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The risk of developing local adverse reactions increases with an increase in the strength of the drug and the duration of treatment. Application with a bandage (cellophane bandage or applied to areas of skin folds) increases this risk.
The skin of the face and scalp, as well as the genitals, is especially sensitive to the occurrence of adverse reactions. If used incorrectly, as well as in the presence of bacterial, parasitic, fungal or viral infections, the manifestations of these diseases can be masked and / or intensified. Do not apply ointment to the eyelids due to the possibility of contact with the conjunctiva and an increased risk of developing common glaucoma or subcapsular cataracts. The drug should be applied with caution to the skin of the face, genitals and scalp, the skin of which is most sensitive to GCS.
The use of the drug in the face, flexors and other areas of thin skin can lead to skin atrophy and increased absorption of the drug. It should be borne in mind that when corticosteroids are used on large areas of the skin, especially with the use of a (cellophane) dressing or in the area of folds, there is a possibility of increased absorption of the drug, which can lead to inhibition of adrenocortical function.
Suppression of the adrenal cortex can develop rapidly in children. Growth hormone production may also be suppressed. If long-term treatment is necessary, it is advisable to regularly monitor the child’s height and weight, as well as determine the levels of cortisol in the blood plasma.
Topical corticosteroids can be hazardous to patients with psoriasis for a number of reasons, including “rebound syndrome” due to the development of tolerance, the risk of generalized pustular psoriasis, or local systemic toxicity due to impaired skin barrier function. Steroids can be used for scalp psoriasis or chronic scaly psoriasis of the hands and feet. It is important to closely monitor the patient. When conducting comparative studies, there were no significant differences in adrenocortical function in children who received Hydrocortisone ointment for 4 weeks.
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