Conditions which augment systemic absorption include the application of the more potent steroids, use over large surface areas, prolonged use, and the addition of occlusive dressings. Therefore, patients receiving a large dose of a potent topical steroid applied to a large surface area or under an occlusive dressing should be evaluated periodically for evidence of HPA axis suppression by using the urinary free cortisol and ACTH stimulation tests. If HPA axis suppression is noted, an attempt should be made to withdraw the drug, to reduce the frequency of application, or to substitute a less potent steroid.
Bentonite clay!!! Aztec Indian Healing Clay! Bathe in it for 1-2 hours, facial/hand masks for 30mins, drink two cups of it daily. It is helping me so much with my tsw journey I can not stress how powerful this thing is in helping my body detox from the many years of corticosteroid usage! Please help me spread this message to all TSW sufferers, we should not have to go through the hell that this sickness inflicts on us mentally, physically, and spiritually. Dead sea salt baths mixed with a cup of bentonite clay is double the effective!! Spread the word and do more research if you do not believe me!