From the FDA Drug Label
Uses temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: eczema ... temporarily relieves external anal and genital itching The steroid to use for eczema on the penis is hydrocortisone (TOP), but it should only be used under the advice and supervision of a doctor for this specific use 1.
- Key points:
- Relieves itching associated with eczema
- Relieves external genital itching
- Use under medical supervision for genital use
From the Research
For mild to moderate eczema on the penis, a low-potency topical steroid such as 1% hydrocortisone cream is typically recommended, as it has been shown to be effective in reducing inflammation and suppressing the immune response that causes eczema symptoms, with minimal risk of adverse effects 2. Apply a thin layer to the affected area once or twice daily for 7-10 days. For more severe cases, a moderate-potency steroid like triamcinolone 0.1% might be prescribed, but should only be used under medical supervision, as potent topical corticosteroids have been shown to be more effective than mild topical corticosteroids in treating eczema, but with a higher risk of adverse effects 3. It's essential to use these medications sparingly on genital skin, which is thin and absorbs steroids more readily than other body areas, and to be aware of the potential risks of local adverse events, such as skin thinning, which can occur with prolonged use of topical corticosteroids 3. After applying the steroid, wait about 30 minutes before using a gentle, fragrance-free moisturizer to help maintain skin barrier function. Discontinue the steroid once symptoms improve and consult a healthcare provider if there's no improvement within a week, if symptoms worsen, or if you suspect a fungal infection. Some key points to consider when using topical corticosteroids for eczema on the penis include:
- The risk of adverse effects increases with prolonged use, a large area of application, higher potency, occlusion, and application to areas of thinner skin such as the face and genitals 4
- The use of topical corticosteroids can be effective in treating eczema, but it's crucial to weigh the benefits against the potential risks, particularly in sensitive areas like the genital skin 2
- Other treatment options, such as topical calcineurin inhibitors, may be considered for patients who are not responsive to topical corticosteroids or who experience adverse effects 5. Avoid potential irritants such as harsh soaps, scented products, and tight clothing that may exacerbate symptoms. Steroids work by reducing inflammation and suppressing the immune response that causes eczema symptoms like itching and redness. It's also important to note that the effectiveness and safety of different topical anti-inflammatory treatments for eczema can vary, and the choice of treatment should be individualized based on the severity of the disease, the patient's medical history, and the potential risks and benefits of each treatment option 2.