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Vehicle used with topical steroid

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The choice of vehicle can affect the use and penetration of the medication resulting in varying in potency of a particular topical steroid (1). Numerous types of vehicle formulations are available and the selection depends on the type of lesion and the area of the body affected (2).

  • ointments
    • petrolatum based and provides more lubrication and occlusion (increases absorption) when compared to other preparations (3)
    • useful in treating dry or thick, hyperkeratotic lesions and for areas with thick skin (like in palms and soles) (2)
    • should not be applied to hairy areas and if used on intertriginous areas may result in maceration and folliculitis (3)
  • creams
    • generally less potent than ointments, it has good lubricating qualities and are cosmetically more acceptable to patients
    • useful in treatment of moist and weeping areas of the skin (4)
    • may cause irritation, stinging, and allergic reaction to preservatives it contains (3)
  • gels
    • non-greasy and non-occlusive and used for hairy or facial areas (3)
    • useful for exudative inflammation e.g. – poison ivy (4)
  • lotions
    • contain alcohol and used in hairy areas, leaves very little residue (3)
    • useful in conditions with acute inflammation or tenderness e.g. - acute contact dermatitis (4)
  • foams, mousses, and shampoos
    • effective when used on the scalp
    • spreads easily resulting in increased permeability with little or no residue (4)

Reference:


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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