Basic Instructions for SmartLotion®
How to Perform A Spot Check
Information on Moisturizing When Applying SmartLotion®
Atopic Dermatitis/ Eczema (Adults)
Disseminated Superficial Actinic Porokeratosis (DSAP)
Flexure Rash, Intertrigo or Flexure Psoriasis
Follicular Inflammation (Shaving Rashes)
Keratosis Pilaris (KP) - Adults
Lichen Planus/ Lichen Simplex Chronicus
Polymorphous Light Eruption -PMLE
Scalp Scaling/ Itching
Topical Steroid Withdrawal (TSW)
Acne Treatment Irritation (Combination Skin)
Atopic Dermatitis/ Eczema (Teenagers)
Flexure Rash, Intertrigo or Flexure Psoriasis (Teenagers)
Heat-Related Pimples (Teen Folliculitis)
Lip Chapping/ Red Lip Ring
Perioral Dermatitis (Teenagers)
Seborrheic Dermatitis (Teenagers)
Infants & Children
"My child's facial eczema is returning, even when applying SmartLotion® 1x per day"
"My rash has returned" or "I'm experiencing a flare-up"
"SmartLotion® Made My Eczema Worse"
"What should I do if I have thin skin?"
New Skin Irritation Or Seasonal Intolerances
Persistent Redness of the Face (For Teenagers)
Persistent Redness of the Face (For Infants and Children)
Persistent Redness of the Face (for Adults)
SmartLotion® Isn't Helping Enough
Stinging: It's Part of The Healing Process
Frequently Asked Questions (FAQs)
Can SmartLotion® Be Used As A Moisturizer?
Does SmartLotion® Interact With Any Medications?
How Is SmartLotion® Any Different Than Hydrocortisone Found At The Store?
Is SmartLotion® Cruelty Free and Gluten Free?
What Are The Ingredients Inside SmartLotion®?
Where is SmartLotion® Safe To Apply?
Why Does SmartLotion® Contain Fragrance?
Why Does The Hydrocortisone in SmartLotion® Not Cause Side-Effects?
HarlanMD Subscription Management
- All Categories
- Condition Protocols
- Topical Steroid Withdrawal (TSW)
Topical Steroid Withdrawal (TSW)
Updated by Ashley Schwab
Related articles on TSW:
Before using SmartLotion®, you must read this disclaimer.
We recommend reading these general instructions on how to use SmartLotion®: Click here.
Stinging can occur when first applying SmartLotion®. For instructions on how to reduce the stinging, please click here.
- ‘Rebound’ redness between steroid treatment applications
- Rashes spreading and developing in new areas of the body
- Intense itching, burning, stinging
- Failure to clear with usual course of treatment, requiring a higher potency topical steroid to achieve progressively less clearing.
- Increased allergic response
- Skin flushing bright red, resembling a sunburn
Dr. Harlan says that for topical steroid withdrawal, a good dermatologist will prescribe an oral or topical antibiotic which will typically treat TSW in a matter of no more than a couple of months.
For his patients, Dr. Harlan includes SmartLotion in addition to the antibiotic routine as he says it brings the treatment time down to a matter of days or weeks rather than months with antibiotics alone.
Although SmartLotion contains a steroid it is proven to not cause TSW even with long term use. Dr. Harlan uses it to treat any underlying dermatitis in addition to helping speed up the recovery time for TSW.
Click here to read an article on why SmartLotion® does not cause side-effects:
Click here to read an article on how Dr. Harlan typically treats TSW in his patients here: