Are You at Risk? Understanding the Side Effects of Topical Corticosteroids
Published: Oct 30, 2023
While topical corticosteroids are effective, they come with potential side effects that can impact your health. This article highlights the risks associated with their use and how to minimize them.
Contents
Cutaneous Side Effects
Topical corticosteroids can lead to skin changes like thinning (atrophy), stretch marks (striae), and acne. These side effects are more common with potent formulations and prolonged use. They occur when the medication disrupts normal skin cell turnover, emphasizing the need for careful application and monitoring.
Systemic Concerns
Long-term use of high-potency corticosteroids over large areas can cause systemic effects, including hormonal imbalances and elevated blood sugar. Such risks increase with occlusion and application to thin-skinned areas, making it crucial to follow dosage recommendations and avoid overuse.

Avoiding Pitfalls
Common mistakes include using the wrong potency or formulation, leading to ineffective treatment or adverse effects. Proper patient education and adherence to prescribed regimens can prevent these issues. Always consult with a healthcare provider to ensure correct treatment practices.
Frequently Asked Questions
Thinning, stretch marks, and acne are possible side effects.
Yes, prolonged use of potent corticosteroids can cause hormonal imbalances.
Follow dosage instructions and avoid using high-potency corticosteroids for too long.
Yes, understanding proper use can prevent treatment failures and side effects.
Wrapping Up
Awareness of the risks helps in the safe use of topical corticosteroids.
References
- Hengge UR, Ruzicka T, Schwartz RA, Cork MJ. Adverse effects of topical glucocorticosteroids. J Am Acad Dermatol 2006; 54:1.
- Coondoo A, Phiske M, Verma S, Lahiri K. Side-effects of topical steroids: A long overdue revisit. Indian Dermatol Online J 2014; 5:416.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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