Topical Steroids
Topical steroids are one of the first treatment options for people whose psoriasis covers only a small amount of their body.
What are topical steroids?
The term ‘topical steroids’ refers to steroid medication that is put on the skin. Topical steroids are known as ‘corticosteroids’; an artificial version of hormones that are made inside the body. Their main job when applied to the skin is to reduce skin inflammation and irritation.
Corticosteroids are not the same as steroids you may hear of being used illegally by some athletes and body builders (anabolic steroids), and will have no effect on muscle growth or development.
Topical steroids can come in different formulations, including cream, ointment, foam or gel.
When should topical steroids be used?
Topical steroids are one of the first treatment options for most people with psoriasis. They are most appropriate for people whose psoriasis covers only a small amount of their body, and should not be used on more widespread psoriasis.
Topical steroids may be used separately, or in combination with topical vitamin D treatments. It is recommended that a review appointment is arranged four weeks after starting any new topical treatment (two weeks for children), so that your doctor can assess what the results of the treatment are so far, and to check if you need any help with using the treatment.
Topical steroids can also be used to treat psoriasis in sensitive areas such as the face, genitals and skin folds. Less potent steroids (such as mild or moderately potent) are usually used in the sensitive areas, and for a shorter length of time (ie. two weeks rather than four).
Some mild steroids are available to buy without a prescription, however it is always a good idea to speak to a doctor or pharmacist before using them.
What are the side effects of topical steroids?
May 2024 (Review Date: May 2025)