Topical Steroid Withdrawal

Hello! I am hosting a webinar all about TOPICAL STEROID WITHDRAWAL on APRIL 24th @7pm!. During this call I will tell you all about my struggles overcoming topical steroid withdrawal, what to expect when you go through it, what worked for me and what didn't. Register for more information.

 Topical Steroid Withdrawal (TSW), also known as Red Skin Syndrome (RSS) or Topical Steroid Addiction (TSA), is a phenomenon where individuals like me who have been using topical corticosteroids (often prescribed for conditions like eczema) for an extended period experience a worsening of their symptoms after discontinuing the use of these steroids. This can lead to a range of withdrawal-like symptoms and is often characterized by red, inflamed, and intensely itchy skin.

What is Topical Steroid Withdrawal (TSW)?

When topical corticosteroids are used over an extended period, the skin can become dependent on them. As a result, when the steroids are abruptly stopped, the skin may go through a rebound or withdrawal phase, leading to a flare-up of symptoms that can be severe and distressing.

 What to Expect During Topical Steroid Withdrawal:

1. Redness and Inflammation: The skin often becomes intensely red and inflamed. This can affect the areas where the steroids were applied and sometimes even areas that were not initially affected.

2. Itching: Severe itching is a hallmark of TSW. The itch can be so intense that it becomes a significant source of distress for individuals going through withdrawal.

3. Skin Flares and Peeling: The skin may go through phases of flaring, where symptoms worsen, followed by peeling or shedding of the skin. This is part of the skin's natural healing process.

4. Skin Sensitivity: The skin may become highly sensitive, and even mild irritants or water contact can cause discomfort.

5. Insomnia and Emotional Distress: The intense itching and discomfort can lead to sleep disturbances and emotional distress. Anxiety and depression are not uncommon during this phase.

6. Variable Duration: The duration of TSW can vary widely from person to person. It may last for weeks to months, and in some cases, even longer.

 Management of Topical Steroid Withdrawal:

1. Emollients and Moisturizers: Using non-steroidal emollients and moisturizers can help soothe the skin and alleviate dryness.

2. Avoiding Triggers: Identifying and avoiding triggers that may worsen symptoms, such as certain foods, fabrics, fragrances, or environmental allergens, is crucial.

3. Supportive Care: Antihistamines or other medications may be prescribed to manage itching, and wet wraps or cool compresses can provide relief. During my talk, I will teach you how to avoid medications if possible.

4. Emotional Support: TSW can be emotionally challenging. Seeking support from healthcare professionals, support groups, or mental health professionals can be beneficial. This is an important time to call upon and rely on your circle.

DISCLAIMER:

It's important to note that TSW is a complex and not universally recognized phenomenon in the medical community. This does not minimize your experience. Individuals experiencing symptoms related to TSW should seek guidance from a healthcare professional for an accurate diagnosis and appropriate management. It's also important to discuss any concerns about discontinuing or changing medication with a healthcare provider before making any decisions. That being said, detoxing yourself from topical steroids is an achievable, albeit difficult goal. If you are not satisfied with the treatment plan suggested by your medical professional, consider contacting me to see if I can help you get through this challenging process.