Topical Corticosteroid Usage in Dermatology OPD in a Medical Teaching Hospital

Topical corticosteroids constitute the most commonly prescribed drugs in the treatment of dermatological conditions. Self medication and erratic use of these agents by patients can increase the risk of developing local and systemic side effects. To find out the trend and outcome of topical corticosteroid usage in a Tertiary Care Hospital a retrospective analysis of the prescriptions in the Department of Dermatology was done for a period of six months. Data on age, sex, diagnosis, steroids and their combinations used, delivery vehicle, potency, frequency of application, duration of treatment and adverse effects were recorded on a pre-designed proforma and analyzed. Mid potency topical steroids were commonly used followed by high, low and very high potency preparations. Age range varied from 5-65 years. Mid and high potency steroids were used in combination with antimicrobials and salicylic acid. Cream based preparations were commonly used and duration of treatment was appropriate and rational. Adverse effects were seen only in four cases and no irrational prescriptions were noted.