When steroids don't work for eczema?

But they don't always work; learn why. Treating eczema doesn't always work the way you expect it to. Sometimes creams don't provide enough relief for those itchy, scaly spots on your skin. Steroid creams and ointments of different concentration levels are the basis of eczema treatment.

You can also learn that your skin doesn't heal for reasons that have nothing to do with your medication. Some of them may surprise you. While topical steroids sometimes help, they have many side effects (such as thinning skin, stretch marks, and discoloration). Fortunately, there is a wide range of other solutions that work just as well or even better.

Read on to hear how 7 seriously ill eczema sufferers finally found relief. Oral steroids, such as prednisolone, suppress the immune system. This means that the risk of bacterial, fungal and viral infection is higher, and live vaccines can cause problems. Therefore, people receiving prednisolone should consult their doctor if they feel sick, if they are exposed to measles or chickenpox virus or herpes zoster, and before getting vaccinated.

Because eczema sometimes improves over time, it's a good idea to stop using the corticosteroid after a while to see if you still need it. While topical steroids may be effective in improving inflammation in the skin of patients with eczema, research has confirmed the need to avoid long-term daily use of topical steroids. But for some, TSW can arise as a complication of topical steroid use, even leading to symptoms significantly worse than their original skin condition. If for some reason steroids should not be used, the drugs pimecrolimus or tacrolimus may be considered.

The term “topical steroid withdrawal” (also known as topical steroid addiction, steroid withdrawal syndrome, or red skin syndrome) refers to a constellation of symptoms that can arise in the days and weeks after a person stops using topical corticosteroids. For long-term treatment, it's best to use a topical steroid that is as strong as needed and as mild as possible. Topical corticosteroids (TCS) and hydrocortisone creams have been used in the treatment of eczema for more than 50 years and remain one of the most effective, inexpensive and widely used drugs in dermatology, without a current and affordable alternative that offers the same effectiveness. A standard approach to recovery from TSW is to stop using topical steroids and allow the skin to heal, although there is great variability in time, response, and symptoms with this approach.

While they have a lot in common, these different forms of eczema require steroid creams of different strength (strength) and different potency of ointments. People are often wary of using steroids because they have heard a lot of bad things about side effects. Others prefer to start with a low-strength corticosteroid and only switch to a stronger one if the first medication doesn't work well enough. But while steroid creams and ointments are the first line of treatment for eczema, they can worsen yeast infections.

Prednisolone is the most common oral steroid (not to be confused with topical steroids or anabolic steroids) used in the UK. A group of researchers wanted to find out how safe it is for pregnant women to use corticosteroid creams and ointments.

Matthew M. Cress
Matthew M. Cress

Fitness Trainer. Lab technician. General food junkie. Supplement researcher.