Principles of prescribing and guidelines for use of topical steroids in dermatology practice

Corticosteroids have been proven invaluable topical agents in treating a variety of inflammatory conditions affecting skin. They are to be used with caution in any patient in order to avoid untoward effects, which can be mild and respond readily to discontinuation of the corticosteroid agent, or be severe and even life-threatening in their impact. Not only must the agent used and its potency be considered when prescribing, but the properties of its vehicle, duration of therapy, and site of application can all affect the degree of systemic absorption and severity of side effects. None of these products can be considered safe under all circumstances. Some general principles and guidelines on prescribing topical steroids are discussed in this article