Last year I developed a rash under my eyes and I was promptly prescribed hydrocortisone cream. It didn't help much and the doctor referred me to see a dermatologist. I was told to keep using the hydrocortisone and I was discharged. As the steroid cream didn't help I searched the internet for another remedy and that's how I came across a product called Magicream. It claims it only contains natural ingredients and it promised to clear up my rash. I was so excited! I have recently found out that the cream in fact contains Clobetasol Propionate and Ketoconazole. I was devastated to find this out especially since side effects include red spots and a burning sensation! When I stopped using the cream the side effects were terrible - I don't need to tell you as you know how the withdrawal of steroid can affect ones face. I then did a search on line and found your website which made so much sense and helped me to understand what was happening with my skin. I ordered the Face & Body Wash and the Face & Neck TheraCream and I have been symptom FREE ever since. Thank you from a once frustrated person!! Trish Managold, UK
Another approach to treatment of small areas of vitiligo is the use of topical creams . These include corticosteroid creams or the topical immunomodulator, tacrolimus. Using medium and high strength topical corticosteroids for 1-4 months has been found to be the most effective and safest therapy for localized vitiligo. Steroid injections have also been used for the treatment of vitiligo. Steroids can be used twice daily for limited periods of time. Repigmentation of the vitiliginous area with topical corticosteroids is most likely to occur on hair bearing areas of the skin. However, corticosteroids should not be used for long periods of time, since they may lead to thinning of the skin, growth of blood vessels, and rashes.
Apart from its chemical structure, factors that influence the potency of a topical steroid include the type of vehicle the medication is in (greasy ointments are more potent than creams), the concentration of the active ingredient, and the type of skin to which it is being applied. Thin-skinned areas such as the face or eyelids will absorb a medication much more readily than thick-skinned sites such as the back or palms. For this reason, dermatologists will typically choose a mild cortisone for the face and a stronger product for the body.