Morbidity of over-the-counter topical steroids

Abstract

To the Editor: We read with interest the article entitled “Consumers appropriately self-treat based on labeling for over-the-counter hydrocortisone.”1 The Food and Drug Administration is considering over-the-counter status for topical steroids that do not induce adrenal axis suppression. This article emphasizes that over-the-counter usage of hydrocortisone is generally safe and appropriate. However, we are greatly concerned with the potential for topical steroid use on facial skin, which may result in steroid-induced rosacea and topical steroid addiction.