The Dangers AND Benefits of Steroid Creams | Dr Davin Lim
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- เผยแพร่เมื่อ 9 ก.ค. 2024
- What are corticosteroid creams?
Corticosteroid creams or CS are the mainstay of treatment. They are safe, provided you follow the instructions given to you by your dermatologist. There are different types of steroids based upon their concentration, potency & vehicle.
CS suppresses skin inflammation & this reduces the amount of damage to your pigment cells. One of the side effects of corticosteroids is excess hair production or hypertrichosis. This is a wanted outcome as pigment is derived from the cells that hide within the hair follicles.
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Are steroids safe?
Yes, however you will need to adhere to the directions. I choose an appropriate steroid preparation based upon the site of vitiligo. For acral patches, the concentration of corticosteroids is higher compared to facial vitiligo.
Side effects of steroid ointments & creams include- thinning of skin, acne eruptions, perioral dermatitis, bruising & systemic absorption. These side effects can be mitigated by following the instructions on the prescription.
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Corticosteroids reduce inflammation & can promote hair growth as a side effect (hypertrichosis). This increased hair growth can add more pigment cells in patches of vitiligo. Coupled with pigment stimulation light, re-pigmentation can be accelerated.
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My clinic: @Cutis_dermatology on Instagram
Website: www.cutis.com.au
Instagram: @drdavinlim @101.skin
Intro: (0:00)
Common conditions to use steroids: (0:27)
How to use: (1:09)
The BIGGEST mistake patients make: (2:27)
What are the side effects?: (3:22)
Summary: (5:07) - วิทยาศาสตร์และเทคโนโลยี
This information should be passed to all GPs because that when they give us and tell us to use as much as you want and as long as the skin is inflamed. 😤😤😤
Wouldn't touch any steroids in any form with a barge pole...
Sir , you should get a recognition for what you do worldwide. Cz you have no idea what you doing for those people who lose hope and confidence with acne and scars. You are no less than a hero. ❤
Dr. Lim, In your opinion, what is the best ratio of ceramides to fatty acids? Which moisturizer provides this ratio? Thank you.
Thank you .This has helped me to avoid the over use of sterioid cream after desired the result is quickly achieved in a short time to avoid thinning of the skin in the genital area
I thought the information sheet that are include with a lot of topical steroid said to try not use it for more than 2 weeks.
And why are a lot of doctors very quick to prescribe steroid? Why use it to treat infection when it suppresses the immune system? And did you mention Topical steroid withdrawal?
Great informative content! Have you ever used a topical steroid cream to treat inflamed PDO threads that you or the patient does not want removed/reopened surgically and adjusted? I also recall you have used topical steroids after an ablative laser procedure to mitigate swelling. Thank you!!
Thank you Dr. Lim for the video. I have both psoriasis and asthma. The first measure for my psoriasis was clobetasol shampoo and triamcinolone 0.1%. But i also have normal pressure glaucoma so its a delicate balance for steroid use. I only used the steroid shampoo 3 times for my entire scalp then got freaked out about it and stopped because i didn't want to accidentally get it in my eyes.
Now I'm on Skyrizi which so far has alleviated the need for topical steroids. But every fall my asthma gets bad so now I'm on inhaled steroids. Hopefully my IOP will be ok when i see my glaucoma doctor next month.
I had many types of psoriasis and i personally vote that the inverse psoriasis was the worst, so using triamcinolone was not a hard sell for me
Why i didn't have you as my dermatologist 20 years ago. Now i'm going through hell with TSW cause my dermatologists at that time keep giving me stronger and more steroids whenever my flare rebound. Also I was never given any advisory regarding the use of Topical Steroids except it can thin your skin, so moisturize moisturize moisturize. Which they always harp on.
what about steroid cream withdrawal, isnt steroid cream just masking symptoms in regards to eczema
If you’ve had a one time exposure to a trigger (say a fragrant laundry detergent at a hotel while on vacation, for example), then it’s an effective tool to take control of the situation. It’s not the answer, just a resource. These creams are just part of a whole plan of action. With eczema, there’s typically never just a ‘single’ source cause of the chronic ailment, and it’s unreasonable to think you can not only identify all triggers, but also avoid them.
Steroid withdrawal is a real thing, in my anecdotal experience, but ideally you shouldn’t be using these creams as a main treatment option long enough to reach that point. Maybe they take the bulk of inflammation away and then standard moisturizers keep the rest in check. You’re not trying to ‘mask symptoms’ for the rest of your life. They’re situational tools.
I’ve been prescribed steroid cream for many of my skin conditions. It treated my conditions. So no, it’s not masking if used correctly.
In case your wondering, my eczema flares several times a year and each time I will be prescribed topical steroid cream and some oral medications. My derm is meticulous about the cause of the flares. So we got it under control pretty well. In short, address the trigger and treat it. After that it’s all about prevention.
hi, i have ichthyosis from birth head to toe, i think its bullous ichthyosis (red skin). any advice ir recommendations? i want to stop the shading of the skin cells, my skin regenerates too fast, will any steroid applications work on my condition?
you are amazing
My perioral dermatitis was not caused by steroids, it was caused by too many products and heavy moisturisers. It is not clearing with Isotretinoin and nothing is working :(
Have you been patch tested to see what chemical agents you may have topical allergies to?
How long are we talking here? 3 weeks? 3 months?
Desonide is the only thing that gets rid of my redness
What concentration is med-high?
Pls give numbers.
Is 0.5% Steroid cream low dose and will still give bad side effect?
I’d like to know this as well. I put an over the counter 0.5 on my neck rash. It really helped. Just used it today. Now I’m concerned
Anything over the counter is not considered potent. For example, when he says moderate to potent, those can be around 50x stronger than 1% hydrocortisone OTC
I thought topical steroids also suppress the immune system? Is that the same thing as reducing inflammation?
No. Corticosteroid acts like the cortisol hormone your skin and body produces that constrict the blood vessels in your skin which reduces the redness and inflammation. The steroid also suppresses the immune system and increase your risk of infection.
Can steroid creams cause mood swings?
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Lets be realistic. You know absolutely nothing about the timeframes to use, how much and where to put it. But more so to get patients addicted so they get all the conditions you listed which are a result of being addicted to topical steroids 😅