Topical Steroids

Overview

• Used for multiple inflammatory conditions

• Potency

  • Ranges from group 7 (least potent) to group 1 (most potent)

  • Important when considering percent absorption by body region, e.g.

    • 30% eyelids and genitals

    • 7% face

    • 4% axillae

    • 1% forearms

    • 0.1% palms

    • 0.05% soles

• Agent, frequency of use, and amount included in an initial prescription will vary based on condition and patient

  • The chart below is a general guide for starting treatment

  • Starting amount prescribed to children should be half the adult volume

• Duration

  • Generally, recommend use for 2 to 3 weeks and then discontinuing for two weeks before restarting

  • Steroids not be used for more than 4 weeks continuously