For many people living with eczema, the search for effective relief is ongoing. Flare-ups can be unpredictable, uncomfortable, and sometimes distressing. Among the various eczema treatment options available, topical corticosteroid creams are commonly prescribed to help manage symptoms. But with mixed messages online, many people feel unsure or even concerned about using them, often asking: Are steroids bad for eczema?

In the UK, around 1 in 5 children and 1 in 10 adults suffer from eczema, with a significant proportion using topical steroids at some point in their treatment. Studies suggest that more than 50% of eczema patients have used corticosteroids to manage flare-ups. However, some people worry about topical steroid withdrawal symptoms and whether steroids work for eczema in the long term.

In this guide, we’ll take a balanced, informative look at steroid creams—how they work, their benefits and potential risks, and how to use them safely and effectively.

The History and Science Behind Corticosteroids

Corticosteroids were first discovered in the 1940s, with hydrocortisone becoming the first commercially available topical steroid in the 1950s. Since then, research has led to the development of different strengths and formulations, making them a key tool in managing inflammatory skin conditions like eczema.

These medications work by mimicking cortisol, a hormone naturally produced by the adrenal glands. Cortisol helps regulate immune responses and reduce inflammation. When applied to the skin, corticosteroids suppress overactive immune reactions that cause redness, itching, and swelling. This is why many dermatologists recommend them as an effective eczema treatment option.

Corticosteroids come in different strengths, from mild (such as 1% hydrocortisone) to very strong (such as clobetasol propionate 0.05%). Doctors prescribe different strengths depending on the severity of your eczema and the area being treated.

Understanding the Benefits: Why Are They Used?

When used correctly, corticosteroids can be highly effective in bringing down inflammation quickly, providing relief from itching and discomfort. Benefits include: ✔ Fast-acting relief – Many people see improvement within days. ✔ Targeted treatment – Helps manage flare-ups without affecting the rest of the body. ✔ Different strengths for different needs – Milder steroids can be used on sensitive areas like the face, while stronger ones help with stubborn patches on thicker skin (like hands and feet). ✔ Widely studied and recommended – Used for over 70 years in dermatology, with clear guidelines for safe use. ✔ Do steroids work for eczema? – Yes, when used appropriately under medical supervision, they are highly effective for reducing inflammation and itching.

Concerns About Corticosteroids: What You Need to Know

Despite their benefits, some people worry about the potential side effects of steroid creams. Common concerns include: 

❌ Skin thinning (atrophy) – This can happen with long-term use, particularly with stronger steroids or on delicate skin areas. 

❌ Steroid withdrawal (Red Skin Syndrome) – Some people experience topical steroid withdrawal symptoms after stopping prolonged use of high-strength steroids. This can include redness, burning, and worsening of eczema. 

❌ Masking infections – Corticosteroids can sometimes hide underlying infections, so it’s important to check for signs of bacterial or fungal issues. 

❌ Overuse concerns – Using steroids too often can lead to dependency, where the skin flares more frequently when stopping treatment.

For more detailed information on TSW - check out our 2 part guide..

How to care for someone with TSW Part 1

How to care for someone with TSW Part 2

How to Use Corticosteroid Creams Safely and Effectively

If you’ve been prescribed a steroid cream, the key is to use it correctly to maximise benefits while reducing risks. Here are some expert tips: 

✅ Follow the “finger-tip unit” rule – A strip of cream from the tip of your finger to the first crease covers a palm-sized area.

 ✅ Use short-term, as needed – Apply once or twice daily for a few days during flare-ups, then reduce or stop when symptoms improve. 

✅ Pair with emollients – Use moisturisers regularly, ideally waiting 30 minutes before or after applying steroids to allow full absorption. 

✅ Be mindful of sensitive areas – Use milder steroids on the face, neck, and groin, and stronger ones only where needed. 

✅ Taper off gradually – Rather than stopping suddenly, try applying every other day before stopping completely to reduce the risk of topical steroid withdrawal.

✅ Consult your doctor for long-term concerns – If you find yourself needing steroids frequently, ask about alternative eczema treatment options like topical calcineurin inhibitors (tacrolimus, pimecrolimus) or newer biologic medications like Dupixent.

Final Thoughts

While corticosteroid creams can be an effective tool in managing flare-ups, they should be used wisely and as part of a broader care plan that includes gentle skincare, lifestyle adjustments, and regular medical guidance.

If you’re feeling unsure about steroid creams, you’re not alone. The key is to stay informed, work closely with your healthcare provider, and find a treatment approach that feels right for you. If you are concerned about topical steroid withdrawal UK resources and support groups are available to help guide you through the process. Remember—eczema care is about balance, not just one single solution.

If you are struggling with Eczema or TSW also consider how the right clothing can help enormously to soothe and comfort the skin. Our top recommendations are:

Scratch Mitten T (available in adults and kids)

Opening Hand Mitten T (available in Adults and Kids) 

Eczema Gloves (available in Adults and Kids)