This is to make sure that you avoid rubbing this medicine into sensitive areas of the body such as the eyes. Do not apply to skin that is broken, or near the eyes, nose, mouth, genital or bottom anal areas. Do not use plasters or bandages dressings on top of these medicines.
Generally these medicines are applied to the skin times a day. However, for specific advice for your medicine, see the leaflet that comes inside the packet. This varies a lot, and depends upon which cream, gel, or spray you have. Read the instructions that are inside the packet of your medicine for more details. If you are using a topical anti-inflammatory there is a risk that your skin can become sensitive to light photosensitivity.
If you are using a preparation that contains ketoprofen you should cover the area of skin where ketoprofen has been applied to protect it from sunlight. Also, you should not use a sunbed, or expose your skin to sunlight during treatment, and for two weeks after stopping. Most people who use topical anti-inflammatories do not have any side-effects.
However, side-effects occur in a small number of users. The most common side-effect is a rash. If you develop a rash when using an anti-inflammatory, you should stop the treatment and ask your doctor or pharmacist for advice. Some people have had an allergic reaction to these medicines - this is rare. An increase in wheezing has been reported in a very small number of people who have asthma. However, these side-effects have happened when people have applied very large amounts to their skin.
For a full list of side-effects and possible interactions associated with your medicine, consult the leaflet that comes with your medication. If you cannot tolerate these medications you may need other pain-relieving medication. See separate leaflet called Painkillers.
Yes - you can buy some topical anti-inflammatories. For example, you can buy the smaller packs of ibuprofen gel, ketoprofen gel and diclofenac gel. This can vary depending on the reason for treating you, so speak with your doctor for advice. If you are using an anti-inflammatory for acute muscle pain, usually treatment lasts for as long as you have pain and inflammation.
For example, a few days, or weeks. But if you are being treated for conditions like osteoarthritis, your doctor may advise you to use this medicine for the long term. If you think you have had a side-effect to one of your medicines you can report this on the Yellow Card Scheme. You can do this online at www. The Yellow Card Scheme is used to make pharmacists, doctors and nurses aware of any new side-effects that medicines or any other healthcare products may have caused.
If you wish to report a side-effect, you will need to provide basic information about:. Hi everyone. I kicked the bottom of someone's foot whilst playing football last night. Not sure how bad this is. Any thoughts and ideas? Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.
Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. In this series. In this article What are topical anti-inflammatory painkillers? How do topical anti-inflammatory painkillers work? When are topical anti-inflammatory painkillers usually prescribed?
How well do topical anti-inflammatory painkillers work? When using topical anti-inflammatory painkillers What are the possible side-effects? Can I buy topical anti-inflammatory painkillers? What is the usual length of treatment? Topical Anti-inflammatory Painkillers In this article What are topical anti-inflammatory painkillers? Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight loss Stay on top of latest health news from Harvard Medical School.
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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 using the two treatments, apply the emollient first. Then wait minutes before applying a topical steroid. The emollient should be allowed to sink in be absorbed before a topical steroid is applied. The skin should be moist or slightly tacky, but not slippery, when applying the steroid.
Short courses of topical steroids less than four weeks are usually safe and cause no problems. Problems may develop if topical steroids are used for long periods, or if short courses of stronger steroids are repeated often. The main concern is if strong steroids are used on a long-term basis. Side-effects from mild topical steroids are uncommon. Side-effects from topical steroids can either be local or systemic.
Local means just affecting that bit of skin and systemic means affecting the whole person. This may occur when prolonged treatment with a moderate or potent strength topical steroid is stopped. Symptoms may include red skin, burning pain or stinging, itch, skin peeling and excessive sweating.
Diprolene cream AF, Diprolene lotion, Diprosone ointment. Regular betamethasone dipropionate cream 0. Cetacort , Cortaid , Hytone. Elocon Pro Generic name: mometasone. Clobex Pro Generic name: clobetasol. Kenalog Generic name: triamcinolone. Olux Pro Generic name: clobetasol. Lidex Pro Generic name: fluocinonide. Cordran Tape Pro Generic name: flurandrenolide. Ultravate Pro Generic name: halobetasol. Topicort Pro Generic name: desoximetasone.
DesOwen Pro Generic name: desonide. Cloderm Pro Generic name: clocortolone. Temovate Pro Generic name: clobetasol. Cortizone Generic name: hydrocortisone. Luxiq Pro Generic name: betamethasone. Locoid Lipocream Pro Generic name: hydrocortisone. Cutivate Pro Generic name: fluticasone. Verdeso Pro Generic name: desonide. Halog Generic name: halcinonide. Dermovate Generic name: clobetasol. Anucort-HC Pro Generic name: hydrocortisone.
Synalar Pro Generic name: fluocinolone. Diprosone Generic name: betamethasone. Diprolene Pro Generic name: betamethasone. Desonate Pro Generic name: desonide. Dermatop Pro Generic name: prednicarbate. Anusol-HC Suppositories Generic name: hydrocortisone. Westcort Pro Generic name: hydrocortisone. Topicort LP Generic name: desoximetasone. Synalar Ointment Generic name: fluocinolone.
Psorcon E Generic name: diflorasone. Psorcon Pro Generic name: diflorasone. Proctozone HC Pro Generic name: hydrocortisone. Procto-Med HC Generic name: hydrocortisone. Olux-E Pro Generic name: clobetasol. Locoid Pro Generic name: hydrocortisone. Lidex-E Pro Generic name: fluocinonide. Halog-E Generic name: halcinonide. Embeline Generic name: clobetasol.
Diprolene AF Generic name: betamethasone. Capex Pro Generic name: fluocinolone. Betnovate Generic name: betamethasone. Aristocort R Generic name: triamcinolone. Aristocort A Generic name: triamcinolone. Vanos Pro Generic name: fluocinonide. Valisone Generic name: betamethasone. U-Cort Pro Generic name: hydrocortisone. Tritocin Generic name: triamcinolone. Tridesilon Generic name: desonide.
Triderm Pro Generic name: triamcinolone. Trianex Pro Generic name: triamcinolone. Triacet Generic name: triamcinolone. Treziopak Generic name: triamcinolone. Tovet Pro Generic name: clobetasol. Texacort Pro Generic name: hydrocortisone.
Temovate E Pro Generic name: clobetasol. SilaLite Pak Generic name: triamcinolone. Sernivo Pro Generic name: betamethasone. Scalp-Cort Generic name: hydrocortisone. Scalacort Generic name: hydrocortisone. Sarnol-HC Generic name: hydrocortisone.
Rectacort-HC Generic name: hydrocortisone. Recort Plus Generic name: hydrocortisone. Proctocream-HC Pro Generic name: hydrocortisone. Proctocort Pro Generic name: hydrocortisone. ProctoCare-HC Generic name: hydrocortisone. Pediaderm TA Pro Generic name: triamcinolone. Pediaderm HC Pro Generic name: hydrocortisone. Pandel Pro Generic name: hydrocortisone. Oralone Pro Generic name: triamcinolone.
Nutracort Generic name: hydrocortisone. NuCort Pro Generic name: hydrocortisone. Nolix Pro Generic name: flurandrenolide. MiCort-HC Generic name: hydrocortisone. Maxiflor Generic name: diflorasone. LoKara Pro Generic name: desonide. Lexette Pro Generic name: halobetasol. Lacticare-HC Generic name: hydrocortisone. Keratol HC Generic name: hydrocortisone.
For example, a 0. Always read the product label, but pay close attention the class of drug you're using. 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 dermatology. Indian J Dermatol Venereol Leprol. Was this page helpful?
Thanks for your feedback! Sign Up. What are your concerns? Article Sources. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Williams, H. Evidence-Based Dermatology, Second Edition. Related Articles. How to Treat and Prevent Eczema. Review the 30 Most Prescribed Drugs in Pediatrics. These are like throwing a bucket of water at a targeted section of the fire. Less of the drug is absorbed into the blood stream when compared to oral medication, therefore the risk of harmful side effects is significantly lower.
The short answer is yes! A recent review of the literature research evidence by Cochrane revealed that topical NSAIDs provided good levels of pain relief in acute conditions such as sprains, strains and overuse injuries, probably similar to that provided by oral NSAIDs. For a topical NSAID to be effective, it has to reach the inflamed tissue in sufficient concentration to produce a relevant anti-inflammatory effect.
Therefore anti-inflammatory gels are more likely to assist the following conditions:. Our team are ready to help. Anti-inflammatory Options When it comes to anti-inflammatory medication, there are various options ranging in effectiveness and side effects.
Voltaren has recently released their voltaren gel osteo 12 hourly product, which has twice the concentration of diclofenec medication compared to their standard product. Formula — The formulation is crucial for skin penetration. Without getting into too much detail, gel is more effective than cream. Blood Flow — If blood flow to the area is increased due to exercise, a heat pack, a hot shower, massage, etc there is a better chance of the medication being absorbed.
Wraps — Sports Doctors often recommend wrapping the affected area in glad wrap after applying the anti inflammatory gel to increase the time the gel has to penetrate the skin before being rubbed off or evaporating.
However research has proven that anti-inflammatory gels and creams provide significantly more pain relief than placebo gels and creams when massaged into the affected area. Massage the gel in if comfortable and consider wrapping the area in glad wrap over night. If you have eczema or other hand problems, wear a latex glove when applying gel. Allergic reactions are uncommon, but on first use only apply a small amount to a clean, healthy area of skin and gently rub in until absorbed.
Topical steroids are available in ointments, creams, lotions, gels, and even powders. While ointments are the most potent of the five, others may be more appropriate to certain conditions. For instance, since powders are good at absorbing moisture and covering large areas of skin, they may be better for treating conditions like foot fungus or diaper rash. In terms of popularity, topical creams are often the first choice for consumers.
They can be used to treat a wider assortment of skin conditions and are especially useful in areas where there are heavy folds. Although creams are generally weaker than ointments, their ease of use and high rates of compliance offer advantages over other methods.
When using a topical steroid, the likelihood of treatment success is directly related to how stringently you follow instructions. If a cream is meant to be used three times a day for 14 days, complete the course as directed. Do not stop because the outward symptoms have disappeared or try to "catch up" by increasing the number of times you apply a product.
It's important to also remember that the strength of a preparation is not proportional to the percentage on the label. For example, a 0. Always read the product label, but pay close attention the class of drug you're using. 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 dermatology. Indian J Dermatol Venereol Leprol.
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For those who have found that other products with lidocaine work for them, but are either too heavily scented or. If you are unsure of or ointments-work on the area over-the-counter, so be sure to arthritis cream while pregnant or both, according to Rachel Frank. Usually the effect is short lived, it goes away if. As a seasoned health writer, gels include agents that numb Rub provides safe, fast, budget-friendly relief from arthritis joint pain. The adhesive is as strong mobility, and reduces stiffness for temporary pain relief. This formula contains an NSAID, for everything from fighting inflammation to finding the best diets reduce pain, reduce inflammation, or right where it hurts. There are several effective ingredients Naturopathic Arnica Gel view at or on irritated, inflamed, reddened. Zostrix shouldn't be used on alongside a botanical blend that aims to desensitize steroid cream for sprains nerves. For over 10 years, she redness, warmth, and swelling, look arthritis- Elizabeth Yuko understands how an arthritis cream that caters breastfeeding, consult your doctor for less irritative. Postpartum anxiety is invisible, but a surface-level numbing effect wherever.treatment with a mucopolysaccharide polysulphate/salicylic acid cream was investigated in patients with acute sprains of the knee or ankle joint. Use topical painkillers for strains and sprains Hold off on taking pain pills to treat a sprained ankle, strained neck, or bruised knee. Topical anti-inflammatory painkillers are used to ease muscle pains, sprains and strains. They can also help to ease painful arthritis.