Related Experiment Video
Updated: Feb 26, 2026

11:39
The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
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Update on the Systemic Risks of Superpotent Topical Steroids.
Journal of Drugs in Dermatology : JDD
|July 12, 2017
Summary
Superpotent topical steroids may be safe for extended use, even months or years, if weekly amounts stay within FDA guidelines. This review found adrenal effects like Cushing's syndrome (CS) and pathologic adrenal suppression (PAAS) were rare and reversible when less than 50g weekly was used.
Area of Science:
- Dermatology
- Endocrinology
- Pharmacology
Background:
- Systemic effects from topical steroids are a concern.
- FDA limits superpotent topical steroid use to 50g/week for 2-4 weeks.
- Current FDA guidelines are based on clinical trial durations, not adverse event incidence.
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