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Thread: is this safe???

  1. #1
    Senior Member bentherebefore's Avatar
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    Default is this safe???

    I just visited a new derm.

    He prescribed for me the following meds:
    Nicomide (Niacinamide, Zinc, copper, and folic acid tablet)
    Solodyn (90 mg Minocycline)
    Finacea
    Aclovate (steroid cream)

    My ears are by far the worst part of my face, and the steroid cream is just for my ears.

    When I asked him, Aren't steroids very dangerous for rosacea?, he said, "Well, that's why I'm prescribing it to you for only two weeks."

    Should they ever be used? Is it safe? Input is appreciated!
    Subtype-1: Cheek and ear flushing
    Currently: IPL

  2. #2
    Senior Member Twickle Purple's Avatar
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    Default

    That's a valid concern. One that your derm must have balanced out when he looked at the best course to treat your symptoms.

    Non-fluorinated cortisone is less potent and causes less side effects, Aclovate is one of these. That being said even Hydrocortisone can cause problems in prone skin. A mild cortisone can be helpful when the flares are especially bad. The goal is to use the least potent formulation for the shortest duration to achieve the desired outcome, otherwise you may experience rebounding and exacerbation of symptoms.

    Here's the steroid rundown:

    Each level is exponentially more potent then the one below it,
    e.g., Topical Steroid Group I is very potent and up to 600 times as potent as hydrocortisone.
    As well, cream has less potency than ointment.

    Topical Steroid Group I

    * Clobetasol diproprionate 0.05% (Temovate)
    * Betamethasone diproprionate 0.25% (Diprolene)
    * Halbetasol proprionate 0.05% (Ultravate)
    * Diflorasone diacetate 0.05% (Psorcon)

    Topical Steroid Group II

    * Fluocinonide 0.05% (Lidex)
    * Halcinonide 0.05% (Halog)
    * Amcinonide 0.05% (Cyclocort)
    * Desoximetasone 0.25% (Topicort)

    Topical Steroid Group III

    * Triamcinalone acetonide 0.5% (Kenalog, Aristocort cream)
    * Mometasone furoate 0.1% (Elocon ointment)
    * Fluticasone proprionate 0.005% (Cutivate)
    * Betamethasone diproprionate 0.05% (Diprosone)

    Topical Steroid Group IV

    * Fluocinolone acetonide 0.01-0.2% (Synalar, Synemol, Fluonid)
    * Hydrocortisone valerate 0.2% (Westcort)
    * Hydrocortisone butyrate 0.1% (Locoid)
    * Flurandrenolide 0.05% (Cordran)
    * Triamcinalone acetonide 0.1% (Kenalog, Aristocort A ointment)
    * Mometasone furoate 0.1% (Elocon cream, lotion)

    Topical Steroid Group V

    * Triamcinalone acetonide 0.1% (Kenalog, Aristocort cream, lotion)
    * Fluticasone propionate 0.05% (Cutivate cream)
    * Desonide 0.05% (Tridesilon, DesOwen ointment)
    * Fluocinolone acetonide 0.025% (Synalar, Synemol cream)
    * Hydrocortisone valerate 0.2% (Westcort cream)

    Topical Steroid Group VI

    * Prednicarbate 0.05% (Aclovate cream, ointment)
    * Triamcinalone acetonide 0.025% (Aristocort A cream, Kenalog lotion)
    * Fluocinolone acetonide 0.01% (Capex shampoo, Dermasmooth)
    * Desonide 0.05% (DesOwen cream, lotion)

    Topical Steroid Group VII

    * Hydrocortisone 2.5% (Hytone cream, lotion, ointment)
    * Hydrocortisone 1% (Many over-the-counter brands)

    Happiness is a choice.

  3. #3
    Moderator phlika29's Avatar
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    Default

    I checked the steroid question just the other day with my doctor and he confirmed with limited use then no long lasting problems should occur. So as long as the cream is of low potency then applied thinly for a couple of weeks should be okay.

    Depending on what the steroid is being used to clear I would use it for as short as time as possible. Just long enough long for the symptms to disappear (for me that usually about a week).

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