Are Steroid Creams Linked to Personality Changes?
Many individuals have shared their concern about experiencing significant changes in their mood and personality after using a steroid cream. In this article, we delve into the scientific evidence and potential reasons behind these reported changes, helping you understand if there is any merit to these concerns.
Understanding Topical Steroids
Topical steroids, also known as corticosteroids, are commonly used to treat inflammatory skin conditions such as eczema, dermatitis, and psoriasis. These creams work by reducing inflammation, redness, and itching. While they are generally safe and effective when used appropriately, some sensitivities and side effects can occur.
Are Steroid Creams Known to Cause Personality Changes?
The short answer is that the majority of people using steroid creams do not experience noticeable changes in their personality or mood. However, there are documented cases where such changes can occur, especially in individuals using ultra-high or high-potency steroid creams or when the creams are applied over a large area for an extended period.
Effect on Emotions and Behavior: A Rare Occurrence
It is important to note that changes in behavior and mood as a result of using steroid creams are very rare. The reported instances of emotional lability (an emotional state characterized by a sudden, intense, and transient change) secondary to the application of a very potent topical corticosteroid, such as clobetasol (Class I), are exceptional. Typically, these individuals had previously used a high-potency steroid like betamethasone (Class III) without any such issues.
Classification of Topical Corticosteroids
The World Health Organization (WHO) classifies topical corticosteroids into different classes based on their potency, from very low to ultra-high. Understanding the classification can help you better manage your use of these creams.
Unless the agent you are using is near the top of the list and is applied extensively over highly inflamed skin or is covered with an occlusive dressing, systemic absorption and subsequent effects on your mood or behavior are unlikely. If you are using an ultra-high potency steroid, you should discuss your concerns with your healthcare provider.
Self-Medicating and Consultation
If you have been using a steroid classified as ultra-high potency (clobetasol or diflorasone) or high potency (betamethasone), it is essential to bring your concerns to the attention of a doctor. On the other hand, if you have been using an over-the-counter product like hydrocortisone cream for a mild condition, the changes in your mood or behavior could be due to other factors.
The Hormonal Influence
It is true that steroids can influence your hormones. This hormone regulation is one of the reasons why people sometimes experience personality changes when using these creams. However, it is crucial to address the underlying cause of your condition instead of solely relying on topical treatments. If you are dealing with persistent or severe symptoms, it is advisable to delve into the root causes and explore alternative management strategies.
Conclusion
In conclusion, while the majority of users of steroid creams do not experience significant changes in their personality or mood, it is not entirely impossible. The risk of such side effects is much higher if you are using ultra-high or high-potency creams and applying them over a large area for an extended period.
Always be aware of the potential side effects associated with any medication, and consult your healthcare provider if you have any concerns. Additionally, consider exploring alternative treatments and addressing the root cause of your condition to achieve lasting relief.