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Has anyone ever used regular over the counter Cortisone cream for acne? My derm. mentioned something about it when I was there in June...but I'm scared to try it lol. I was wondering if anyone has tried it..and if it works?

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According to http://www.netdoctor.co.uk/medicines/100001111.html, Fucidin H is
Not to be used in

  1. Bacterial skin infection that is not secondary to the eczema or dermatitis, (primary infection, eg impetigo)
  2. Fungal skin infections, eg athlete's foot, ringworm, candida skin infections
  3. Viral skin infections such as chickenpox or herpes simplex
  4. Tuberculosis affecting the skin
  5. Skin rashes caused by syphilis
  6. Acne rosacea
  7. Acne vulgaris
  8. Inflammatory rash around the mouth (perioral dermatitis)
  9. Skin ulcers
  10. Itchy skin around the genitals or anus
  11. Areas of skin that are very thin and fragile or have broken veins.

Don't use it longer than two weeks, do not apply a thick layer, and wash your hands carefully after applying. You are absorbing some of the steroid systemically. Topical steroids also thin the skin and increase the risk of developing acne. Please look up google images of overuse of hydrocortisone cream, or even look it up on these boards. You will see some disturbing images.

Be very careful.

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Okay but if it's bad for your skin...why would the derm. tell me to do it. He said I could go in and get injections too...but isn't it basically the same stuff?

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Okay but if it's bad for your skin...why would the derm. tell me to do it. He said I could go in and get injections too...but isn't it basically the same stuff?

Nope, it's not the same. Look up cortisone injection versus cream. I've discussed that before as well.

I've covered this before, but as I have a god-awful lot of posts I don't know which of the 9,000+ posts it was.

Just look up steroid induced rosacea and that will tell you all you need to know about the pitfalls of using topical hydrocortisone cream. I do not know why the derm recommends hydrocortisone for your mom when metrogel or topical tacrolimus or even low dose accutane are generally better choices for rosacea.

Here is some information about cortisone injections and the disadvantages thereof:


Short-term side effects are uncommon but include shrinkage (atrophy) and lightening of the color (depigmentation) of the skin at the injection site, introduction of bacterial infection into the body, local bleeding from broken blood vessels in the skin or muscle, soreness at the injection site, and aggravation of inflammation in the area injected because of reactions to the corticosteroid medication (postinjection flare). Tendons can be weakened by corticosteroid injections in or near tendons. Tendon ruptures as a result have been reported.

In people who have diabetes, cortisone injections can elevate the blood sugar. In patients with underlying infections, cortisone injections can suppress somewhat the body's ability to fight the infection and possibly worsen the infection or may mask the infection by suppressing the symptoms and signs of inflammation. Generally, cortisone injections are used with caution in people with diabetes and avoided in people with active infections. Cortisone injections are used cautiously in people with blood-clotting disorders.

Long-term side effects of corticosteroid injections depend on the dose and frequency of the injections. With higher doses and frequent administration, potential side effects include thinning of the skin, easy bruising, weight gain, puffiness of the face, elevation of blood pressure, cataract formation, thinning of the bones (osteoporosis), and a rare but serious damage to the bones of the large joints (avascular necrosis).

So, they're NOT all that safe and do have side effects and should NOT be the first choice in treating a cyst.

Cortisone injections are also rarely repeated as frequently as is the topical application of hydrocortisone cream. That whole article is interesting, read it.

http://www.nlm.nih.gov/medlineplus/druginf...ml#side-effects Side effects of topical cortisone. This list is by no means complete and it does not emphasize the importance of using cortisone for a limited time only. While topical cortisone is anti-inflammatory it is also immunosuppressive and has myriads of other potential side effects and should be avoided in general and most especially NOT used longer than a week unless your doc has said so.

You'll note in the above response, the derm suggested a patient use cortisone cream for rosacea. That's not indicated. Your derm's not the only one who makes bad calls. It's rather uncommon but it happens.

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