It is important to use the correct amount of topical steroid for your eczema, as instructed by your healthcare professional. Topical steroids should be applied with clean hands so that the skin just glistens. It can sometimes be difficult to judge how much steroid to use and there are guidelines on the amount required to cover body areas that are affected by eczema. These are based on the Finger Tip Unit (FTU), and explained in detail in our fact sheet which you can download as a pdf from the related documents to the right of this page.
Certain drugs such as troleandomycin (TAO), erythromycin ( Ery-Tab , EryPed 200), and clarithromycin ( Biaxin ) and ketoconazole ( Nizoral ) can reduce the ability of the liver to metabolize (breakdown) corticosteroids and this may lead to an increase in the levels and side effects of corticosteroids in the body. On the other hand, phenobarbital, ephedrine , phenytoin ( Dilantin ), and rifampin ( Rifadin , Rimactane ) may reduce the blood levels of corticosteroids by increasing the breakdown of corticosteroids by the liver. This may necessitate an increase of corticosteroid dose when they are used in combination with these drugs.
No evidence exists that epiphyses close prematurely in very young oral contraceptive pill users, and bone density is well preserved. 4 , 25 Furthermore, many teenage girls appreciate the noncontraceptive benefits of having shorter menses, more regular periods and relief from dysmenorrhea. Counseling that these benefits evaporate when pills are discontinued helps to encourage compliance when the primary purpose of oral contraceptive pill use is to relieve a physiologic condition. Acne and hirsutism may be improved with the use of more estrogenic formulations and the newest progestin formulations.