Lifestyle Changes to Combat Rosacea

The Effects of Topical Steroids on Rosacea

Steroids when applied topically to the skin in the treatment of eczema or psoriasis will often result in a condition known as steroid rosacea. Steroids will thin the skin causing vascular dilation. Often the blood vessels tear or stretch causing a spider vein appearance.

Steroid rosacea can be avoided. Be educated and question the reasoning of any doctor who prescribes a steroid in the treatment of rosacea or any other facial skin condition.

Discontinuing the use of the steroid will often result in a steroid withdrawal in which the skin having become dependant on the steroid reacts and the skin actually looks worse than the original condition you were trying to treat. To combat the effects of steroid withdrawal you may either try a limited duration of oral antibiotics or attempt to wean off the steroid by tapering down the dosage to minimize the withdrawal effect.

Steroids: "Never, never, never, ever prescribe steroids for rosacea," Dr.Kligman (Dermatology-University of Philadelphia) & Dr. Pleig (Dermatologische Klinik Und Poliklinik der Universität München, Germany) state in their 1973 book, entitled Acne & Rosacea, First edition. Likewise, their second edition in 1993 harshly criticizes dermatologists who prescribe steroids for rosacea.

A 'short' list of some of the more common steroids are:

Potency	Generic name	Trade name
I - Ultra high Up to 600 times as potent as Hydrocortisone	Diflorasonediacetate .05%	Psorcon
	Clobetasolpropionate .05%	Cormax
	Clobetasolpropionate .05%	Temovate
	Halobetasolpropionate .05%	Ultravate
	Betamethasonedipropionate .05% in an optimized vehicle	Diprolene
	Halcinonide .1%	Halog
II - High 100-150 times as potent as Hydrocortisone	Amicinonide .1%	Cyclocort
	Fluocinonide .05%	Lidex
	Desoximetasone .25%	Topicort
	Diflucortolonevalerate	Nerisone
	Fluticasonevalerate	Cutivate
	Hydrocortisone 17-butyrate	Locoid
	Betamathasone Dipropionate .05%	Lotrisone
	Methylprednisoloneaceponate .1%	Advantan
	Betamethasonevalerate .1%	Valisone
	Betamethasonedipropionate .05%	Diprosone
III - Mid 2-25 times as potent as Hydrocortisone	Diflorasonediacetate	Florone
	Prednicarbate .1%	Dermatop
	Triamcinolone Acetonide .02%	Aristocort .02%
	Triamcimolone Acetonide .05%	Aristocort .05%
	Clobetasonebutyrate .05%	Eumovate
	Fluocinolone Acetonide .005%	Synalar 1/5 or (20% Synalar in Aqueous Cream)
	Betamethasonevalerate .05%	Valisone
	Fluocinolone Acetonide .025%	Synemol
IV - Mid	Flurandrenolide	Cordran
IV - Mid	Mometasonefluroate	Elocon
V - Mid	Fluocinolone Acetonide .01%	Synalar cream
	Fluticasonepropionate	Cutivate
	Clocortolone pivalate .1%	Cloderm
	Betamethasonevalerate .02%	Valisone
VI - Low	Prednicarbate .05%	Aclovate
	Desonide .05%	DesOwen
	Hydrocortisone .2%	Westcort
VII - Very low	Hydrocortisone acetate .5-1.0%	Efcortelan
	Hydrocortisone 2.5%	Anusol HC
	Hydrocortisone 1.0%	Aquanil HC
	Hydrocortisone .5-2.5%	Hytone
	Aclometasonedipropionate .05%	Perderm

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Good health for your skin as well as your entire body may require a permanent lifestyle change that will reward you with a longer life and more beautiful skin to wear during those extra years.

Rosacea flushing is a complex interaction of several systems. Each of the following factors may affect your skin's appearance. CLICK ON THE LINKS BELOW FOR MORE INFORMATION ON THESE SYSTEMS...

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This page last updated: March 17, 2010