Topical Corticosteroids

Question 1

How would TCS be normally prescribed ?

Answer 1

Once daily, continuous use one month ideally, but sometimes up to 3 months, depending on how soon symptoms clear. In some cases, a few applications per week for a few weeks to stabilise affected areas.

Question 2

Give three common TCSs used

Answer 2

Advantan- potent-(methylpred 0.1%); Sigmacort -Mild- (hydrocort 0.5%, 1%)); Elocon -Potent- (Mometasone 0.1%)

Question 3

Chronic phase of atopic eczema symptom differences ?

Answer 3

From acute, patients typically show lichenification and scaling as the ‘predominant features’ not just Eryth,Ves,Pap,Crust,Weep.

Question 4

Tell me some facts around emollients

Answer 4

Hydrate and improve skin barrier function, Reduces TCS usage. Twice daily, and applied on top of TCS application.

Question 5

For MPA, what are the types of carrier preparations available

Answer 5

Water to Oil mix: Cream(60:40) , Ointment (30:70), Fatty Ointment 0:100, Lotion (70:30)