Pregnant after a Loss

Would you use hydrocortisone cream?

I'm going to ask my OB, but for questions I like these I sometimes find anecdotes more helpful than official medical advice.

I have eczema on my hand and a little on my eyelids so I saw a dermatologist and got a script for hydrocortisone cream (0.2%). The derm knew I was pregnant and gave me something that is not very strong. But of course when I google around I get conflicting & confusing advice. The overall picture seems to say use it if you really need to, but not that much. In too high of a dose, it can cause birth defects including cleft palate, but "too much" is VERY subjective.

Since it's really just to soothe an itch, I could technically just grin and bear it. WWYD? 

Re: Would you use hydrocortisone cream?

  • I'd probably use it, but try to do so sparingly.
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  • I have used it and would again if I needed to. But I wasn't using it daily or anything - it was just for a couple days.
  • I have eczema on my thighs and I use it every day....the 1% kind.  My OB says it's fine to  use hydrocortizone cream - I didn't even really think about the dosage.  I hadn't heard about birth defetcts and from the 3D u/s it looks like cleft palate will not be a problem.

     

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  • I have had some dry skin patches and my OB ok'ed cortisone cream. 
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  • I would try not to use hydrocortisone cream frequently on the eyelids  (0.2% can be confusing depending on the details of the preparation, it's hard for me to know exactly how strong it is, ointment is stronger than cream, valerate vs. acetate etc.) because of risk of cataracts.  I would use very low potency on this area.

     Otherwise, I guess I would use it sparingly...there shouldn't be too much systemic absorption for a small area.  I'm using ketoconazole cream for athlete's foot (which you're not supposed to take by mouth even months before getting pregnant, I think) with the same logic...it's not every day and only a small area and my Ob said it would be OK.

     Also, I'd try all of the eczema things you probably already do...patting instead of rubbing dry then applying a good cream/ointment such as Eucerin or vaseline, if your dermatologist didn't review them with you, there should be plenty of info online.

  • Page JenyM...she's a pharmacist!
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