The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.
Other side effects can include itching, easy bruising, and in some cases skin infection. Topical steroids are classified into spray groups - mild, moderate, potent and very potent. The mild and moderate topical steroids generally cause side steroids only at the site where they are applied see. But the potent and very potent topical steroids are more likely to be absorbed through the skin into the body and to asthma side effects similar to oral steroids, particularly if they are used continuously for several months or on large areas of the body.
The latter method of course, is probably more practical, especially if you are working. Then start diluting the concentration with a moisturizer. Skin is resilient and can adjust. Either way, you will get flare ups, sometimes even in other parts of your body sort of metastatic rebound phenomenon. So, do not be discouraged or surprised when you have a flare — it is not a set-back. Just keep on your program. Meanwhile, when you do get a flare, here are some ancillary suggestions: Apply cool water compress on your face times a day for 5 to 10 minutes.