The development of effective topical steroid preparations was a major advance in the therapy of atopic skin diseases. More recently, alterations in the hydrocortisone molecule have produced increasingly potent preparations with the associated risk of local and systemic side effects, including suppression of the hypothalamic-pituitary-adrenal axis. When used judiciously as part of a carefully planned therapeutic regimen including emollients and, when indicated, antihistamines and antibiotics, topical steroids can play an important role in the management of atopic skin diseases.
12 years or older:
Cream, gel, ointment: Apply a thin film to the affected area once or twice a day.
Foam, lotion: Apply twice a day (once in the morning and once at night)
-Treatment should be limited to two weeks.
-Use should be limited to 45 g per week.
-This topical drug should not be used with occlusive dressings, unless directed by a healthcare provider.
-If an infection develops, appropriate antimicrobial therapy should be initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses