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Thereforepatients receiving a large dose of a potent topical steroid applied to a large surface area or under an occlusive dressing should be evaluated periodically for evidence of HPA axis suppression by using the urinary free cortisol and ACTH stimulation testsand for impairment of thermal homeostasisIf HPA axis suppression or elevation of the body temperature occursan attempt should be made to withdraw the drugto reduce the frequency of applicationsubstitute a less potent steroidor use a sequential approach when utilizing the occlusive technique.
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Rarelyusing corticosteroid medications for a long time or over large areas of skin can make it more difficult for your body to respond to physical stressThereforebefore having surgery or emergency treatmentor if you get a serious illness/injurytell your doctor or dentist that you are using this medication or have used this medication within the past few months.
The following local adverse reactions are reported infrequently with topical corticosteroidsbut may occur more frequently with the use of occlusive dressingsThese reactions are listed in an approximate decreasing order of occurrence:
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