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Lotions are useful for extensive areas, while solutions, gels, sprays and foams are useful for the scalp and hairy skin. These products can produce irritation when applied to acute dermatoses. A single application to the whole body of an adult will require 30 to 40 g of product. An area of one hand Xodol (Hydrocodone Bitartrate and Acetaminophen Tablets)- Multum and digits) will require 0. In children, the amounts should be smaller. This depends on the selected topical corticosteroid and the site to be treated.

Application once or twice daily is usually sufficient, but frequency may increase when treating areas where the preparation can easily be wiped off (for example palms and soles). Treatment under occlusion should be avoided and only prescribed by specialists familiar with the use of corticosteroids and the condition to be treated. The shortest course of pain belly is recommended for acute diseases, although small recalcitrant lesions may need to be treated for longer.

Children, especially infants, are more susceptible to adverse effects. They have difficulty in metabolising potent corticosteroids and their skin surface area:body weight ratio increases systemic absorption. Topical treatment in children should be used with extreme caution. Prescribe a low potency corticosteroid and preferably for short periods.

An application under occlusion in the nappy area or under plastic should be avoided. All topical corticosteroids are classified category C by the US Food and Drug Administration, but some are classified category A by the Therapeutic Goods Administration (www.

Studies in animals have shown that topical steroids are systemically absorbed and may cause fetal abnormalities. Limited and inconclusive data are available for humans, however there seems to be an association between very potent topical corticosteroids and fetal growth restriction. Although the mechanism of Promethazine HCl Injection (Promethazine Hydrochloride Injection)- Multum corticosteroid excretion in breast milk is unknown, there are no reported adverse effects during lactation.

These drugs should not be applied directly to the nipples before breastfeeding. Patients should be given advice about skin care. This includes the use of soap-free cleansers and moisturiser which will affect the skin's overall integrity and improve the clinical outcome. Topical corticosteroids are safe and effective drugs. Always establish a clinical diagnosis before prescribing. Choose an appropriate topical corticosteroid according to the affected area, patient's age, clinical presentation and predicted responsiveness to treatment.

Monitor the clinical response, even if symptoms have resolved. Consider changing or even stopping treatment according to the response. Also monitor for adverse effects Xodol (Hydrocodone Bitartrate and Acetaminophen Tablets)- Multum cease the drug straight away if Xodol (Hydrocodone Bitartrate and Acetaminophen Tablets)- Multum is skin damage. Refer to a dermatologist if the disease does not respond to treatment or when the diagnosis is unclear.

Dermatologist, Departamento de Dermatologia, Pontificia Universidad, Catolica de Chile, Santiago de ChileReasonable care is taken to provide accurate information at the time of creation. This information is not intended as a substitute for medical advice and should not be exclusively relied on to manage or diagnose a medical condition.

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