Topical Corticosteroids

Updated: May 19, 2020
  • Author: Abimbola Farinde, PharmD, PhD; more...
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Overview

Overview

Topical corticosteroids (often abbreviated to steroids) include creams, aerosols, lotions, gels, tapes, and solutions. They are applied externally to the skin or scalp, depending on the condition being treated.

Indications

Topical corticosteroid treatment is indicated for conditions characterized by inflammation, hyperproliferation, and immunological involvement. They can also alleviate symptoms of burning and pruritic lesions. [2]  

Preparations

Compared with other preparations, corticosteroid ointments provide more occlusion and lubrication. This preparation increases steroid absorption.

Corticosteroid creams contain water suspended in oil. Creams are generally less potent than ointments.

Gels and lotions and gels offer the least occlusion.

Shampoos, foams, and mousses are effective for treating the scalp. [2]

World Health Organization Classification of Topical Corticosteroids

The potency of a topical corticosteroid depends on the formulation, the specific molecule type, level of skin absorption, and amount that reaches the target cell. Potency is also increased when a formulation is used under occlusive dressing or in intertriginous areas. In general, ointments are more potent than creams or lotions. [1]

Ultra high potency topical corticosteroids

Group I

High potency topical corticosteroids

Group II

Group III

Moderate potency topical corticosteroids

Group IV

Group V

Low potency topical corticosteroids

Group VI

Group VII

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