A correct view of hormone creams

  At present, eczema and dermatitis diseases account for a high proportion in clinical practice, and hormone creams are essential drugs for the treatment of eczema and dermatitis. However, due to multiple propaganda, patients and friends are often “afraid of hormones” and always think that topical hormones will have various side effects or dependence. In fact, if used correctly, the side effects of hormone creams can be avoided. Many patients in the clinic have various questions about hormone creams, so the main questions are summarized below to answer.  1.What diseases can use hormone creams?  Allergic allergic skin diseases, such as neurodermatitis, coin-shaped eczema, seborrheic dermatitis, limited psoriasis, discoid lupus erythematosus, etc.  2.Contraindications of hormone creams (these diseases should not use hormone creams): Bacterial infections (such as impetigo, folliculitis, boils), viral infections (such as lichen planus, chickenpox, herpes zoster), fungal infections (such as ringworm, ringworm) and other skin diseases.  3. How much ointment should be used is appropriate?  Patients with lesions of different sizes usually don’t know how much they should smear, and the usual wrong usage is to apply too much. A standard reference for you is the international “fingertip unit”.  4.How long to use?  Generally, hormone creams can be used 1-2 times a day, not more, because 1-2 times can achieve the effect, the number of times will not enhance the effectiveness, but increase the side effects. Usually the rash should be stopped after it subsides, but it is better to stop the medication intermittently by using a small amount once every other day, then every 2 days, then every 3 days, and so on, gradually stopping the medication, if the medication is stopped suddenly, it may increase the chance of recurrence or rebound. The total time of use should not exceed 3 weeks for super strength creams and 3 months for medium or strong strength creams. When medium or weak-acting creams need to be used for a longer period of time, intermittent application is better than long-term continuous application, for example, 5 days with 2 days off, or one week with one week off. Uninterrupted application for too long can lead to hormone dependence.  5. Is there a difference between different areas?  For example, if the skin of eyelids, underarms, groin and pubic area is very thin, try not to use hormone creams, if you have to apply them, it is better to choose weak hormones. If the skin of hands, feet, back and other parts is thicker, the effect of using weak hormones will not be ideal, and strong or super strong hormones need to be used.  6.Does it make a difference if the skin lesions are different?  Generally, new lesions can be used directly. Many chronic lesions are already very thick and it is very difficult to absorb the drug, so you can use plastic wrap for half an hour after applying the drug to promote drug absorption. Also note that hormone creams should not be used on broken skin.  In conclusion, hormonal creams are the most commonly used drugs for many skin diseases, and patients should not be afraid to use them correctly to avoid their side effects. In addition, do not use them on your own. Please go to a regular hospital to see a doctor for the most suitable medication for your skin disease.