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I have used OTC corticosteroids on my hands and have found it very effective. But the reputation of corticosteroids in the face is that they work in the short term at the detriment of the long term. They thin your skin, and thin skin is already the reason why facial skin tends to be so much worse than regular skin.
Have you been prescribed facial corticosteroids by a dermatologist?
Yes I was, and I have kept using it and getting fresh prescriptions for I think like 15 years. They kept talking about "skin thinning", but nothing noticeable happened to me. They kept making me try other things, but nothing else worked (I don't remember most of the things they got me to try unfortunately). Personally, I'd rather take my chances with "skin thinning" than live with terrible itchy flaky skin on my face. I actually found that chart I linked when I was thinking about trying to order some prescription stuff from one of those sketchy overseas places that doesn't need prescriptions because I was getting seriously tired of them trying to push other things that didn't work on me. I didn't go through with that because all I could find was the ridiculously strong class 1 ones that might actually do something bad, but it did give me the idea to try the weaker OTC class 7 stuff since it's basically the same thing, just less potent. That seems to work, so I figure I both solved my problem of keeping my skin decent without dealing with annoying dermatologists and also somewhat went along with their fears by going with a weaker non-prescription version.
Obvious disclaimer, I'm not a doctor at all and haven't examined you, if you follow my example you're doing it at your own risk. I'd say try it for a week though with the OTC stuff. If it doesn't work, you're no worse off. If it works a little, consider trying to get some of the stronger versions by prescription. If it works great, then you get to decide if having something that actually works is worth possible long term risks of skin thinning. It sounds like mainstream medical advice hasn't exactly served you that well anyways.
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