. Many people with eczema require a course of topical steroids every now and then to clear a flare-up. The frequency of flare-ups and the number of times a course of topical steroids is needed vary greatly from person to person.
After you finish a course of topical steroid, continue to use moisturisers emollients every day to help prevent a further flare-up. See the separate leaflet called Moisturisers for Eczema Emollients for more details. For adults, a short course usually three days of a strong topical steroid may be an option to treat a mild-to-moderate flare-up of eczema.
A strong topical steroid often works quicker than a mild one. This is in contrast to the traditional method of using the lowest strength wherever possible. However, studies have shown that using a high strength for a short period can be more convenient and is thought to be safe. Some people have frequent flare-ups of eczema. For example, a flare-up may subside well with topical steroid therapy.
Then, within a few weeks, a flare-up returns. In this situation, one option that might help is to apply steroid cream on the usual sites of flare-ups for two days every week. This is often called weekend therapy. This aims to prevent a flare-up from occurring. In the long run, it can mean that the total amount of topical steroid used is less than if each flare-up were treated as and when it occurred.
You may wish to discuss this option with your doctor. Topical steroids are usually applied once a day sometimes twice a day - your doctor will advise. Gently rub a small amount see 'Getting the dose right - the fingertip unit', below on to areas of skin which are inflamed.
This is different to moisturisers emollients which should be applied liberally all over. Gently rub the cream or ointment into the skin until it has disappeared. Then wash your hands unless your hands are the treated area. The amount of topical steroid that you should apply is commonly measured by fingertip units FTUs. One FTU is the amount of topical steroid that is squeezed out from a standard tube along an adult's fingertip.
This assumes the tube has a standard 5 mm nozzle. A fingertip is from the very end of the finger to the first crease in the finger. One FTU is enough to treat an area of skin twice the size of the flat of an adult's hand with the fingers together. Two FTUs are about the same as 1 g of topical steroid. For example, say you treat an area of skin the size of eight adult hands.
You will need four FTUs for each dose. This is 2 g per dose. So if the dose is once a day, a 30 g tube should last for about 15 days of treatment. An FTU of cream or ointment is measured on an adult index finger before being rubbed on to a child.
Again, one FTU is used to treat an area of skin on a child equivalent to twice the size of the flat of an adult's hand with the fingers together. You can gauge the amount of topical steroid to use by using your adult hand to measure the amount of skin affected on the child. From this you can work out the amount of topical steroid to use. Most people with eczema will also use emollients. Emollients are different to topical steroids and should be used and applied in a different way.
When steroids were first used by dermatologists over 50 years ago, it was considered as a game changer for many patients with all sorts of skin diseases, such as eczema and psoriasis, got better. The steroid medications work mainly by shutting down the inflammation and suppressing the immune cells in the skin. You may have suspected that like the steroids you take by mouth, application of steroids on skin can have potential side effects such as easy bruising, acne, and spider veins.
The risk of getting these side effects depends on 1 the strength of steroids, 2 type e. Children have particularly sensitive skin compared to adults 19 , There is a greater chance for children to have side effects associated with steroid use. The British National Formulary warns that children especially susceptible to side effects when using topical steroids.
The organization recommends that steroids should be avoided, if possible, It also advocates to use steroids for short periods. The US Food and Drug Administration conducted a review of 24 most common topical steroids used for kids between the ages of 0 and 18 years old. Their results showed there were over reports of adverse effects seen. The study showed that mean age of patients who experienced side effects was 7. In many of these cases, the topical steroid was applied to the face and neck.
In general, most side effects were described as local irritation, skin discoloration, and scarring. However, there were reports of severe side effects were also observed. In order to limit and prevent side effects associated with topical steroids, here are 5 useful tips you should follow , 25 , :.
Overall, it is important to pay attention to where the topical steroid is being applied and how frequently the application is being used. With careful application, side effects may be reduced. Before we conclude, it is important to know that topical steroids are not just one drug. Instead, there are over 50 different types of medications. Aside from the type of forms e. Vasoconstriction test: this test examines the efficacy of steroids in inducing blood vessels to close and narrow Ultraviolet erythema test: a topical steroid is applied 24 hours prior to the exposure of ultraviolet rays.
Just seven hours into the exposure, redness is examined and treated sites are compared to untreated ones 5. Skin atrophy test: this exam looks for areas where the skin seems to be wasting away. The topical steroid gets applied to a specific area on the skin for 3 weeks and is given a score to rank the intensity of the side effect 7.
Depending on the location, the severity of rash and age of the patients, your doctor may prescribe different types of steroids. In general, for severe and extensive skin diseases, more potent steroids will be prescribed. This is a double-edged sword, meaning that stronger steroids are more effective in treating skin diseases. However, it also means that you will more likely to get the side effects. When topical steroids are used properly they can work wonders and have little side effects Unfortunately, like all drugs, steroids have many side effects.
So, have you ever used topical steroids? What were your results? Do you know anyone who is currently using steroids for long period of time? If so, please share this article and let them know about the potential harms associated with this class of drugs. When I have significant flare-ups of Erythema multiforme minor on my hands, I apply Triamcinolone Acetonide Ointment 0.
Could this exacerbate sleeping problems? I also take simvastatin and venlaxafine. Can you recommend an alternative to the topical corticosteroid? I have been taking steroid based oral ointment to treat my oral ulcer. Is there any connections? Should I stop the ointment? I m a hypothyroidism thyroid age 47, patient my skin is very dry and my city climate is also dry.
I have malasama on cheeks and nose as i was using a cream which had steroids which cause redness and spider veins as i stoped my face skin has become very dark plz advice me so that my complexion gets fair as it was plz plzplz reply. Thanks dear for sharing such beautiful information with us.
But here I have a very quick question that How we can realize our types of skin? Hope soon you will write a detailed article to give a complete info about my question. Share this post. Subscribe Sign up to receive news, updates and product discounts. You are correct! Most importantly, we want to share 5 easy ways to prevent and limit these side effects. Atrophy: Skin atrophy is defined as thinning of the skin, and this is by far the most common side effect.
It is generally accepted that all topical steroids can cause atrophy after prolonged use. Clinically, the atrophic skin tends to be more transparent, thinned, and fragile. It is believed that steroids suppress the cell growth and inhibit collagen production, which leads to the thinning of the skin.
Telangiectasia is defined as an increase in number and size of small blood vessels on the skin. Typically, blood vessels are not easily seen on the skin. Because of thinning of the skin, the blood vessels become more visible.
In addition, steroids stimulate the growth of endothelial cells cells that create the lumens of the blood vessels , which lead to increased proliferation of blood vessels. Epidermal barrier disturbance: The skin provides a protective barrier between our body and environment. The same inflammatory compounds that fight infection also dilate make larger tiny blood vessels in your skin called capillaries.
Steroids will help constrict blood vessels, which lessens inflammation and pain. Again, this is temporary and not addressing the root cause of the infection. The bigger problem is when people depend on topical steroids long-term. RBSS is common among people who depend on topical steroids for long-term management of their skin rash.
Over time, the skin becomes red and increasingly irritated, and the steroids become less and less effective at symptom management. TSA happens when your skin becomes dependent on the use of topical steroids. That means your rash becomes noticeably worse any time you stop applying corticosteroids. TSW was coined for those who actually experience worse symptoms once they stop topical steroid use. The main symptoms of TSW are redness and skin irritation that spreads outside the original treatment site.
Acute steroid withdrawal symptoms may gradually dissipate over a few days or weeks, but it can take months or even years for the skin to heal completely. Skin hypersensitivity can also persist but will improve over time. Although there is a lack of consensus among conventional dermatology about these conditions, one of the leading theories is that the constant use of topical steroids could potentially shut down cortisol production in skin cells known as keratinocytes 4.
Steroid creams were never meant to use long-term. Thinner skin can cause telangiectasia more on that in 3 , skin hypersensitivity, skin discoloration, and make your skin rash even worse over time 5. Telangiectasia is a condition where tiny blood vessels called venules form patterns on the surface of your skin.
In the case of telangiectasia via topical steroid use, you may see them on other parts of the body due to thinner and more sensitive skin. Many people regard spider veins as harmless albeit unattractive , but they can cause some discomfort, usually pain and itching. Discoloration can suppress melanin production, mostly on darker skinned individuals. Luckily, discoloration can correct over time. However, scarring is also possible with prolonged topical steroid use, especially when combined with sun exposure.
This is likely due to the loss of structural compounds in the skin that comes with long-term steroid use. What goes on your skin is also absorbed into your body! Adrenal suppression happens when steroids block the production of cortisol your main stress hormone over a prolonged period.
Over time, your adrenals will get the signal that they no longer have to produce cortisol, which results in cortisol insufficiency and adrenal atrophy 6. Anyone who takes steroids for longer than two weeks is at risk, and children are even more susceptible than adults. Use them sparingly! Topical steroids may help with inflammation and symptom control, but over time, they can make your rash even worse and cause other health issues. Reduce usage over time.
Instead, slowly reduce your usage over time or work with your doctor to taper use. Try topical CBD. Replace your topical steroids with non-psychoactive CBD balm. CBD contains anti-inflammatory and protective properties that may be able to control chronic flares from conditions like eczema and psoriasis 7, 8. Minimize fermented foods. Fermented foods are high in histamines, which can cause flares or exacerbate itchy skin.
You can minimize reactions to high histamine foods with a natural anti-histamine like Quercitin. Ditch anti-inflammatory foods. Replace inflammatory foods like gluten , sugar, and other highly processed foods with gut-friendly vegetables, bone broth, healthy fats, and pastured or wild-caught protein sources. Inflammatory foods only make your inflammatory response worse. Have you used topical steroid creams? Are you still using them to manage your skin rash symptoms?
Let me know in the comments below! She works with women who are fed up with chronic gut and skin rash issues discover the root causes and create a plan to get them back to a fuller, richer life. I was prescribed trimacinalone for a rash around my mouth and chin in It worked for a few months but would come back.
With repeated use, eventually my face flared up with tiny pustules with intense burning and itching. I went to see a new dr a year later and she prescribed me a different ointment to treat the effects and my rash went away. Recently this spring the redness returned and I used the ointment again and it had the same effect. I have an appointment to get a refill of the secondary medication to relieve the reaction from the steroid cream.
I was put on Clobetasol for 7 months for genital Lichen sclerosis and it only helped minimally. I reduced usage after bout 3 months but remined on it in spite of weight gain, fatigue, water retention and still itching! I actually found a clinical trial online after going off Clobetasol that was going to use Progesterone vs Clobetasol. Never total relief, but definitely better. The trial was cancelled for lack of recipients.