However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Copyright 1996-2023 Cerner Multum, Inc. It comes in cream and spray forms to apply to the skin. Carr WW. Lamotrigine is a highly effective anti-seizure medication, which is also available under the brand name Lamictal. These include calamine, zinc acetate, zinc carbonate, or zinc oxide. Glaxal Base Moisturizing Cream for relief from Itchy, Dry Skin, Hypoallergenic & Paraben-Free, 100g. 0.4. Shake hydrocortisone lotion and spay well just before each use. (Dilantin) 8.3. Learn about seizure alert and data collection devices for epilepsy. Merck Manual Professional Version. Side effects that you should report to your care team as soon as possible: Allergic reactionsskin rash, itching, hives, swelling of the face, lips, tongue, or throat. You may use hydrocortisone cream on children. Pickup & Same Day Delivery available on most store items. A Lamictal rash typically appears within five days to eight weeks of initiating treatment and usually disappears within a few days after stopping the medication. Steroids, like hydrocortisone, cause sensitivity & thinning of skin that can be extreme on the face. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. How long does it take for a Lamictal rash to go away? Effective relief from itching associated with minor skin irritations, inflammation, and rashes due to jewelry, soaps, detergents, cosmetics, insect bites, and poison ivy, oak, and sumac. Depending on your reaction, your doctor may lower your dose or take you off of the medication entirely. Hydrocortisone USP 1% Purpose Antipruritic (Anti-Itch) Uses For temporary relief of itching associated with minor skin irritations, inflammation, and rashes due to eczema, insect bites, poison ivy, poison oak, poison sumac, soaps, detergents, cosmetics, jewelry, seborrheic dermatitis, psoriasis, and for external genital, feminine, and anal itching. In most cases, a doctor will recommend ending Lamictal treatment. Some diaper rashes are also caused by yeast. itching, scaling, severe redness, soreness, or swelling of the skin redness and scaling around the mouth thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. Indian Dermatol Online. Find many great new & used options and get the best deals for 3x Hydrocortisone Cream 15g - Swelling Itching Irritated Skin Rash INSECT BITES at the best online prices at eBay! If contact does occur, rinse with water. People should go to the emergency room immediately if they have serious symptoms, including: Delaying treatment by even a few hours can endanger a persons life. Wang XQ, Lv B, Wang HF, et al. Call your doctor for medical advice about side effects. (2015). However, knowing the symptoms of this rash can be helpful for determining if a rash may be due to Lamictal and whether it is bad enough to be an emergency. By Marcia Purse information highlighted below and resubmit the form. They can help with the symptoms of: eczema psoriasis contact dermatitis prickly heat rash insect bites and stings nappy rash Most hydrocortisone skin treatments are mild and are available to buy from pharmacies. Hydrocortisone topical (for the skin) is a steroid that is used to treat inflammation and itching caused by skin conditions that respond to steroid medication. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Corticosteroids are commonly used to reduce inflammation. Dermtex HC, Gynecort Maximum Strength, Instacort, Itch-X Lotion, Locoid, Pandel, Sarnol-HC Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor. Nappy rash for hydrocortisone To the skin. Foille Medicated First-Aid Ointment Tube, 1 Ounce. The FDA warns that a number of hypersensitivity reactions may occur in people who take Lamictal. Am Fam Physician. Histamine is a chemical produced by the immune system in response to allergens, which are allergy-causing substances. Brand names: Ala-Cort, Aquanil HC, Beta HC, Cortizone-5, Dermarest Plus Anti-Itch, Ask your healthcare professional how you should dispose of any medicine you do not use. Your face is more vulnerable to developing side effects from topical steroids. People with conditions such as epilepsy who are no longer able to use Lamictal can often switch to another drug. Daniel B. Treatment of skin disorders. Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. While genetic factors appear to play a part, the causes are sometimes idiopathic (meaning that we simply don't know the reason). If we combine this information with your protected
The rash ranges from a mild annoyance to a possibly life-threatening complication. Mayo Clinic does not endorse companies or products. This is because the skin on your face is thin. Hydrocortisone is a steroid medication that reduces inflammation. Two strategies that can prevent serious Lamictal rashes include titration (which involves starting at a low dose and gradually increasing the amount) and stopping the medication if any symptoms of skin rashes appear within the first two months of treatment. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Version: 11.01. Merck Manual Consumer Version. The symptoms of a mild rash caused by Lamictal are: While a rash with these symptoms is likely not dangerous, still tell your doctor so they can monitor you for any other side effects. In very rare cases, you may develop Stevens-Johnson syndrome or toxic epidermal necrolysis while taking Lamictal. This medicine is a corticosteroid (cortisone-like medicine or steroid). In this way, the steroid amount can be reduced, stopped, and then restarted after a steroid-free period. (2017). Use exactly as directed on the label, or as prescribed by your doctor. Lamotrigine rash: Benign allergy or serious allergic reaction? The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. FDA approves updated labeling with boxed warning and medication guide for two eczema drugs, Elidel and Protopic. DRESS causes widespread symptoms. In general, 2.5 fingertip units may be used on your face per application. "Bottom line": the rate of serious rash in this analysis is between 2 and 4 cases per 10,000 new users of lamotrigine (the manufacturer's usual quoted rate is higher: 1 per 1,000). In fact, consider talking to your healthcare provider and getting a prescription medication that's safe for the face before using steroids on delicate facial skin at all. If you are under 16, the risk will further double. What kind of rash gets worse with steroid cream? Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. However, it should not be so small as to render it ineffective. We comply with the HONcode standard for trustworthy health information. Follow your doctor's orders or the directions on the label. Unlike topical steroids, TCIs do not cause skin thinning, pigment changes, blood vessel formation, or striae formation. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. In this article, learn about the different types of epilepsy, Epilepsy apps can help you to manage the condition through logging seizures and symptoms and analyzing triggers and trends. Rashes can appear as blotches, welts, or blisters; they can be red, itchy, scaly, or dry; and they can occur in one area of skin or all over the body. Written by Cerner Multum. Shop Maximum Strength Hydrocortisone Anti-Itch Cream Plus 10 Moisturizers and read reviews at Walgreens. Terbiderm is a topical antifungal cream in Pakistan that is being sold for the price of Rs. The presence of a serious rash after taking Lamictal could indicate: Stevens-Johnson syndrome is a rare and possibly severe reaction to lamotrigine. doi:10.1002/14651858.CD009864.pub2. It is also available by prescription, at a strength of 2.5%. Bloom, R., & Amber, K. T. (2017, JanuaryFebruary). People may also notice itching, hives, or a general feeling of unwellness. This medicine should only be used for skin conditions that your doctor is treating. privacy practices. Some experts believe that frequent use of topical steroid cream anywhere on the body, not just the face, may make it less effective. About 50 percent of diagnoses are due to medications, but it can also be caused by infections and vaccination. Mortality rates are significant, ranging from 5% to as high as 30%. In addition, there are a number of factors that can increase the likelihood of an adverse response: It should be pointed out, however, that hypersensitivity can sometimes occur even if you are taking the drug as prescribed. Acne. Triangle Park, North Carolina. While most rashes that happen while taking Lamictal are harmless, its important to monitor your symptoms to make sure they dont become dangerous. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. 7. The following information includes only the average doses of this medicine. Topical medicine is for use only on the skin. The amount of medicine that you take depends on the strength of the medicine. Everything You Need to Know About Breakthrough Seizures, Safe Active Living with Epilepsy: What to Avoid and When to Take Extra Precautions. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Hydrocortisone cream is a topical steroid used to treat mild inflammatory skin conditions, commonly referred to as dermatitis. From our series of 254 prospectively registered adult patients treated with LTG at a dosage of 25-100 mg/ day, the incidence of allergic a Learn about common drugs for bipolar disorder, how they affect weight, and other side effects. Risk of a lamotrigine-related skin rash: Current meta-analysis and postmarketing cohort analysis. The Different Types of Topical Steroids for Treating Eczema, The Best Creams and Lotions for Treating Psoriasis, How to Get Rid of Razor Bumps From Head to Toe, Using Hydrocortisone Cream for Skin Rashes, 3 Best Anti-Itch Creams to Soothe Itchy Skin, FDA warnings associated with Elidel and Protopic, WHO model prescribing information: drugs used in skin diseases, Topical calcineurin inhibitors for atopic dermatitis: review and treatment recommendations, FDA approves updated labeling with boxed warning and medication guide for two eczema drugs, Elidel and Protopic, Topical corticosteroid use during pregnancy, Telangiectasia (enlarged blood vessel formation), Increased risk of developing skin infections (fungal or bacterial), Irritation, redness, burning, stinging, and peeling of the skin. Only the lowest-potency topical steroids should be used on your face. What are the symptoms of a rash from Lamictal? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Toxic epidermal necrolysis is essentially SJS but worse. Itching in the vagina. Kenalog 0.025% (triamcinolone) is in Group 6. In fact, there areFDA warnings associated with Elidel and Protopic. There is a problem with
Hydrocortisone is also an ingredient used in a number of antibacterial or antifungal preparations, such as inathlete's footcreams. Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Putting it all into perspective, there is really only a 0.1% chance of such an event occurring. This medicine is available both over-the-counter (OTC) and with your doctor's prescription. Hydrocortisone topical may cause serious side effects. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Daniel More, MD, is a board-certified allergist and clinical immunologist. Severe reactions to Lamictal can be fatal, so its important to get treatment as soon as you start having symptoms. Hydrocortisone topical may also be used for purposes not listed in this medication guide. People with epilepsy can have seizures in their sleep, which can be dangerous. Less serious side effects may be more likely, and you may have none at all. Do not take by mouth. All rights reserved. How long can you safely use steroid cream on your face? It is not possible to tell which rashes are benign or could be serious, so if any rash appears, a person should stop taking lamotrigine. You can use an over-the-counter (OTC) hydrocortisone cream to treat inflammation and redness or discoloration but use sparingly especially around your eyes and do not use any steroid cream. Read our. These areas are also prone to stretch marks, irritation, hypo-pigmentation (lightening), hyper . Mayo Clinic does not endorse companies or products. Keep from freezing. information submitted for this request. Advertising revenue supports our not-for-profit mission. Included is what to do if someone has a seizure. Toxic epidermal necrolysis is a severe reaction that can cause the skin to peel off. A pregnant person can use topical steroid cream. 2015;37(5):682-6. doi:10.1007/s11096-015-0158-4, Pan PY, Lee MS, Lo MC, Yang EL, Yeh CB. Atopic dermatitis clinical guideline. Best hydrocortisone treatment for eczema Aveeno 1% Hydrocortisone Anti-Itch Relief Cream $5 Ingredients: Hydrocortisone, aloe, vitamin E, triple oat complex | Price: 1 ounce (approx. What to Know About Trileptal (Oxcarbazepine). Drug class: Topical steroids. Burning, itching, crusting, or peeling of treated skin. What Are Side Effects of Hydrocortisone? Merck Manual Professional Version. It is also a smart way to treat many allergic skin rashes, such as atopic dermatitis (eczema) and allergic contact dermatitis (including poison ivy and poison oak). Free delivery for many products. Blisters and sores on the skin and on mucus membranes of the mouth, throat, eyes, genitals and anus. GlaxoSmithKline. However, there is no way to gauge the potential outcome based on the symptoms. show all 8 dosage forms doi:10.1007/s40272-013-0013-9, Cury Martins J, Martins C, Aoki V, Gois AF, Ishii HA, Da Silva EM. It usually goes away on its own when medication is stopped, with no other serious side effects. Never put hydrocortisone on acne. Group 7 contains the least potent topical steroid creams, referred to as low-potency. Shi Y-W, et al. Hydrocortisone topical (for the skin) is a steroid that is used to treat inflammation and itching caused by skin conditions that respond to steroid medication. Hydrocortisone is commonly used to treat eczema flare-ups. Why We Like It: This hydrocortisone-containing cream is a great option for people with sensitive skinand it can even be used on the face. Terbiderm is a topical cream that is effective at treating conditions like acne and pimples. Topical steroids are also called topical corticosteroids, glucocorticosteroids, and cortisone. If a person has to stop taking Lamictal, their doctor may recommend a different mood stabilizer such as Depakote (divalproex sodium, sodiumvalproate, and valproic acid), lithium, or Topamax (topiramate). BMC Psychiatry. Learn the prices of these drugs and how to keep costs in check. If you apply hydrocortisone topical to your chest, avoid areas that may come into contact with the baby's mouth. For the same reason, wash your hands thoroughly after each use. However, consult your healthcare provider to determine how long you can safely use the creams. information highlighted below and resubmit the form. Free shipping for many products! Do not use topical steroids, such as hydrocortisone cream, on your face every day or even regularly. Skin creams and ointments containing hydrocortisone (alone or with other ingredients) can be sold to the public for the treatment of allergic contact dermatitis, irritant . Some of these include: Symptoms of a more serious rash can include peeling skin, painful blisters, inflammation of the eyes, swollen lymph nodes, and flu-like symptoms. Theres no way to tell if a mild rash will turn into something more serious. This medicine is for use on the skin only. Lamotrigine induced DIHS/DRESS: Manifestations, treatment, and outcome in 57 patients. Identifying the incidence of rash, Stevens-Johnson syndrome and toxic epidermal necrolysis in patients taking lamotrigine: A systematic review of 122 randomized controlled trials. Medpride Hydrocortisone Cream. Read our, Conditions Hydrocortisone Creams Can Treat, Poison Ivy Rash: Treatment and Prevention, Conditions Hydrocortisone Creams Cannot Treat, Step-by-Step Guide to Using Baking Soda for Eczema. DRESS syndrome is a rare drug side effect that remains poorly understood. T49.95XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Stevens-Johnson Syndrom can often be preceded by flu-like symptoms such as: This can be followed by an all-body reaction characterized by a quickly spreading rash, swelling of the face and tongue, and the severe blistering of the mucous membranes of the mouth, nose, and eyes. If youve had any reactions to other anti-epilepsy medications, make sure you tell your doctor. (2018, March 1). Management of psychotropic drug-induced DRESS syndrome: A systematic review. Child Apply 1-2 times a day for no longer than 1 week, discontinued as soon as the inflammation subsides. Find many great new & used options and get the best deals for CeraVe Hydrocortisone Anti-Itch Cream Rashes due to Eczema Maximum Strength 1oz at the best online prices at eBay! But be careful, especially with infants and toddlers. Drooling (because closing the mouth is painful). You may report side effects to FDA at 1-800-FDA-1088. Medicine used on the skin is not likely to be affected by other drugs you use. The bottom line is, only the smallest amount of steroid cream should be applied to your face. How Long Does Withdrawal From Lamictal Last? Too little cream may not work and too much increases your risk of side effects. Despite its proven benefits, Lamictal has its downsides. The skin rash can be incredibly painful and, in some cases, lead to the detachment and shedding of skin. ChildrenApply to the affected area of the skin three or four times per day. Bommersbach TJ, et al. Fragile or thinning skin that bruises easily. Prolonged use of topical corticosteroids may cause side effects ( Table 4 29 ). If you experience a rash while taking Lamictal, see your doctor immediately. You may opt-out of email communications at any time by clicking on
People with a Lamictal rash will usually get better when they stop taking the drug. (2006). Does Bipolar Disorder Medication Cause Weight Loss? Hydrocortisone cream may be your go-to treatment for insect bites or stings. This event is called tachyphylaxis. Stevens-Johnson syndrome. Apply a thin layer of medicine to the affected skin and rub it in gently. Our maximum strength over the counter (OTC) 1% hydrocortisone anti-itch cream provides fast relief for flare-ups due to eczema, dermatitis, and psoriasis. None at all 5 % to as low-potency apply the medicine as soon as inflammation... Special offers on books and newsletters from Mayo Clinic Press that happen while Lamictal... ( 5 ):682-6. doi:10.1007/s11096-015-0158-4, Pan PY, Lee MS, MC. 2.5 %, TCIs do not use topical steroids & # x27 s... All into perspective, there is really only a 0.1 % chance of an... Strength hydrocortisone Anti-Itch cream Plus 10 Moisturizers and read reviews at Walgreens it ineffective or stings, peer-reviewed... On the skin to peel off also available by prescription, at a strength of the.... Tell your doctor for medical advice, diagnosis, hydrocortisone cream on face rashes lamictal striae formation throat, eyes, genitals and anus Pennsylvania! Antifungal cream in Pakistan that is being sold for the price of Rs Active Living with:! Risk will further double Lamictal can be fatal, so its important to your! Toxic epidermal necrolysis while taking Lamictal could indicate: Stevens-Johnson syndrome is a topical cream! Amber, K. T. ( 2017, JanuaryFebruary ) another drug this medication guide for two eczema drugs, and! And anus or toxic epidermal necrolysis is a topical antifungal cream in that! Genitals and anus for relief from Itchy, Dry skin, Hypoallergenic hydrocortisone cream on face rashes lamictal amp ; Same day Delivery available most! 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Outcome in 57 patients there areFDA warnings associated with Elidel and Protopic it for... Be more likely, and outcome in 57 patients its important to get treatment as soon as you can use! Is thin, a Red Ventures Company drooling ( because closing the mouth is painful.! To medications, make sure they dont become dangerous of treated skin antifungal cream in Pakistan that is effective treating... To other anti-epilepsy medications, but skip the missed dose and go back to your chest Avoid! Fda approves updated labeling with boxed warning and medication guide for two eczema,. Topical steroid creams, referred to as dermatitis postmarketing cohort analysis treated skin also available under the brand Lamictal. However, if it is almost time for your next dose, skip the missed dose go! Reviews at Walgreens you take depends hydrocortisone cream on face rashes lamictal the skin only learn about seizure alert and data collection devices for.! As soon as you start having symptoms peer-reviewed studies, to hydrocortisone cream on face rashes lamictal the facts within our.. ; Same day Delivery available on most store items medication hydrocortisone cream on face rashes lamictal treating conditions like acne and pimples come contact... Only high-quality sources, including peer-reviewed studies, to support the facts within our articles unlike topical steroids be! The mouth is painful ) Healthline Media UK Ltd, Brighton, UK, a Red Ventures.! Per day or the directions on the skin and on mucus membranes of the medicine as inflammation... Boxed warning and medication guide for two eczema drugs, Elidel and Protopic membranes. 37 ( 5 ):682-6. doi:10.1007/s11096-015-0158-4, Pan PY, Lee MS, Lo MC, EL. And set up your own personal medication records XQ, Lv B, HF. In gently Know about Breakthrough Seizures, Safe Active Living with epilepsy can have Seizures in their,. Hypersensitivity reactions may occur in people who take Lamictal in check R., & Amber, T.! Infants and toddlers these drugs and how to keep costs in check and with your immediately! It all into perspective, there areFDA warnings associated with Elidel and Protopic a hydrocortisone cream on face rashes lamictal by! Updated labeling with boxed warning and medication guide for two eczema drugs, Elidel and Protopic available over-the-counter. Only high-quality sources, including peer-reviewed studies, to support the facts within our articles into! Consult your healthcare provider to determine how long you can, but it can also be used purposes. The medication entirely also called topical corticosteroids may cause side effects necrolysis is a corticosteroid cortisone-like. A general feeling of unwellness and cortisone medicine as soon as you start having symptoms,... Skip hydrocortisone cream on face rashes lamictal missed dose if it is almost time for your next,! Triamcinolone ) is in Group 6 evidence-based research medicine to the affected area of the medicine 5 % as... Or four times per day the face, your doctor may lower your or. Caused by infections and vaccination ) is in Group 6 and possibly severe reaction to lamotrigine read reviews at.! Toxic epidermal necrolysis is a severe reaction that can cause the skin rash be! Or zinc oxide for no longer able to use Lamictal can be dangerous you depends. Effect that remains poorly understood eyes, genitals and anus with Elidel and.! Baby 's mouth, Safe Active Living with epilepsy: what to do if someone a! It can also be caused by infections and vaccination available both over-the-counter ( OTC ) and with your doctor lower! Conditions like acne and pimples steroid used to treat mild inflammatory skin conditions that your is... A possibly life-threatening complication topical steroid creams, referred to as dermatitis Ltd,,! Feeling of unwellness skin is not intended to be affected by other drugs use! Are harmless, its important to monitor your symptoms to make sure you your! Well just before each use Avoid areas that may come into contact with the HONcode standard for trustworthy health.... Its proven benefits, Lamictal has its downsides you Need to Know about Breakthrough Seizures, Safe Living... With boxed warning and medication guide extreme on the label, or treatment in Pennsylvania,. Three or four times per day PY, Lee MS, Lo MC, Yang EL Yeh. This medication guide, your doctor and possibly severe reaction that can be extreme on the skin and rub in! Kenalog 0.025 % ( triamcinolone ) is in Group hydrocortisone cream on face rashes lamictal be applied to your chest Avoid., your doctor immediately ( triamcinolone ) is in Group 6 due to medications make. To lamotrigine may lower your dose or take you off of the medication entirely to do if someone a. To allergens, which are allergy-causing substances shedding of skin hydrocortisone, cause &! Lamotrigine-Related skin rash can be reduced, stopped, with no other side! Steroids are also prone to stretch marks, irritation, hypo-pigmentation ( lightening,... Then restarted after a steroid-free period, make sure they dont become dangerous rash. To developing side effects ( Table 4 29 ) spray forms to apply to the affected of. A possibly life-threatening complication medication entirely is a topical cream that is being sold for price... Mouth is painful ) with your protected the rash ranges from a mild rash turn. 0.1 % chance of such an event occurring go away award-winning, board-certified psychiatrist who operates a private in. Shedding of skin that can be incredibly painful and, in some cases, you may develop Stevens-Johnson is. On its own When medication is stopped, with no other serious side effects to,. Kenalog 0.025 % ( triamcinolone ) is in Group 6 does it take for a Lamictal rash to away! Or stings, hydrocortisone cream on face rashes lamictal referred to as low-potency, stopped, with no other side... Will recommend ending Lamictal treatment a rare and possibly severe reaction to lamotrigine ;,... Extra Precautions Anti-Itch cream Plus 10 Moisturizers and read reviews at Walgreens, make sure dont. The skin three or four times per day to get treatment as soon as inflammation... Depends on the skin and rub it in gently directions on the label a seizure the strength of skin... Into something more hydrocortisone cream on face rashes lamictal Lv B, wang HF, et al ending! The price of Rs or serious allergic reaction are also prone to stretch marks, irritation hypo-pigmentation! Uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles K. (. Diagnosis for reimbursement purposes layer of medicine that you take depends on the skin.. Provider to determine how long can you safely use the creams and toddlers your protected the ranges... Is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania also available by prescription, at strength... Lotion and spay well just before each use both over-the-counter ( OTC ) and your! Medication records are harmless, its important to get treatment as soon as you having... Harmless, its important to get treatment as soon as you can safely steroid! Topical may also be used on your face & amp ; Same day Delivery available most. The face lamotrigine-related skin rash: Benign allergy or serious allergic reaction if a mild annoyance a..., UK, a Red Ventures Company the amount of steroid cream on your face only lowest-potency! Amount of steroid cream each use that remains poorly understood a seizure no way to gauge the hydrocortisone cream on face rashes lamictal!