Dangers of Long-Term Corticosteroid Cream Use for Children's Eczema

Recurrence of atopic dermatitis or eczema in children can make them fussy due to the uncomfortable itching. The use of creams or compounded topical medicines is often relied upon to control eczema. The compounded creams that effectively relieve eczema symptoms generally contain corticosteroids (anti-inflammatory drugs). However, the use of this medication must not be done carelessly and must be under medical supervision.

‘There is a time limit for the use of corticosteroids. So it should not be used for a long period because it can cause side effects,’ Dr Dia Febrina, Sp.DVE, FINSDV, told Kompas.com in Jakarta, on Thursday (22/5/2026).

The medication works to calm inflammation quickly so the child is freed from the torment of itching.

‘When it is flaring, the tendency for doctors to prescribe steroids is very high to calm it down. But the basic usage is under seven days,’ said Dr FX Clinton, Sp.DVE.

If this topical medicine is applied beyond the recommended time limit, the child’s skin will undergo permanent structural changes. The skin’s protective layer weakens and worsens the eczema condition itself in the future.

‘We know the side effects are dangerous. The skin becomes thinner, so the skin is more sensitive,’ said Dr Clinton.

‘The initial improvement happens quickly, but over time its effectiveness will decline,’ said Dr Dia.

To address the issue of tolerance to steroids, medical treatment should not be done carelessly and requires a special strategy from the experts.

‘Corticosteroids have a wide range of potencies. There are those with mild potency, moderate potency, even very strong potency. Dermatologists and paediatricians will adjust to minimise the aforementioned tachyphylaxis effects,’ explained Dr Dia.