How To Use Steroid Creams For Eczema. [A Complete Guide]

Introduction

Welcome to our comprehensive guide on using steroid creams for eczema treatment safely and effectively. In this guide, we will explore the essential aspects of topical corticosteroids (TCS), including their proper use, timing, strength, amount, and potential side effects.

Steroid Creams for Eczema

Steroid creams, also known as topical corticosteroids, are an effective treatment option for eczema flare-ups. However, using them correctly is crucial to avoid potential side effects. Here are some important points to keep in mind when using steroid creams for eczema:

Timing is Key

The Steroid Goldilocks Rule recommends using steroid creams for 5-7 days on the face and neck, and a maximum of 14 days for the armpits and groin. Using steroids for too long or too short a period can be counterproductive.

Applying the Correct Amount

To use steroid creams effectively and safely, it's crucial to apply the correct amount. A finger-tip unit is the area taken up by your finger-tip and should be enough to cover an area the size of 2 palms, which is roughly the size of your whole face. Using more than this can lead to side effects, while using too little might not be effective in treating flare-ups.

Understanding Steroid Strengths

There are four different steroid potencies: Mild, Moderate, Potent, and Very Potent. The strength of the steroid prescribed will depend on factors such as eczema severity, the area being treated, and the patient's age. It's crucial to use the appropriate strength for the specific situation to achieve the desired results and avoid side effects.

Mild Steroids

Use: Sensitive areas like the face and neck.

Cautions: 5-7 days on the neck and 14 days elsewhere

Example: Hydrocortisone

Moderate Steroids

Use: Severe flare-ups on the face.

Cautions: 3-5 days on the face and neck, 14 days elsewhere.

Examples: Betamethasone Valerate and Eumovate

Potent Steroids

Use: On the body, not the face and neck.

Cautions: 14 days maximum.

Example: Betamethasone full.

Very Potent Steroids

Use: Eczema that hasn’t responded to other treatments.

Cautions: This is 1800x the strength of mild steroids, under expert supervision only.

Example: Dermovate

Potential Side Effects Of Steroid Creams

Steroid creams can cause side effects if misused, but these are rare when used correctly. Local side effects include skin thinning, stretch marks, and changes in skin color. Widespread side effects, more common in children, include adrenal gland suppression and failure to thrive. To minimize the risk of side effects, use the correct strength of steroids, avoid repeat prescriptions, and use the same preparation each time to avoid confusion.

Consult Your Healthcare Professional:

Always consult a healthcare professional and follow their advice on steroid strength and duration of use. By following their guidance, you can use steroid creams for eczema treatment safely and effectively.

Conclusion

Steroid creams are an effective treatment option for eczema flare-ups when used correctly. By following the Steroid Goldilocks Rule, applying the correct amount using the finger-tip unit, choosing the appropriate strength, and being aware of potential side effects, you'll be well-equipped to navigate eczema treatment confidently. Remember to consult your healthcare professional for personalized advice and guidance.