Topical Steroids are Not to be used as a Rosacea Treatment
Steroids should never ever be prescribed
for rosacea as Dr.Kligman & Dr. Pleig state in their 1973 book, entitled Acne &
Rosacea, First edition and also in their second 1993 edition which harshly criticizes
dermatologists that prescribe steroids for rosacea.
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When a rosacea patient has treated for a prolonged time with
topical steroids the disorder may at first respond, but inevitably the signs of steroid atrophy
(skin tissue destruction or shrinkage) emerge with thinning of the skin and marked increase in
telangiectases and a weathered dry older appearing skin due to atrophy or skin death. The complexion
changes to a darker red. The skin surface begins to develop more deep papules and acne pustules, and
firm nodules. The appearance is most noticeable to the patients with a flaming red, peeling, and
papule-covered face. Steroid rosacea or 'steroid withdrawal' is an avoidable condition which,
in addition to disfigurement, is accompanied by severe discomfort due to pain and dryness. Steroid
withdrawal or 'steroid rebound' due to steroid treatment always increases the intensity of the rosacea skin
problem and thusly it should never have been prescribed. It was nice to have a temporary good result but the
long run results are devastating. Always avoid steroids or cortisones as the 'quick results gain are eventually
lost with a great sacrifice to the skin and overall health and confidence to the patient. Get off of steroids
as as quickly as possible to avoid steroid addiction and the resulting steroid withdrawal. Most dermatologists
know not to prescribe a steroid for the treatment of rosacea as they have been well educated.
A list of some of the more common steroids prescribed for
rosacea which should be avoided:
| Potency |
Generic name |
Trade name |
I - Ultra high
Up to 600 times as potent as Hydrocortisone |
Diflorasonediacetate .05% |
Psorcon |
| Clobetasolpropionate .05% |
Cormax |
| Clobetasolpropionate .05% |
Temovate |
| Halobetasolpropionate .05% |
Ultravate |
| Betamethasonedipropionate .05% in an optimized vehicle |
Diprolene |
| Halcinonide .1% |
Halog |
II - High
100-150 times as potent as Hydrocortisone |
Amicinonide .1% |
Cyclocort |
| Fluocinonide .05% |
Lidex |
| Desoximetasone .25% |
Topicort |
| Diflucortolonevalerate |
Nerisone |
| Fluticasonevalerate |
Cutivate |
| Hydrocortisone 17-butyrate |
Locoid |
| Betamathasone Dipropionate .05% |
Lotrisone |
| Methylprednisoloneaceponate .1% |
Advantan |
| Betamethasonevalerate .1% |
Valisone |
| Betamethasonedipropionate .05% |
Diprosone |
IV - Mid
2-25 times as potent as Hydrocortisone |
Diflorasonediacetate |
Florone |
| Prednicarbate .1% |
Dermatop |
| Triamcinolone Acetonide .02% |
Aristocort .02% |
| Triamcimolone Acetonide .05% |
Aristocort .05% |
| Clobetasonebutyrate .05% |
Eumovate |
| Fluocinolone Acetonide .005% |
Synalar 1/5 or (20% Synalar in Aqueous Cream) |
| Betamethasonevalerate .05% |
Valisone |
| Fluocinolone Acetonide .025% |
Synemol |
| IV - Mid |
Flurandrenolide |
Cordran |
| Mometasonefluroate |
Elocon |
| V - Mid |
Fluocinolone Acetonide .01% |
Synalar cream |
| Fluticasonepropionate |
Cutivate |
| Clocortolone pivalate .1% |
Cloderm |
| Betamethasonevalerate .02% |
Valisone |
| VI - Low |
Prednicarbate .05% |
Aclovate |
| Desonide .05% |
DesOwen |
| Hydrocortisone .2% |
Westcort |
| VII - Very low |
Hydrocortisone acetate .5-1.0% |
Efcortelan |
| Hydrocortisone 2.5% |
Anusol HC |
| Hydrocortisone 1.0% |
Aquanil HC |
| Hydrocortisone .5-2.5% |
Hytone |
| Aclometasonedipropionate .05% |
Perderm |
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