HomeAnswersInternal MedicinesteroidsMy skin is damaged due to prolonged steroid use. Please advise.

Can suddenly stopping steroids worsen the skin condition?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Nagaraj

Medically reviewed by

iCliniq medical review team

Published At April 29, 2024
Reviewed AtApril 29, 2024

Patient's Query

Hello doctor,

I am 32 years old, and I believe I have a severe case of steroid-damaged skin. I stopped using steroids some years ago; however, I still have severe hyperpigmentation, thin skin, and lines. I have tried various remedies, including chemical peels, moisturizers, cleansers, sunscreens, and Hydra facial treatments. I feel less than myself, and it has affected me over the years. I read on the internet that these damages are permanent. I wanted to get your opinion still.

Please suggest.

Thank you.

Answered by Dr. Nagaraj

Hello,

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

Steroids are double-edged swords. They should be used judiciously under the supervision of a doctor for a limited duration and specific conditions. Steroids are very commonly misused to enhance the appearance of the skin. Such use is usually self-administered by individuals, leading to more harm than benefit. They also come with local and systemic side effects that can be disastrous. Yes, when used on the skin, steroids can cause thinning of the skin. Stopping them suddenly can cause skin changes, including pigmentation. The use of chemical peels, facials, etc., depends on the type of skin one has; it does not suit everyone as every skin texture and its requirements are different.

As for whether these damages are permanent, the answer may or may not depend on what is happening, what steroid was used, how long it has been used, etc. However, most of these changes slowly return to normalcy. During this time of recovery, the condition may worsen. By the way, it is not recommended to stop using steroids suddenly, as it can cause more harm than benefit. I suggest you see a dermatologist who can assess the damage and help you. It may require you to restart on steroids and slowly taper the use over days or weeks. This is in addition to some other medication to help reverse the damage already done.

I hope your queries are resolved, and any further queries are welcome.

Thank you.

Patient's Query

Thank you doctor for the reply,

The steroid I used had a combination of Betamethasone dipropionate and Neomycin sulfate, and I used it over a prolonged period. This was because whenever I tried to stop, my skin would react so badly that I kept going back. I do not have veins or stretch marks; however, my skin texture is not the best. I suffer from severe hyperpigmentation, lines, etc. I have been to skin clinics in the past, but I am exhausted at this point. No one has been able to speak to me extensively about what I am going through.

Please help.

Answered by Dr. Nagaraj

Hello,

Welcome back to icliniq.com.

I understand your concerns. This is typical of steroids. The first thing is it should not be used for a long time. The second important thing is it should not be stopped suddenly. You should slowly withdraw it over four to six weeks. Although your skin may turn ugly, do not worry; it will improve over the next few weeks. The common mistake is to reapply steroids when people see a dark complexion after stopping the steroid. Moreover, what you are using is a mix of steroids, antibiotics, and antifungal medicine. My strong suggestion here is if you have stopped it now, do not reuse it. Your skin may look dark or lose luster for a few days, but it is fine. It slowly returns to normal over three to four weeks.

If you are experiencing any withdrawal symptoms, please see a dermatologist. Drink plenty of water to keep yourself hydrated. Eat a lot of green leafy veggies, including carrots and cucumbers. As I said, a few days after stopping the medicine, the skin may look weird but do not restart using steroids. Otherwise, this cycle will continue, and you will have other health complications as side effects of steroids.

I hope this helps you.

Take care.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nagaraj
Dr. Nagaraj

Diabetology

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