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An anti inflammatory topical steroid that shrinks swolle Burberry Bags Outlet n tissue by constricting blood vessels, hydrocortisone is often used to stop the itching caused by chronic skin conditions like eczema and contact dermatitis, and its also an ingredient in vaginal and hemorrhoidal Burberry Bags Outlet creams. OTC topical steroids can contain just 1 percent hydrocortisone, which should be safe, says Dina D. Strachan, MD, a dermatologist in private practice in New York City.Be careful, though, when applying the creams to sensitive spots such as the eyelids, armpits, and groin (all places where eczema, rashes, and allergic reactions are particularly common). In these locations, skin is thinner and more folds exist, so skin hits skin often, which can cause medications to penetrate more deeply. These areas are also prone to stretch marks, irritation, hypopigmentation (lightening), and “a crinkly, cigarette paper appearance,” Strachan explains good reason to avoid that old beauty queen trick of using hemorrhoidal cream to de puff eye bags, experts say. In fact, last year the makers of Preparation H issued a warning cautioning consumers to avoid applying hemorrhoid cream to the face.Overuse of topical steroids containing hydrocortisone can cause the skin to develop a resistance (called tachyplaxis) to the medication, says Daniel Behroozan, MD, dermatologic surgeon and founder of the Dermatology Institute of Southern California, and clinical instructor at the University of California, Los Angeles, School of Medicine. As a result, “in order to have the desired medical effect, a stronger and more potent steroid may be needed, which may cause more potential side effects.”Women experiencing vaginal itching and irritation due to menopausal changes sometimes turn to OTC products that contain estrogen, a practice that worries Wen Shen, MD, assistant professor of gynecologic specialties at the Johns Hopkins University School of Medicine. “Such creams get absorbed through the skin and metabolized into estrogens in the body. That means they can cause the same side effects as estrogen pills, such as elevated blood pressure, breast tenderness, increased risk of breast cancer, abnormal vaginal bleeding, and endometrial hyperplasia, which can lead to uterine cancer,” she says. “If a woman is thinking about using anything with estrogen, she really needs to get it through her physician.”The same goes for OTC progesterone creams used to treat PMS and menopause symptoms, says Michael Krychman, MD, medical director of sexual medicine at Hoag Hospital in Burberry Bags Outlet Newport Beach, California. “You have to be very careful. You dont always know how much youre getting or how much youre absorbing with these products,” he says. “That makes it very easy to get too much. Burberry Bags Outlet ” A lot of women who are trying these OTC creams on their own may not even have lowered hormone levels, at all, he says. Such products are often available over the counter but should only be used under a doctors supervision, Francesca J. Fusco, MD, says. Ironically, in certain skin types the opposite or darkening of the skin occur. In many cases, this happens in darker skinned individuals, she says, adding that hydroquinone has been under FDA investigation for discontinuation in OTC products because of possible cancer causing activity in rats exposed to large amounts.