title: Misuse of topical corticosteroids on the face: A cross-sectional study among dermatology outpatients.
abstract: BACKGROUND
  Topical corticosteroids (TC) are being misused widely on the face without a prescription from the dermatologist.
  
  
  OBJECTIVE
  To evaluate the misuse of TC-containing preparations on the face and the adverse effects due to its application.
  
  
  METHODS
  A questionnaire-based analysis was done among patients attending the dermatology outpatient department of a tertiary care hospital between March 2014 and March 2015. Patients with various facial dermatoses were asked about their current use of topical preparations and on further followup questioning, those who revealed the use of TCs (25g or more) continuously or intermittently for a minimum duration of four weeks were included in the study and observed for local adverse effects.
  
  
  RESULTS
  A total of 410 patients were observed, 306 were females (74.6%) and 104 were males (25.3%). One hundred and seventy-eight patients (43.4%) used topical steroids alone, 124 (30.2%) used creams containing TC, hydroquinone, and tretinoin, 108 (26.3%) used creams containing a combination of TC, antibiotic, and/or antifungal. One hundred and seventy-six patients (42.9%) bought TC or TC containing creams over the counter on their own, without the prescription of a dermatologist, 35 (8.5%) were recommended TC by a beautician (beauty parlors), 82 (20%) by their friends, family members, or neighbors, 75 (18.2%) by a non-dermatologist practitioner, and 42 (10.2%) by a dermatologist.
  
  
  CONCLUSIONS
  The sample size was small.
  
  
  CONCLUSIONS
  Dispensing of TCs must be regulated in India; they should only be issued against a doctor's prescription.
authors: Department of Dermatology, STD and Leprosy, All India Institute of Medical Sciences, Patna, Bihar, India.
authors: Abhijeet Kumar
authors: AK
authors: Jha
authors: Department of Dermatology, STD and Leprosy, All India Institute of Medical Sciences, Patna, Bihar, India.
authors: Rajesh
authors: R
authors: Sinha
authors: Department of Dermatology, STD and Leprosy, All India Institute of Medical Sciences, Patna, Bihar, India.
authors: Smita
authors: S
authors: Prasad
keywords: Misuse; combination cream; topical steroids