Eczema and Topical Steroid Withdrawal: What You Need To Know

Well, the duration of topical steroid withdrawal syndrome varies from days to months, though your skin will return to its normal condition the recovery can be slow. If you’re having success with your topical steroid treatment, you needn’t let this put you off using a topical corticosteroid. When (and if) symptoms occur, know your skin will return to normal, though it may take time. Information about the risks and characteristics of topical steroid withdrawal reactions will be added to the Summaries of Product Characteristics and the Patient Information Leaflets for topical corticosteroid medicines.

  • For those who sought medical consultation, many had been given moderate-strength corticosteroids initially, but in the recent years before publication, potent corticosteroid preparations were commonly prescribed at the outset.
  • There are 2 groups of chemicals in foods that may trigger urticaria in some people –vasoactive amines and salicylates.
  • If you are concerned you may have TSW make sure you speak to your doctor,’ explains Dr Vyas.
  • Toxicity from topical steroids appears to bury itself deep in the fatty tissues of our bodies and it is thought that the residue left by the drug is extremely difficult to eliminate.
  • By this point I couldn’t sleep in a bed and had to sleep sat up on a stool so that only my bum was touching something.

Steroids (also known as corticosteroids) may be used to treat relapses in multiple sclerosis. The dose of steroid will be adjusted to reduce the risk of side effects. At first a high dose may be needed to bring the skin under control; the dose will then be reduced slowly, and phased out if possible. Since her severe reaction, doctors have faced a balancing act to keep symptoms of both Churg-Strauss syndrome and at bay.

Treatment for other conditions

These adverse events are experienced by patients shortly after stopping treatment, with a rebound of the original eczema that then spreads further. A rebound reaction on discontinuation is well recognised in the treatment of psoriasis and this is reflected in the product information of most topical corticosteroids. However, rebound in the context of eczema or atopic dermatitis is not mentioned in the product information of most topical corticosteroids.

  • This can be frightening, but it goes away when you stop taking the steroids.
  • However, they’re not usually recommended unless the potential benefits outweigh the risks.
  • For insect bites and stings, nappy rash or contact dermatitis you’ll probably only need to use hydrocortisone for up to 1 week.
  • The wide range of signs and symptoms and their similarity to those of other disorders makes Churg-Strauss syndrome challenging to diagnose.
  • This involves lowering your dose of steroids, whilst beginning the use of natural products.

You might have a burning or tingling sensation around your bottom during a steroid injection into a vein (intravenous). Your nurse will give the injection slowly to try and prevent this. Steroids can increase the number of white blood cells in your blood.

If your symptoms are very severe, your GP may prescribe other medications, such as a short course of corticosteroid tablets. A short course of steroid tablets (oral corticosteroids) may occasionally be needed for more severe cases of urticaria. If you suffer from topical steroid withdrawal, you should always consult your doctor as soon as possible. They will be able to give you an accurate diagnosis and initiate the best treatment for your situation.

Symptoms of adrenal crisis

Most topical corticosteroids are considered safe to use during pregnancy or breastfeeding. However, you should wash off any steroid cream applied to your breasts before feeding your baby. A couple of weeks later, I was left trying to battle both recovery and topical steroid withdrawal.

Steroid tablets that are taken for a short period of time are unlikely to cause side effects. Rinsing your mouth out with water after using your medication can help to prevent oral thrush. Using a device called a spacer with your medication can help to prevent many of the other problems.

Reason for the review

Before starting steroids, it is important that your MS team or GP check for signs of an infection, which should include a test for a urinary tract infection. If you are unwell, for example if you have a cold, a bladder infection or a stomach bug, you will often find that your MS symptoms get worse. Once you have recovered from the cold or treated the infection, your symptoms should start to improve.

In many cases, treatment isn’t needed for urticaria, because the rash often gets better within a few days. You may also be referred for a number of tests, including a full blood count (FBC), to find out whether there’s an underlying cause of your symptoms. Your GP will usually be able to diagnose urticaria by examining the rash.

Cetraben Natural Oatmeal Cream, Body Cream, Dry Skin Moisturiser Suitable For Sensitive and Eczema-Prone Skin – 190g

This is because angioedema is potentially more serious and can cause breathing difficulties. Treatment for chronic urticaria involves trying to control your symptoms and avoiding any triggers that make them worse. For most people, modern antihistamines don’t cause drowsiness, although there are some exceptions. See how you react to the antihistamine before driving or operating heavy machinery.

For insect bites and stings, nappy rash or contact dermatitis you’ll probably only need to use hydrocortisone for up to 1 week. Hydrocortisone butyrate is not normally recommended for pregnant or breastfeeding women. Only use this treatment if a skin specialist (dermatologist) prescribes it and supervises your treatment.


Rebound reactions may still benefit from treatment with a topical corticosteroid. This was a retrospective cohort study of patients in an Australian general practice presenting with this clinical scenario between January 2015 and February 2018. Women were 56% of the 55 patients seen, and ages ranged from 20 to 66 years (with a mean age of 32 years; and median age of 30 years). 60% had used potent topical corticosteroids on the face, and 42% had a history of oral corticosteroid use for skin symptoms.