Prednisone isn’t a first-line treatment for perioral dermatitis. Topical therapies, like metronidazole or pimecrolimus, usually offer better long-term results and carry fewer side effects. However, in severe cases, a short course of oral prednisone might be considered to quickly reduce inflammation.
Remember: Prednisone is a potent steroid. Your dermatologist will closely monitor your progress and carefully manage your dosage. Expect potential side effects, including increased appetite, weight gain, and mood changes. These are usually temporary and manageable but warrant discussion with your doctor.
Tapering the dose is critical to avoid rebound flares. Your doctor will gradually decrease your prednisone intake over several weeks to minimize the risk of the perioral dermatitis returning worse than before. Strict adherence to the prescribed regimen is paramount for successful treatment.
Long-term prednisone use for perioral dermatitis is generally discouraged due to the higher risk of side effects and the potential for steroid-induced rosacea. Focus on consistent use of prescribed topical treatments to maintain clear skin after completing the prednisone course. Discuss alternative maintenance therapies with your dermatologist to prevent recurrence.
