Browse Medications by Drug Class: Topical Corticosteroids

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by James Wong
Pharm.D • NiHowdy Founder
Published Jan 15, 2025

What are Topical Corticosteroids?
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List of drugs in Topical Corticosteroids
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Brief history about Topical Corticosteroids?
How do Topical Corticosteroids work?
What are Topical Corticosteroids used to treat?
Eczema (Atopic Dermatitis)
Topical corticosteroids are the first-line treatment for eczema, a chronic condition characterized by red, itchy, and inflamed skin. These medications rapidly reduce inflammation, alleviate itching, and prevent the formation of rashes and skin lesions. Mild corticosteroids, like hydrocortisone, are commonly used for sensitive areas such as the face, while stronger options like betamethasone are reserved for severe cases or thicker skin areas like the elbows and knees. Consistent use during flare-ups helps restore the skin's natural barrier and prevent secondary infections caused by scratching.
Psoriasis
For psoriasis, a chronic autoimmune condition causing red, scaly patches on the skin, topical corticosteroids play a crucial role in reducing inflammation, redness, and scaling. Potent corticosteroids, such as clobetasol, are effective for localized plaques on areas like the scalp, knees, and elbows. Lower-potency corticosteroids are often used for maintenance therapy or on sensitive areas like the face or groin. These medications help slow down the overproduction of skin cells and improve the appearance and comfort of affected areas.
Contact Dermatitis
Corticosteroids are widely used to treat contact dermatitis, an inflammatory reaction caused by exposure to allergens or irritants like poison ivy, detergents, or chemicals. They help calm redness, swelling, and itching, allowing the skin to heal. Quick application after exposure can prevent the reaction from worsening. Depending on the severity, healthcare providers may prescribe a mild corticosteroid for mild irritations or a stronger one for severe allergic reactions.
Seborrheic Dermatitis
Topical corticosteroids are effective in managing seborrheic dermatitis, a condition characterized by flaky, red patches on oily areas of the body, such as the scalp and face. They reduce redness and itching and are often used alongside antifungal treatments to address the yeast that contributes to this condition. Low-potency corticosteroids are preferred to minimize the risk of skin thinning in these sensitive areas.
Vitiligo
In vitiligo, an autoimmune condition causing loss of pigmentation in patches of skin, corticosteroids are used to stimulate repigmentation by suppressing the immune response that attacks melanocytes. Mid-potency corticosteroids are typically applied to affected areas during the early stages of the condition. Regular use under a healthcare provider's supervision can improve cosmetic outcomes and slow the progression of depigmentation.
Insect Bites and Stings
Mild corticosteroids are effective in relieving swelling, redness, and itching caused by insect bites or stings. They provide quick, localized relief and prevent further irritation or scratching that could lead to infection. In more severe reactions, stronger corticosteroids may be prescribed to control inflammation.
Who should consider Topical Corticosteroids medications?
Adults
Topical corticosteroids are commonly prescribed for adults with a wide range of inflammatory skin conditions, such as eczema, psoriasis, or contact dermatitis. They are particularly effective for individuals requiring targeted treatment to manage localized symptoms without systemic side effects. Adults with chronic skin conditions may use these medications intermittently during flare-ups or as maintenance therapy under a healthcare provider's guidance.
Children
Children with skin conditions like eczema or diaper dermatitis often benefit from low-potency topical corticosteroids. These medications are safe when used as directed, with healthcare providers carefully monitoring application duration and areas of use to minimize potential side effects, such as skin thinning.
Seniors
Seniors with conditions like psoriasis, lichen planus, or autoimmune skin diseases may require topical corticosteroids to manage localized symptoms. Age-related changes in skin thickness and sensitivity necessitate cautious use of these medications, with healthcare providers tailoring potency and frequency to individual needs.
Are Topical Corticosteroids safe?
Can I take Topical Corticosteroids during pregnancy?
Are Topical Corticosteroids safe to take while lactating?
Are Topical Corticosteroids controlled substances?
Side effects of Topical Corticosteroids?
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