Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients

Background: Topical corticosteroids (TC) are being misused widely on the face without a prescription from the dermatologist. Aim: To evaluate the misuse of TC-containing preparations on the face and the adverse effects due to its application. Materials and Methods: A questionnaire-based analysis was...

Full description

Bibliographic Details
Main Authors: Abhijeet Kumar Jha, Rajesh Sinha, Smita Prasad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Dermatology Online Journal
Subjects:
Online Access:http://www.idoj.in/article.asp?issn=2229-5178;year=2016;volume=7;issue=4;spage=259;epage=263;aulast=Jha
_version_ 1819242917262262272
author Abhijeet Kumar Jha
Rajesh Sinha
Smita Prasad
author_facet Abhijeet Kumar Jha
Rajesh Sinha
Smita Prasad
author_sort Abhijeet Kumar Jha
collection DOAJ
description Background: Topical corticosteroids (TC) are being misused widely on the face without a prescription from the dermatologist. Aim: To evaluate the misuse of TC-containing preparations on the face and the adverse effects due to its application. Materials and Methods: A questionnaire-based analysis was done among patients attending the dermatology outpatient department of a tertiary care hospital between March 2014 and March 2015. Patients with various facial dermatoses were asked about their current use of topical preparations and on further followup questioning, those who revealed the use of TCs (25g or more) continuously or intermittently for a minimum duration of four weeks were included in the study and observed for local adverse effects. Results: A total of 410 patients were observed, 306 were females (74.6%) and 104 were males (25.3%). One hundred and seventy-eight patients (43.4%) used topical steroids alone, 124 (30.2%) used creams containing TC, hydroquinone, and tretinoin, 108 (26.3%) used creams containing a combination of TC, antibiotic, and/or antifungal. One hundred and seventy-six patients (42.9%) bought TC or TC containing creams over the counter on their own, without the prescription of a dermatologist, 35 (8.5%) were recommended TC by a beautician (beauty parlors), 82 (20%) by their friends, family members, or neighbors, 75 (18.2%) by a non-dermatologist practitioner, and 42 (10.2%) by a dermatologist. Limitations: The sample size was small. Conclusion: Dispensing of TCs must be regulated in India; they should only be issued against a doctor's prescription.
first_indexed 2024-12-23T14:47:25Z
format Article
id doaj.art-3e2369986e004b808792386cdf5af8f8
institution Directory Open Access Journal
issn 2229-5178
language English
last_indexed 2024-12-23T14:47:25Z
publishDate 2016-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Dermatology Online Journal
spelling doaj.art-3e2369986e004b808792386cdf5af8f82022-12-21T17:43:03ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782016-01-017425926310.4103/2229-5178.185492Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatientsAbhijeet Kumar JhaRajesh SinhaSmita PrasadBackground: Topical corticosteroids (TC) are being misused widely on the face without a prescription from the dermatologist. Aim: To evaluate the misuse of TC-containing preparations on the face and the adverse effects due to its application. Materials and Methods: A questionnaire-based analysis was done among patients attending the dermatology outpatient department of a tertiary care hospital between March 2014 and March 2015. Patients with various facial dermatoses were asked about their current use of topical preparations and on further followup questioning, those who revealed the use of TCs (25g or more) continuously or intermittently for a minimum duration of four weeks were included in the study and observed for local adverse effects. Results: A total of 410 patients were observed, 306 were females (74.6%) and 104 were males (25.3%). One hundred and seventy-eight patients (43.4%) used topical steroids alone, 124 (30.2%) used creams containing TC, hydroquinone, and tretinoin, 108 (26.3%) used creams containing a combination of TC, antibiotic, and/or antifungal. One hundred and seventy-six patients (42.9%) bought TC or TC containing creams over the counter on their own, without the prescription of a dermatologist, 35 (8.5%) were recommended TC by a beautician (beauty parlors), 82 (20%) by their friends, family members, or neighbors, 75 (18.2%) by a non-dermatologist practitioner, and 42 (10.2%) by a dermatologist. Limitations: The sample size was small. Conclusion: Dispensing of TCs must be regulated in India; they should only be issued against a doctor's prescription.http://www.idoj.in/article.asp?issn=2229-5178;year=2016;volume=7;issue=4;spage=259;epage=263;aulast=JhaMisusecombination creamtopical steroids
spellingShingle Abhijeet Kumar Jha
Rajesh Sinha
Smita Prasad
Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients
Indian Dermatology Online Journal
Misuse
combination cream
topical steroids
title Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients
title_full Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients
title_fullStr Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients
title_full_unstemmed Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients
title_short Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients
title_sort misuse of topical corticosteroids on the face a cross sectional study among dermatology outpatients
topic Misuse
combination cream
topical steroids
url http://www.idoj.in/article.asp?issn=2229-5178;year=2016;volume=7;issue=4;spage=259;epage=263;aulast=Jha
work_keys_str_mv AT abhijeetkumarjha misuseoftopicalcorticosteroidsonthefaceacrosssectionalstudyamongdermatologyoutpatients
AT rajeshsinha misuseoftopicalcorticosteroidsonthefaceacrosssectionalstudyamongdermatologyoutpatients
AT smitaprasad misuseoftopicalcorticosteroidsonthefaceacrosssectionalstudyamongdermatologyoutpatients