Over-the-counter topical local steroids

Other combination therapies may lack convenience but are also effective. In the patient with comedones and inflammatory lesions, a comedolytic agent such as tretinoin, adapalene or azelaic acid may be combined with benzoyl peroxide or a topical antibiotic. The combination of clindamycin and tretinoin causes less irritation than tretinoin alone. 30 In using tretinoin and the benzoyl peroxide–erythromycin combination together, the patient should alternate the products daily for two weeks to minimize irritation. When agents that cause irritation are used, patience is necessary, but the results may be well worth the wait.

■ 15 – 20 minutes: The onset of anesthesia begins at this point. The feeling of numbness is starting to spread out in the target area.
■ 45 – 60 minutes: The anesthesia has infiltrated the entire target area. The loss of sensation in the superficial layer prevents any feeling of pain or discomfort. Quick and simple dermal procedures can be performed at this stage.
■ 60 – 90 minutes: The peak of anesthesia effect. In most cases, this is the best time to start a more complex dermal procedure because the efficacy is at its highest.
■ 90 – 120 minutes: The duration of maximum anesthesia effect is approximately sustained up to this point.
■ 120 – 180 minutes: The anesthesia effect will gradually diminish. Re-application is highly recommended for another extended period of time.

Studies show some of the chemicals in coal tar may cause cancer, but only in very high concentrations, such as in what is used in industrial paving. Anyone using tar regularly should follow a regular skin cancer checkup schedule. California requires OTC coal tar shampoos, lotions and creams that contain more than percent coal tar to be labeled with cancer warnings. However, the FDA maintains that OTC products with coal tar concentrations between percent and 5 percent are safe and effective for psoriasis, and there is no scientific evidence that the tar in OTC products is carcinogenic.

Topical steroids are available as creams, lotions, gels and ointments; selection of an appropriate product can also provide good moisturization of the skin. The wide spectrum of potencies and bases allows these mediations to be used both effectively and safely while under the care of an experienced physician.

During flares, over-the-counter moisturizing preparations that include a topical corticosteroid (such as clobetasone butyrate and hydrocortisone) are helpful to control inflammation and restore the skin barrier. The intensive use of emollient-based products can reduce the need for topical steroids.

Over-the-counter topical local steroids

over-the-counter topical local steroids

Topical steroids are available as creams, lotions, gels and ointments; selection of an appropriate product can also provide good moisturization of the skin. The wide spectrum of potencies and bases allows these mediations to be used both effectively and safely while under the care of an experienced physician.

During flares, over-the-counter moisturizing preparations that include a topical corticosteroid (such as clobetasone butyrate and hydrocortisone) are helpful to control inflammation and restore the skin barrier. The intensive use of emollient-based products can reduce the need for topical steroids.

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