Child Health  |  Eczema Pathway - Potency and use of Topical Steroids




Child Health

Eczema Pathway - Potency and use of Topical Steroids

Class

Potency

Face and body area suitability

Trade name

Relative strength

4

Mild

  • Hydrocortisone

 

1-2.5%

 

 

  • Trunk and Limbs

 

 

3

Moderate

  • Triamcinolone

Eumovate
Aristocort

2-25
2-25

2

Potent

  • Mometasone Furoate
  • Methyl Prednisolone Aceponate
  • 17 Hydroxy Butyrate
  • Betamethasone Valerate

Elocon
Advantan
Locoid
Beta Cream

100-150
100-150
100-150
100-150

1

Very potent

  • Clobetasol Proprionate

Dermol

600


Note
: Avoid prolonged courses of moderate or potent topical steroids on face, axillae and groin.

Use only on affected skin (even if broken).

Eczema action plan

Use Finger-tip Units (FTU).

As a guide to how much steroid to apply, use the last joint of an adult index finger and squeeze out a thin line of cream (this is called a finger-tip unit or a FTU). For example, one FTU is enough for the face and neck, or the hands and feet, or one arm in a 3-6 month old. Use the following chart as a guide.

Age

Face & Neck

1 Arm & 1 Hand

1 Leg & 1 Foot

Trunk (front)

Trunk (back)
including buttocks

3-6 mths

1

1

1 1/2

1

1 1/2

1-2 yrs

1 1/2

1 1/2

2

2

3

3-5 yrs

1 1/2

2

3

3

3 1/2

6-10 yrs

2

2 1/2

4 1/2

3 1/2

5


Reference:
British Journal of Dermatology, 138, 293-296



Last updated : Thursday, May 18, 2017
Next review date : Friday, May 18,2018


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