What & How Much?

Dermatitis

Consider

• What to prescribe?
• Region/s affected
• Face/Neck and flexures
• 1% HC cream (Egocort 1%)
• For palms and soles
• Diprosone 
• For other regions
• Celestone-M
• Lichen planus; discoid lupus; granuloma annulare
• Diprosone OV [optimum vehicle]

• How much to use?
• Consider the 'finger tip' measure
• Face and neck                    --> 2.5 units
• Trunk front and back          --> 14 units
• Hands and feet                   --> 1.5 units
• Upper limb                         --> 3.5 units
• Lower limb                         --> 5.5 units

• How to use?
• Apply thin layer, ideally straight after a bath or shower
• 'Pulse therapy' helps prevent tachyphylaxis 

• How long to use?
• Need to balance strength of c.steroid with anticipated Rx time-horizon
• Optimise beneficial effects
• Avoid local side effects
• Avoid suppression of HPA axis
• Adult
• Child

1 finger tip (from Wiki)





Psoriasis

Calciptriol 0.05% cream bd

• Up to 100g per week