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Corticosteroids - topical (skin), nose, and eyes - Management
What information and advice should I give to a person receiving topical corticosteroids?

  • Explain about the potency of the topical steroid that has been prescribed, and if possible provide a written treatment plan, outlining:
    • How much to apply — explain finger-tip units (FTUs), and advise the person to apply the topical corticosteroid thinly to the affected area. If the person finds it difficult to understand FTUs, explain that they should ensure that the skin is slightly shiny after the cream is applied.
    • How long to apply— advise the person not to use topical corticosteroids for longer than prescribed.
    • How often to apply — once daily (or twice daily if absolutely necessary).
    • Where to apply — topical corticosteroids should not be applied to the face and other sensitive areas, except when advised.
    • How to apply — topical corticosteroids should not be mixed with other creams, except when advised. Advise the person to:
      • Use an emollient first, then wait at least 30 minutes before applying the topical corticosteroid (only after the emollient has been fully absorbed).
      • Avoid vigorously rubbing the topical corticosteroid into the skin. The corticosteroid should be applied gently in the direction of the hair growth to prevent occlusion folliculitis.
  • Reassure the person that, when used correctly, topical corticosteroids rarely cause serious adverse effects. However, advise that they should seek help if they notice any adverse effects (such as skin thinning, stretch marks, or acne).
  • Advise the person to carry a steroid treatment card if they are receiving long-term treatment (several weeks) with a potent or very potent topical corticosteroid.

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