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You can gauge the amount of topical steroid to use by using your (adult) hand to measure the amount of skin affected on the child's backside, from the top of their neck to the top of the pubic bone. The higher the number, the higher the amount of topical steroid needed. In patients with severe acne, the amount that can be used depends on the severity of acne and the age of the patient. Patients with acne that will need more than 4 or 5 grams of topical steroid per day will need to receive 4 or 5 mg of topical steroid over a period of 5 days. The amount of skin affected and the need for different levels of topical steroid depends on the age of the patient. Young children should typically have less than 25 mg of topical steroid per day for daily use. The amount of topical steroid a 5year old patient could safely receive is at least 3 grams per day. Children from the 11 year age group can safely receive 5 grams of topical steroid daily and older adults should also be taken into consideration. If your doctor decides that topical steroid injections are an option for you and your child's health, be sure to read the patient information sheet provided with the injection. An injection is meant to be continued for as long as possible, but if you feel there is a worsening in the rash, or if you are a patient who has had severe side effects from a previous topical steroid injection, please discuss this with your child's doctor or healthcare provider before starting any topical steroid injection again. How is it injected? The injections are provided for acne maintenance and can be given every other day at the same time or once daily for an entire three months, as a last resort. They are usually given through a needle, similar to a birth control shot. It must be noted that a needle that is made of stainless stainless steel (stainless is very strong) is safer in both the injection process and the resulting skin damage, because it does not contain mercury. What is topical steroid withdrawal? If you feel your skin will not respond, it is important to make a choice to stop taking topical steroids. Withdrawal typically has a few weeks to allow your skin to recover. After withdrawal has ended and your skin is no longer affected by daily topical steroid injections, the amount of topical steroid to begin using again decreases. Please refer to the patient information sheet provided with the injection. What do I do if I'm using topical steroid while pregnant? If you are pregnant and have acne, talk with your healthcare provider about the topical steroid withdrawal recommended by the drug information table above. It is very Related Article: