From the Research
Hydrocortisone cream should not be used as a primary treatment for superficial sunburns due to lack of significant benefits in reducing inflammation and discomfort, as shown in the most recent and highest quality study 1. When considering the use of hydrocortisone cream on superficial sunburns, it's essential to weigh the potential benefits against the risks. The study by 1 found that topical corticosteroid treatment does not provide a clinically useful decrease in the acute sunburn reaction when applied 6 or 23 hours after UV exposure.
Key Considerations
- The natural course of mild to moderate sunburn is about three to five days, as observed in the study by 2.
- Topical corticosteroids, including hydrocortisone, may have complications such as rosacea-like eruptions, perioral dermatitis, atrophy, and telangiectasia, especially with long-term or uninterrupted use, as reported in the study by 3.
- Other studies, such as 4, have shown some benefits of topical corticosteroids in reducing sunburn reaction, but these findings are not consistent across all studies.
Recommendations
- For mild to moderate sunburns, symptomatic treatment with cool compresses, aloe vera gel, and plenty of hydration may be more effective in reducing discomfort and promoting healing.
- Hydrocortisone cream should be used with caution, if at all, and only under the guidance of a healthcare provider, especially for severe sunburns, children under 2 years, or application on the face.
- It's crucial to prioritize sunburn prevention measures, such as using sunscreen, wearing protective clothing, and seeking shade, to minimize the risk of sunburn and its associated complications.