Topical steroids

Steroid medications applied directly to the skin are called topical steroids. They fight inflammation, and so reduce itching and help keep the rash under control. Topical steroid come in many forms including ointments, creams, lotions, and gels. Because they come in different strengths you should not substitute one for another without consulting with your healthcare provider.

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They are generally safe drugs when used properly, although they can have side effects. For instance, they may cause thinning of skin, particularly on the face, which can make the blood vessels underneath appear more prominent. Topical steroids also can cause acne.

A commonly prescribed medium-strength topical steroid for atopic dermatitis is triamcinolone cream or ointment. A commonly used over-the-counter steroid cream or ointment is hydrocortisone.

Systemic steroid pills or liquids, like prednisone, generally aren't used to treat atopic dermatitis because of their side effects and because the rash often comes back after they are stopped.