The harmful use of topical steroids in India is out of control, says expert

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http://www.eurekalert.org/pub_releases/2015-11/b-thu112415.php

Public Release: 25-Nov-2015
The harmful use of topical steroids in India is out of control, says expert
BMJ

The widespread misuse of skin creams and lotions that contain steroids in India is harmful and out of control, argues an expert in The BMJ this week.

Corticosteroids, also known as steroids, are anti-inflammatory medicines used for a range of conditions. However, these can lead to substantial and permanent damage, especially on thin skin, such as on the face and groin.

Side effects include pigmentation and breakdown of the skin, small and widened blood vessels on the skin, as well as bacterial and fungal infections. Misuse can lead to resistance of infections that can make these difficult to diagnose and treat.

Shyam B Verma, a consultant dermatologist based in Gujuarat, says that "Indian doctors are witnessing a pandemic of adverse effects induced by topical corticosteroids".

A study of 2,926 dermatology patients in 2013 showed that 433 (14.8%) were using topical steroids and 392 (90.5%) had harmful effects.

As required by law in India, strong steroids can be sold only with a registered medical practitioner's prescription. However, topical steroids are exempt and can be purchased over the counter. "This needs urgent revision," he says.

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"Most developed countries restrict sales of topical corticosteroids strictly by prescription, because they should be used judiciously, for appropriate indications and duration."

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