Topical Corticosteroid Potency Reference
Reference for topical corticosteroid potency classes with pediatric safety guidance for hydrocortisone and other steroids.
Select topical steroid
Age in years
Body area of application
⚠️ Warnings & Contraindications
- Skin atrophy, striae, and telangiectasia with prolonged use
- Systemic absorption higher with occlusive dressings, large surface areas, and broken skin
- Risk of hypothalamic-pituitary-adrenal (HPA) axis suppression with potent steroids over large areas
- Avoid class I-II steroids in infants and young children
- Do not use potent steroids on face, groin, or axilla in children
- Limit treatment duration; use shortest effective course
ℹ️ Clinical Notes
Fingertip unit (FTU): amount from tube opening to distal crease of adult index finger = approximately 0.5 g. For a child, 1 FTU covers approximately 2% body surface area. Hydrocortisone 1% (OTC) and 2.5% (Rx) are least potent and safest for children.
References
- Topical corticosteroid potency chart - AAD/Various (2024)
- Topical Corticosteroids in Pediatric Patients - Pediatrics (2020)
Medical Disclaimer
This calculator is provided for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or calculated using this tool.
The authors and publishers of this calculator make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability, or availability of the information, products, services, or related graphics contained within this tool for any purpose.