At New Shades, we believe education is an important part of healthy skincare.
The following article was written by pharmacist Kevin Puttergill and was originally submitted by Umtata Pharmacy, Transkei, Eastern Cape, South Africa, in June 1998. We share it as an educational reference regarding the long-term use and misuse of topical cortisone creams.
Cortisone Creams
Visit almost any dermatologist with a skin condition and chances are you may be prescribed a cortisone-containing cream or ointment. Many people will be familiar with products such as Persivate, Betnovate, Dermovate, Celestoderm, Quadriderm, Eumovate, Movate, Elocon and others containing cortisone or related corticosteroid ingredients.
These creams can be highly effective in the treatment of many skin conditions. Unfortunately, in some cases, the condition may flare up again once the cream is discontinued. When this happens, it becomes important to understand how these creams work and the possible effects of long-term misuse.
Cortisone works by suppressing inflammation rather than necessarily curing the underlying condition. It may therefore provide temporary relief of symptoms caused by rashes, irritants, or allergic reactions. However, where possible, the original cause of the irritation should also be addressed — whether this involves changing cosmetic products, avoiding allergens, or using protective measures.
Certain fungal infections may also appear to improve with cortisone creams, while the underlying fungal infection itself remains untreated. In these cases, the condition may continue to recur unless the fungus is properly treated with appropriate anti-fungal medication.
Side effects associated with prolonged use (especially longer than a few weeks) may include:
- Thinning of the skin
- Lightening or blanching of the complexion
- Damage to underlying tissue
- Steroid-induced acne
Ironically, cortisone creams are sometimes used in attempts to treat acne itself.
Because of their rapid visible effects, cortisone creams have unfortunately become widely misused and are often sold informally as “miracle cures” for various skin concerns. As with many health products, correct information and professional guidance are essential to avoiding long-term damage to both the skin and overall wellbeing.
Your pharmacist or family doctor is well qualified to advise you on appropriate skincare treatments and should always be consulted before prolonged use of prescription creams.
Kevin Puttergill
Pharmacist
Originally submitted by Umtata Pharmacy, Transkei, Eastern Cape, South Africa — June 1998.
Disclaimer
This article is provided for educational and informational purposes only and does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional regarding any skin condition or medication use.