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>For starters, it's not "adrenal failure", it's >"adrenal suppression". Providing an external source >of corticosteroid is commonly done for people with >rheumatic disease such as Rheumatoid Arthritis, Lupus >or Polymyalgia Rheumatica. > >Once you supply more than the body needs, the adrenal >glands are no longer stimulated by the brain (ACTH) to >produce cortisol so they cease to do so. If this >situation persists for longer than a week, they >actually start to shrink - they no longer "feel >needed" - and if the exogenous supply suddenly ceases >and they are again stimulated to "produce", they are >temporarily unable to fill the need - until they grow >back again. > >Excess steroids (or chronic stress causing increase in >endogenous production by the adrenals) in children can >suppress growth - at least for the time that it >continues. > >These things <I>might</I> be a concern for the use of >topical (external) steroids over a <I>substantial</I> >body area, but are <I>completely</I> and utterly >irrelevant to use in the way required on the specific >tight area of the foreskin - much less than a square >inch of total area (not to be confused with the area >of the <I>whole</I> foreskin). Because only a tiny >dab of the <I>ointment</I> is applied - never so much >as to produce a "greasy" feeling afterwards, the >standard prescription 15 gram tube (and adrenal >suppression is only a concern when - much - more than >this amount is to be used) should last more than a >year! > >The only thing worse than having patients "spooked" by >reading the PI (Product Information) that comes with >pharmaceuticals, is having doctors unable to >comprehend the basic therapeutic principles. > ><I>>Paul B's opinion of hydrocortisone is that it is >>better than nothing. However, do remember it can >>cause adrenal failure if you use it in big quantities >>and too often for too long. You do not want >>that....... The 1% Betamethesone/betonovate? will >>help you much more but obviously as a STRONGER STEROID >> it has more potential for adrenal failure >>indications. > >>You can still stretch without creams, but remember the >>steroids have a skin thinning effect...... once you >>stop applying regularly the skin will build >>again..............</I> > >Generally true.

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