There is no agreed treatment for topical corticosteroid withdrawal, apart from ceasing the topical corticosteroid. However whether this should be tapered or abrupt has not been determined. Japanese reports suggest there is minimal difference in the outcome, so recommend immediate cessation. A tapering course of oral steroids is helpful, as the addiction appears to relate only to the use of topical corticosteroids. Oral tetracyclines and low-dose isotretinoin have been used in steroid rosacea and perioral /periorificial dermatitis .
When corticosteroids are taken as a medication, they can suppress the normal secretion of corticosteroids from the adrenal gland. If the corticosteroid medication is given over a very long time, it may cause the adrenal gland to no longer function effectively. It may take months to years for this gland to recover completely, long after use of a corticosteroid medication has been discontinued. The daily secretion of corticosteroids is essential to remaining healthy, particularly when the body is under physical stress (. severe illness or infection, surgery, acute asthmatic symptoms, or physical trauma). For example, if you become ill and your asthma worsens, the body normally responds to this physical stress by secreting up to 5 to 10 times the usual amount of natural corticosteroids. In addition, the adrenal gland's response to stress is also required for other important body functions.
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