Nowadays, when many dermatology patients get a doctor’s prescription, they always ask uneasily: there are no hormones in this, right? Are hormones really that scary? Can hormones be used to treat skin diseases?
The so-called hormones refer to glucocorticoid steroids. Since the 1950s, when human beings synthesized hormones and applied them to the treatment of diseases, their powerful anti-inflammatory, immunosuppressive and anti-proliferative effects have saved many dying patients, making many immune and allergic diseases in the past no longer incurable “Terminal illness“.
Can I use Hormones to Treat Skin Diseases?
It is no exaggeration to say that the emergence of hormones has ushered in a new era of chemical drug treatment for human diseases. However, because of their strong effects and quick results, hormones have led patients and even many doctors to rely excessively on them, resulting in excessive abuse of hormones, which has made the side effects caused by hormones, such as obesity, osteoporosis, bleeding tendency and co-infection, increasingly prominent and well-known to everyone.
The “meritorious” drugs that once made epoch-making contributions to human health have now become “poisons” that make people “shy away from talking about tigers”.
Are Hormones That Scary?
Although hormones have many side effects, sometimes even fatal ones, they do not appear as soon as they are used, but only after long-term, high-dose use. In the treatment of many skin diseases, especially in immune and allergic skin diseases such as lupus erythematosus, dermatomyositis, aspergillosis and severe drug allergy, without the powerful and rapid therapeutic effects of hormones, the lives of critically ill patients can hardly be saved.
Among the topical drugs in dermatology, the anti-inflammatory, anti-allergic and anti-itching effects of hormones are the strongest among all drugs. Therefore, hormones can not only be used for the treatment of skin diseases, but are also indispensable treatment drugs for many serious skin diseases.
Patients should not rely excessively on hormone drugs for quick results, nor should they refuse to use hormones indiscriminately for fear of their side effects, but should use hormone drugs correctly according to doctors’ requirements to maximize the therapeutic effects of hormones and avoid or minimize their side effects.
Hormones have strong antipruritic and anti-inflammatory effects on skin inflammation caused by various reasons, and although topical application can rapidly improve the condition, hormones sometimes only inhibit inflammatory reactions rather than cure inflammation.
The long-term topical use of hormones will lead to side effects. There are many kinds of ointments for skin diseases on the market, and patients sometimes do not know whether the ointments contain hormones or not when they choose them, and they do not know whether they can use hormones for their skin diseases.
Tips : How to identify whether hormones are contained in topical creams and salves?
There are more than a dozen types of hormones available for topical use, and their anti-inflammatory effects are classified into different grades from strong to weak, and their side effects are not exactly the same. Generally speaking, the stronger the anti-inflammatory effect of hormones, the greater the side effects. How do I know if a topical cream or potion contains hormones?
The Chinese name of most corticosteroids is “XXX”, such as prednisone, dexamethasone, etc. Some topical creams use the chemical name of the drug ingredients contained in them as the name of the drug, such as vitamin B6 ointment, etc.
We can look at the name of the drug to see if there is “XXX “In addition, we have to further check the instructions inside the drug package, because some drugs are not based on the name of the drug ingredients contained, but the manufacturer’s own trade name, from the name of the drug alone can not see whether it contains hormones, such as The chemical name of the drug contained in the cream will be stated in the “drug composition” in the drug instruction manual, so if you pay attention to the ingredients of “a certain pine”, you can generally determine whether it is a hormone drug.
So how to determine the strength of the anti-inflammatory effect of hormones? Generally speaking, hormonal drugs containing “halogenated” or “fluorinated” structures are strong hormones.