Dr. Vikas Paudel, a dermatologist and venereal specialist working at Patan Hospital, has warned that steroids are being used indiscriminately on the skin, and it is causing complex problems on the skin. In a conversation with Healthpati about the use of steroids on the skin in Nepal, he said that the use of steroids in Nepal is terrible.
He said that steroids are also available in beauty parlors and grocery stores apart from pharmacies. At the same time, steroids should not be used without a doctor's prescription. According to a study conducted in a teaching hospital on steroid abuse in 2016, he said that the abuse of steroid drugs in Nepal is terrible. He participated in that study. In the study, it was found that more than 60 percent of drugs were used without a doctor's prescription, including steroids to remove ringworm, blackheads, and warts, he said.
Paudel said that when steroids are used indiscriminately, the skin becomes thinner, unwanted hair grows, blood veins appear on the skin, and steroid dependence (heals until the steroid is applied, but then the problem reappears) is seen. He said that if fairness creams are applied to make the face fairer, the problem of unwanted facial hair and thinning of the skin will be seen.
Medicines used in scabies and ringworms are in combination with creams. It does not eliminate fungus. It has healed well, but the fungus has not been eradicated, and the skin is deteriorating. The same medicine will cause hair loss, thinning, redness, and unwanted pimples if the ringworm is on the face. He said that steroids should not be used in ringworm. What is the use of steroid medicine, and what is the status of its use now? We have talked to Dr. Vikas Paudel about such matters.
What are steroid drugs?
Steroids are a very important invention in medical science. This medicine is used as an injection. It is in the form of a pill taken orally. It is also used as a spray, cream, or gel. It has very good works. It is used in many types of rheumatism. It is used in medicines that are used when there is a disturbance in the systems of one's own body.
It is used in allergic types of acne, eczema, psoriasis, and skin diseases. It is used in various other diseases. However, more than its use, different problems have occurred in the body due to misuse. It is most commonly used for leather edges. It is used for hair loss in various skin rheumatic diseases. It is used in different skin diseases, such as when a boil in the body due to an allergy to the skin. But misuse is causing problems.
According to the rules and laws, steroid drugs cannot be bought without a doctor's prescription. However, the Nepal Medicines Act also stipulates that it cannot be given from the pharmacy. However, the law is not followed in Nepal. Therefore, patients can buy strong steroids like other drugs from the pharmacy. Even in grocery stores, fancy shops, department stores, and shops, women and men buy such medicines for whitening.
What kind of skin patients can use?
Steroids are most commonly used for eczema. This is a type of allergy. There are many types of eczema. Some are allergic, and some are irritated. It is allowed to be reduced. Some people are allergic to tea. It is also given. But there is a disease called planus, which is shown in it. It is given in psoriasis.
It is given if the skin is sometimes irritated after applying any cosmetics. It is also given in boils, mouth sores, and tumors. It is also given for other wounds. It is given if it becomes very black in old wounds. It is applied and given by injection. It is given in old shingles. They are widely used.
Symptoms of abuse?
Steroid drugs are classified according to how strong and how hard they are. There are also different hard and normal ones. The doctor recommends the person's place to be used and the person's age. If you have a young person, you cannot give strong medicine if you have to apply it to many parts of the person. If there is a patient with psoriasis, it should be given strictly.
What kind of disease is psoriasis?
It is a chronic disease. A person in which people's skin is very thick and cuts. Red spots can be found in different parts of the body. It can come anywhere from head to toe. It can also damage the nails and affect the bones. So, sometimes it is used once a day, sometimes twice, and not every day but once a week. It depends on the situation.
What is the situation of abuse?
Steroid medicine is most misused in ringworm. Applying it to ringworm reduces some of the itching. It is pretending to work, but the virus does not die. Then, the damage it does starts to show. The skin begins to thin and starts to tear. Blood vessels can be seen on the skin. If a disease can be cured by ordinary medicine, it can reach a state where it cannot be cured.
If you have ringworm on your face, applying that medicine can cause facial hair, thinning skin, sores, and pimples on your face. It feels good when the medicine is applied. We do not use much on the face of easily available Indian medicine. This medicine should not be used for this disease. If the same disease occurs in the forehead, the medicine is given. If it comes in hand, the difference is given. Where to use medicine and what to use
What kind of problem is seen?
If any problem occurs, you should not treat it yourself. If there is any problem related to skin, nails, hair, or venereal disease, the first thing to do is to go to a dermatologist and venereal specialist. If you go to a health worker/doctor, you can give the right advice. The problem is quickly diagnosed.
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