Can I Combine Acne Treatment with Steroids to Reduce Redness? - Dermatology

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Can Acne Moisturizer be used in conjunction with steroids to reduce redness and swelling?


Hello, Doctor.
I have a few questions: (1) I have been experiencing acne, so the doctor prescribed me a topical treatment for acne.
However, after applying it, I noticed that my acne became worse and more inflamed, which made me hesitant to continue using it (even though I understand this is a common part of the process).
A nurse working at a dermatology clinic told me that I could mix the topical treatment with a steroid cream.
Would this absolutely prevent any redness or swelling? (2) If this combination is indeed effective, which specific steroid cream should I purchase at the pharmacy to mix with the topical treatment? (3) Alternatively, do you have any other methods to suggest that would allow me to use the topical treatment without experiencing redness or swelling? Thank you so much for your response! I really appreciate it!

Man, 10~19 year old female. Ask Date: 2005/04/22

Dr. Zheng Lizhen reply Dermatology


Hello: It is not recommended to apply in conjunction with steroids, as it may worsen acne.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2005/04/22

More Info


When it comes to treating acne, many patients often seek ways to alleviate redness and inflammation associated with breakouts. Your question about combining acne treatment with steroids to reduce redness is quite common, and it's important to approach this topic with caution and a clear understanding of the implications.

1. Combining Acne Treatments with Steroids: While topical steroids can reduce inflammation and redness, they are not typically recommended for treating acne. The use of topical steroids can lead to skin thinning, increased susceptibility to infections, and even worsening of acne in some cases. Steroids can also cause a rebound effect, where the skin becomes more inflamed once the steroid is stopped. Therefore, while a nurse may suggest that combining your acne treatment with a steroid could reduce redness, it is not a universally accepted practice and should be approached with caution.

2. Choosing the Right Steroid: If you were to consider using a topical steroid, it is crucial to consult with a dermatologist first. They can prescribe a low-potency steroid for a short duration if they deem it necessary. Commonly prescribed topical steroids include hydrocortisone, but the specific choice would depend on your individual skin condition and the severity of your acne. Self-medicating with over-the-counter steroids is not advisable, as they may not be appropriate for your situation and could exacerbate your skin issues.

3. Alternative Methods to Reduce Redness: Instead of using steroids, there are several other options to consider for managing redness and inflammation associated with acne. Here are a few suggestions:
- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Topical formulations containing ingredients like salicylic acid or benzoyl peroxide can help reduce inflammation and treat acne without the risks associated with steroids.


- Soothing Ingredients: Look for acne treatments that contain soothing ingredients such as aloe vera, chamomile, or green tea extract. These can help calm the skin and reduce redness.


- Moisturizers: Using a non-comedogenic moisturizer can help maintain skin hydration, which may reduce irritation and redness. Look for products labeled as "oil-free" or "non-acnegenic."

- Cold Compresses: Applying a cold compress to inflamed areas can provide immediate relief from redness and swelling.


- Prescription Treatments: If over-the-counter options are not effective, consult your dermatologist about prescription treatments that may be more suitable for your skin type and condition. Options such as topical retinoids or antibiotics may be beneficial.

4. Consultation with a Dermatologist: Ultimately, the best course of action is to consult with a dermatologist who can evaluate your specific situation and recommend a tailored treatment plan. They can assess the severity of your acne, the degree of redness, and any other skin concerns you may have. This personalized approach will ensure that you receive the most effective and safe treatment for your skin.

In summary, while combining acne treatments with steroids may seem like a quick fix for redness, it is not without risks and should be approached with caution. Always consult a healthcare professional before making changes to your treatment regimen to ensure the best outcomes for your skin health.

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