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
The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.