Doctor insights on:
Prednisone Topical Steroids
Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more
Poison ivy on my left eyelids. Topical or oral steroids? Got a shot and 13 day prescription, tapering 60 to 10 mg (Prednisone)
Depends on risk: We can't give specifics in this forum. Poison ivy is contact dermatitis; peaks around 3-5 days after exposure, lasts 14-21d. Assuming "shot" is systemic steroids; some last 3 wks, others days. Must weigh risks of steroids, systemic (oral+shot) vs. topical (HTN, diabetes, GERD, osteopenia, AVN, glaucoma, cataracts, etc), which include current health status, timing, duration, potency, frequency, etc ...Read moreSee 1 more doctor answer
Steriod Classes: There are several classes of corticosteroids (class a, b, c, d1, d2) if you are allergic to a class a steroid like Prednisone (oral) you are likely to be safe with a different steroid from the another class. However, there are sometimes cross reaction of allergy between classes. You should discuss with a dermatologist who does allergy testing called "patch testing" to be sure. ...Read more
Yes: The use of topical steroids is for a variety of cutaneous, mucosal and occular conditions to name a few. This also includes your pets. They are safe but like any medication you take they can have side effects. Theirs can include allergic reaction to the product, infection, tissue atrophy if you use too high a amount on thin skin. The safety is similar in women, men, children, pets, etc. ...Read more
I'm told I have a condition that is exacerbated by "medium to high doses of topical steroids". How does one quantify this "medium to high" dosage?
Not enough info: What condition are you talking about?Get a more detailed answer ›
Protect: Avoid things that make you break out, soaps & wetness. Wash your hands only when necessary. Wear gloves when needed. Wear clothes made of cotton. Bathe only with a small amount of mild unscented soap, such as dove. Keep the water temperature cool or warm, not hot. Use the medicine your doctor gave you. Use a plain moisturizer daily. Avoid scratching or rubbing the itchy area. Manage stress. ...Read moreSee 2 more doctor answers
Better absorption &: I am assuming you are talking about sex steroids like Estradiol or testosterone. Fewer side effects are likely, because they do not go through the liver first. If you are talking about corticosteroids, the medicine is on the skin at a higher concetration, sparing the body of steroid aside effects. They are used for inflammatory skin issues. Most forms are creams and ointments, not gels. ...Read more
Which is better for rhinitis and why? Giving topical vasoconstrictor before topical steroid or vise versa?
Both, timing is key: A topical vasoconstrictor helps as a decongestant very quickly but can cause rebound if used regularly. Topical steroids are the most effective treatment for allergies and do not cause rebound. If ones nose is extremely congested, use vasoconstrictor before nasal steroid, but limit vasoconstrictor to less than a week. ...Read moreSee 1 more doctor answer
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