| name | Topical Corticosteroids |
| Classification | Anti-inflammatory, Topical |
| Pharmacokinetics | Topical corticosteroids are absorbed through the skin. The extent of absorption varies depending on the potency of the corticosteroid, the vehicle used (e.g., cream, ointment, lotion), the area of application, and the duration of treatment. High-potency corticosteroids have a higher risk of systemic absorption. Generally, absorption is minimal for properly applied, short-term use. Metabolism primarily occurs in the liver, and excretion is via the kidneys. |
| suggested dosage | Dosage varies significantly depending on the specific corticosteroid, the severity and location of the condition, and the patient's individual response. It is **crucial** to follow the prescribing physician's instructions. *Never* self-treat with topical corticosteroids. Precise dosage and duration of use should be determined by a healthcare professional. |
| indications | Topical corticosteroids are used to treat various inflammatory skin conditions such as eczema, psoriasis, contact dermatitis, atopic dermatitis, and some types of skin infections. |
| Safety in pregnancy | Topical corticosteroids are generally considered safe during pregnancy when used appropriately. However, systemic absorption is a concern, especially with high-potency formulations and extensive application. Consult a healthcare professional to weigh risks and benefits. It is important to use the lowest effective potency and appropriate duration. Avoid prolonged use or large areas of application. |
| Safety in breastfeeding | Topical corticosteroids are generally considered safe for use during breastfeeding, but it is crucial to use appropriate potency and avoid large application areas. Small amounts of the corticosteroid may be absorbed into the bloodstream and potentially pass into breast milk. However, systemic effects are typically minimal. Consult a healthcare professional. |
| side effects | | 1 | Skin atrophy (thinning of the skin) | | 2 | Striae (stretch marks) | | 3 | Telangiectasia (visible blood vessels) | | 4 | Perioral dermatitis | | 5 | Skin infection (secondary infection) | | 6 | Local skin irritation | | 7 | Burning/stinging/itching | | 8 | Rarely, systemic effects (e.g., Cushing's syndrome-like effects) with prolonged use or extensive application of high potency topical corticosteroids |
|
| alternatives | |
| contraindications | | 1 | Known hypersensitivity to any component of the medication | | 2 | Active skin infections (without appropriate treatment) | | 3 | Open wounds or lesions in the application area | | 4 | Use over large areas of skin for prolonged periods (without professional consultation) |
|
| interactions | | 1 | Possible interactions with other topical medications or systemic medications. Always inform your doctor about all medications you are taking. |
|
| warnings and precautions | | 1 | Avoid prolonged or excessive use. | | 2 | Do not use the medication on open wounds or broken skin. | | 3 | Do not use with other medications on the same area without consulting a doctor. | | 4 | If symptoms worsen, consult a healthcare professional. | | 5 | Do not share your topical corticosteroid with others | | 6 | Use sunscreen when applying topical corticosteroid |
|
| additional informations | Always follow the instructions provided by your physician. Self-medication can be dangerous and lead to complications. It is essential to have an open discussion about dosage and application with your doctor. |
| patient specific details | |
| important notes | | 1 | Patient's age, weight and gender are factors to consider in selecting the appropriate dosage, potency and duration of treatment for topical corticosteroids, but they are not the sole determining factors. A physician's assessment is crucial. |
|
