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A 25-year-old female asked:

Lichen simplex on vulva - been on clobetasol 2 months daily, struggling to reduce to every other day without severe itching. worried abt staying on it?

2 doctor answers4 doctors weighed in
Dr. Natalie Sieb
Family Medicine 15 years experience
Considerations: Although it's true that staying on high potency topical steroids long term has adverse effects over time,it is the mainstay of therapy for vulvar lichen simplex.You might consider discussing the following medications with your doctor as other options: Doxepin cream,capsaicin cream, topical aspirin/dichlormethane,topical immunomodulators like tacrolimus and pimecrolimus,even local botox.Good luck!
Dr. Milroy Samuel
Obstetrics and Gynecology 25 years experience
Difficult: In addition to clobetssol keep the affected area well moisturized. Using select lotions twice a day on a regular basis can make a significant difference.

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Last updated Mar 8, 2015

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