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Treatment for atopic eczema, topical steroids part 2

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Short bursts of high strength steroid as an alternative

For adults with eczema a short course (usually three days) of a strong topical steroid is often used to treat a mild to moderate flare-up of eczema. A strong topical steroid often works quicker than a mild one. (This is in contrast to the traditional method of using the lowest strength wherever possible. However, studies have shown that using a high strength for a short period can be more convenient and is thought to be safe.)

How do I apply topical steroids?

Topical steroids are usually applied once a day (sometimes twice a day - your doctor will advise). Rub a small amount thinly and evenly just onto areas of skin which are inflamed. (This is different to emollients which should be applied liberally all over.)

To work out how much you should use each dose: squeeze out some cream or ointment from the tube onto the end of an adult finger - from the tip of the finger to the first crease. This is called a 'fingertip unit'. One fingertip unit is enough to treat an area of skin twice the size of the flat of an adult's hand with the fingers together. Gently rub the cream or ointment into the skin until it has disappeared. Then wash your hands (unless your hands are the treated area).

Note: dont forget to use emollients as well when you are using a course of topical steroids. (Wait 30-60 minutes after you apply the steroid before applying emollients or vice versa.)

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