Long Term Use of Triamcinolone for Dermatitis Safe?

I have dealt with seborhic dermatitis for about twenty years. I am so sick and tired of it. I use Nizoral shampoo and ZNP soap as well as Triamcinolone cream. It is the worse on my face, around my nose and cheeks at times. I am concerned about the long term use of the Triamcinolone because I believe it is a cortocosteroid, but it seems to be one of the only things that works. Is it safe for long term use? If not, what can I do? Please help. Thank you.

Answers (1)

Triamcinolone for dermatitis.

Long-term use of any topical corticosteroid can cause steroid-associated acne-rosacea, thinning of the skin, stretch marks. Furthermore, with continuous use, any single corticosteroid tends to decrease in effectiveness over time. To get flares of seborrheic dermatitis under control, I recommend application of a topical corticosteroid twice daily for no longer than 2 weeks, continuously. If someone needs it more long-term, I recommend alternating 3 days on, 3 days off. Non-corticosteroid creams such as Elidel and Protopic may be worth looking into if you have not yet tried them.

Good luck.

San Diego Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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