Topical steroids

Topical steroids are creams, ointment, lotions, or foams that are applied directly to the scalp or skin surface. The aim of topical steroids is to reduce the inflammation within the skin. Topical steroids are one of the first-line treatment options for people with some types of alopecia. There are different strengths and formulations available. Usually, a potent or very potent topical steroid is needed to treat alopecia.

Topical steroids are often a first-line treatment option that can be offered by GPs. Topical steroids will not be offered as a regular long-term treatment option as prolonged use can lead to thinning of the skin (known as skin atrophy).

Topical steroids might be prescribed to patients with the following alopecia types:

alopecia areata, frontal fibrosing alopecia (FFA), lichen planopilaris (LPP), central centrifugal cicatricial alopecia (CCCA), traction alopecia.

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