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Use of topical steroids for peristomal skin conditions
5 035706 087012 RM765707 02/20 USE OF TOPICAL STEROIDS FOR PERISTOMAL SKIN CONDITIONS
TOPICAL STEROID TREATMENT STOPPING TREATMENT If you need to change any pouches or Your stoma care nurse has recommended How to use: Apply once a day, on Your stoma care nurse will advise you when to accessory products (because you or your a topical steroid treatment to treat affected area only and use sparingly. stop treatment, in general; stoma nurse suspect an irritant reaction), it your peristomal skin condition. Steroid Your stoma care nurse will advise on is usually best to change 1 product at once, Once the skin has improved, gradually reduce treatments are used to help reduce application. This may also sting on to see which particular product is causing applying the treatment, rather than stopping inflammation. contact. reaction. completely- ie. Apply on alternate days for a Conditions such as a contact dermatitis skin couple of weeks, then stop the treatment. This Your stoma care nurse may also recommend reaction, skin ulceration or overgranulation Other steroid treatments might be may prevent recurrence of the inflammation. doing a contact patch test, if she suspects a (the skin has healed and “overgrown”) often recommended to use topically, as they do reaction to a product. Topical steroids are usually safe to use but if benefit from topical steroid treatment. not sting the skin or leave a greasy residue: • Beclomethasone diproprionate you have any concerns please speak to your Only use steroid treatments with children There are several topical steroid treatments. Becloforte INHALER stoma care nurse or GP. on the specific advice of stoma care nurse, Your stoma care nurse has recommended • Fluticasone GP or dermatology department, and ensure Generally it is preferable to not use topical a specific one for your individual treatment proprionate the steroid is not contraindicated with other steroid treatment for a prolonged amount and will ask your GP to prescribe the / Flixonase medicines. of time, though sometimes this can be treatment. NASAL SPRAY necessary. Your stoma care nurse (or Steroid treatments to use on the skin are yourself) may ask your GP to refer you to a typically creams, gels or tape. However, dermatologist, if your skin condition persists. there are other types of steroid treatments How to use: Apply no more than once which can be used too. Topical steroid GENERAL INFORMATION daily, onto the affected area only and treatments include: Your stoma care nurse may request a swab of sparingly. If using inhaler, direct the the affected area to rule out infection, prior to “puff” at the affected area. If using the • Hydrocortisone cream (0.5 or 1%) starting the treatment. Supporting you nasal spray, pump the solution onto • Synalar gel, (fluocinolone acetonide your finger tip to apply. every step of way 0.025%) Please do not use baby wipes, hand wipes, • Betnovate or Betacap scalp lotion Applying a dressing or pouch over the soaps or perfumed products on your skin, as because you deserve (betamethasone valerate 0.1%) topical steroid treatment may increase this may make your skin reactive, particularly • Haelan tape the potency/ strength of the steroid, under the pouch adhesive. exceptional service. (fludroxycortide therefore do not use more than the 0.0125%) recommended dose.