For many people living with eczema, psoriasis, or other inflammatory skin conditions, topical corticosteroids are often the first line of treatment prescribed by doctors. While these creams and ointments can be effective in the short term, long-term use may sometimes lead to an under-recognised condition called Topical Steroid Withdrawal Syndrome (TSWS), also known as Red Skin Syndrome.
At natrl skincare, we believe knowledge and gentle, natural support are essential for anyone facing this challenge. Let’s explore what TSWS is, why it happens, and how natural skincare can help soothe the skin through recovery.
What is Topical Steroid Withdrawal Syndrome?
TSWS is a condition that can occur after the prolonged or inappropriate use of topical steroid creams. Instead of calming inflammation, the skin becomes increasingly reliant on the steroid to maintain balance. When use is reduced or stopped, the skin may “rebound” and flare dramatically, leading to symptoms such as:
* Burning, stinging, or painful skin
* Intense redness and flushing
* Skin thinning or sensitivity
* Severe itching
* Oozing or peeling skin
For many, this withdrawal period can be physically and emotionally distressing.
Check out this article on the BBC NEWS website about one woman's struggle with TSWS, and another informative article from The Guardian Online here.
Why Does TSWS Occur?
Topical steroids work by suppressing the immune response in the skin. Over time, the skin may adapt and become dependent on the external steroid, reducing its ability to self-regulate inflammation. When the steroid is withdrawn, the skin’s natural processes surge back, often leading to a cycle of flare-ups that are more severe than the original condition.
TSWS is not fully understood and not everyone who uses topical steroids will experience it. The risk tends to increase with:
* Long-term, continuous use of potent steroid creams
*Frequent application over large areas of skin
* Use on thinner skin (e.g. face, genitals)
* Lack of medical guidance when tapering use
Can TSWS Be Prevented?
The safest way to avoid TSWS is responsible, informed use of topical steroids under medical supervision. This means:
* Following the exact instructions provided by a healthcare professional
* Using the lowest strength needed, for the shortest possible time
* Avoiding long-term daily use unless specifically directed
* Discussing alternatives for maintenance treatment when symptoms are under control
How Natural Skincare Can Support Recovery
While natural skincare cannot cure TSWS, it may provide comfort and gentle care for stressed, inflamed skin. The goal is to nourish, hydrate, and protect without aggravating the delicate skin barrier.
1. Barrier Support with Natural Oils
Plant-based oils mimic the skin’s natural lipids, helping restore softness and prevent water loss. Our Vegan Face Oil is rich in cold-pressed plant oils that feed and replenish skin without petroleum derivatives or synthetic fillers — ideal for those seeking gentle nourishment during recovery.
2. Soothing Botanicals
Botanicals such as chamomile, oat, and aloe vera are traditionally known for their calming properties. Our Restorative Hand Cream, formulated with skin-kind butters and natural oils, can provide relief to hands often most affected by redness and dryness.
3. Fragrance-Free Formulations
TSWS skin is often hypersensitive. Natrl Skincare avoids synthetic fragrances and harsh preservatives, so every product — from our Natural Botox Moisturiser to our Body Massage Oil — is crafted to be as gentle as possible.
4. Mindful Moisturising
Applying breathable layers of hydration is key. The Natural Botox Moisturiser, with its blend of hyaluronic acid and nourishing plant oils, delivers lightweight yet effective hydration that supports skin barrier function without clogging or greasiness.
5. Eco-Conscious Self-Care
Part of recovery is emotional well-being. Using skincare that is cruelty-free, vegan, and eco-conscious — values at the heart of natrl skincare — can bring added reassurance and peace of mind.
A Gentle Reminder
If you think you may be experiencing TSWS, it’s important to seek medical advice. Dermatologists and support groups can provide guidance tailored to your situation. Natural skincare products, like those from Natrl Skincare, are designed to support your skin with safe, plant-based care, but they should be seen as part of a wider strategy of self-care, lifestyle adjustments, and professional support.
You can find more information and support on the TSW ASSIST website.
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