Six misconceptions about medication for skin diseases

  There are more types of hormonal creams for skin diseases, and their side effects and adverse reactions are also more frequent. Many patients don’t know much about this and abuse hormone creams casually, which often backfires and aggravates the disease. In addition, some drug manufacturers over-emphasize the efficacy, so that consumers ignore the side effects and form many misconceptions: Misconception 1: Hormonal creams are the panacea for skin diseases Because hormones are immunosuppressive drugs that can induce or aggravate infections, they are not suitable for viral, bacterial and fungal skin diseases. For example, herpes simplex, skin tuberculosis, acne, folliculitis, ringworm, tinea corporis and ringworm are skin diseases that cannot be treated with hormonal creams, otherwise they will only aggravate the condition and delay the treatment.  Myth 2: Hormone creams can be used for a long time. When hormone creams are used in large quantities for a long time, skin atrophy and thinning, capillary expansion, skin flushing or bruising, bruising, dry skin, blackening or ichthyosis-like changes, as well as hair loss, hirsutism, hormonal acne, etc. may occur at the site of application. Long-term topical application of large amounts of hormone creams can cause systemic side effects through skin absorption. Many people suffer from osteoporosis and even spontaneous fractures in serious cases. Long-term use of hormones can also induce or aggravate infections and make the infected lesions spread and worsen. Some patients may develop gastric and duodenal ulcers, resulting in bleeding and perforation of the ulcer. Some patients also suffer from glaucoma and cataracts.  Myth 3: Children and the elderly can use hormone creams The body surface area of infants and children is relatively large, so their sensitivity to hormones is greater than that of adults. Therefore, infants and children should reduce the dosage of drugs as much as possible and use only low potency or hormone-free creams. Elderly patients with chronic diseases should use hormone creams with caution, especially those with hypertension, diabetes, heart failure, epilepsy and psychiatric disorders should not use too much of these drugs.  Myth 4: You can stop using corticosteroids immediately after the rash fades. Patients who use corticosteroid topical drugs for a long time can become habitually dependent or addicted, so you cannot stop using them suddenly after a long time. The normal function of the adrenal cortex of the body is inhibited after using corticosteroid creams for a long time, and once the medication is suddenly stopped, the condition may be aggravated due to insufficient secretion of hormones by the body. Therefore, if you need to stop using corticosteroid creams for a long time, you should gradually reduce the dosage until you completely stop using them.  Myth 5: You can apply hormones on your face Hormone creams used to make the facial skin of many women with red rashes become smooth, so they thought that hormone creams could also be used for skin care and wiped on their faces every day. They do not know that if they use hormone-containing creams for a long time, it will not only damage their appearance, but also accelerate skin aging. Therefore, do not use hormone creams indiscriminately to avoid damaging your own beauty.  In addition, when seborrheic dermatitis, rosacea, acne and other common skin diseases appear on the face, some patients apply hormonal creams on their own without seeking medical help. At first, the anti-inflammatory and immunosuppressive effects of hormones temporarily cover up the condition. Once the drug is discontinued, the condition quickly worsens and even forms a vicious cycle of the worse the more you smear, the more you smear the worse, forming the so-called “hormonal dermatitis”.  Myth 6: Pregnant women cannot take hormones orally or by injection, but they can wear hormones. The use of hormone ointments is prohibited in early pregnancy. Pregnant women are often combined with a variety of skin diseases, such as pregnancy herpes, pregnancy itchy rash, pregnancy pruritic urticaria and so on, the course of the disease can last for several months, after the delivery of the disease period can be self-relieved. Pregnant women can also choose oral and topical medium-acting corticosteroid treatment under the guidance of a doctor after delivery, but do not use large amounts of medication for a long time.  Hormonal creams should not be used or abused indiscriminately, but it does not mean that they cannot be used. We should strictly grasp the indications for medication when applying them. In general, the treatment can start with high efficiency corticosteroid topical drugs, such as dexamethasone, betamethasone, dexamethasone and dermatomycin, etc. After the condition improves, we can switch to low efficiency corticosteroid topical drugs, such as hydrocortisone. This can effectively prevent the occurrence of adverse reactions.