Topical corticosteroids (also known as topical steroids) are often used to treat eczema and come in several forms including creams, ointments and lotions. Like many treatments, they can have side effects, many of which are known, however the group of side effects known as Topical Steroid Withdrawal (TSW) are often less well understood. 

In response to concerns, the Medicines and Healthcare products Regulatory Agency (MHRA) and the Commission on Human Medicines (CHM) carried out a review into the available safety evidence for the risk of topical steroid withdrawal reactions.

This review concluded that when used correctly, topical steroid medicines are safe and effective treatments for skin disorders. However, if used very often or continually for a prolonged time, there have been reports of withdrawal reactions after they are stopped. A particularly severe type of topical steroid withdrawal reaction has been reported with skin redness (or a spectrum of colour changes or change in normal skin tone) and burning worse than the original condition.

The report highlights the importance of following the advice provided with topical steroid medicines and to contact your doctor if your child’s eczema doesn’t improve or gets worse, including after you stop using a topical steroid. If you aren’t clear about how to use the topical steroid medicine your child has been prescribed, or you have any concerns about your child’s treatment plan, please get in touch with your healthcare professional for support.

For more information on Topical Steroids and TSW please visit the National Eczema Society’s website: Topical Steroid Withdrawal (TSW) | National Eczema Society and take a look at these two other resources:

For more information there are two useful resources: 

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