Corticosteroid for the face: safety basics

Facial skin is often thinner and more sensitive than skin on other parts of the body. A corticosteroid may calm inflammation, but the suitable strength, amount, and duration depend on the diagnosis and the area involved. Unsupervised or prolonged use can cause irritation, acne-like spots, visible small blood vessels, or changes in skin thickness and colour. The same product may be appropriate for one condition and unsuitable for another, especially near the eyelids, lips, or broken skin.

Use the prescribed amount and apply it only where directed. Wash your hands before and after application unless the hands are the treatment area. Keep the product away from the eyes and do not cover the face with an occlusive dressing unless instructed. Tell the clinician about other creams, cosmetics, acne treatments, eye problems, and previous reactions. Never use a stronger product left over from another prescription. For general information, see Corticosteroid.

Stop and seek prompt advice if the face becomes markedly swollen, blistered, painful, or infected, or if a rash spreads quickly. Urgent care is needed for eye pain, vision change, swelling of the lips or tongue, or breathing difficulty. Arrange a review when symptoms keep returning, worsen despite treatment, or require repeated applications.

What condition are we treating, which strength is suitable, and how long should I use it? Should I avoid any cosmetics or other products, and what should I do if the skin changes?