What to Expect During Topical Steroid Withdrawal

This page is pretty much just to keep it real, and prepare you with the information on what you may experience when withdrawing from these nasty meds that have been holding your skin hostage.  I wanted to be completely honest with my experience and let you all know that this process will test your strength every day, but you are a warrior and you can get through this! You just have to keep visualizing yourself in the best health of your life with the clearest skin you’ve ever imagined!

The itsan.org site has a lot of helpful information on the whole process of topical steroid withdrawal.  This Q and A is all about the process and what to expect when going through it.

Some of my personal symptoms:

I’ve had a whole list of crazy symptoms while going through this healing process when I started in March 2012.  In the first few months, my skin started to become extra itchy and started to ooze a little here and there.  I would soon experience this all over my body, and the oozing would soon become worse.  I remember having leakiness of some kind of fluid in my ear which was the WORST!  It makes sleeping on your side, sheesh… just sleeping in general a pain!  I started to feel insomnia within the first two months, where I’d be itchy, uncomfortable and oozy all night long.  One of the worst memories was sticking to my sheets from the ooze.  Make sure to change your sheets often!

Ooze/ Serous Exudate – A fluid the skin produces during Topical Steroid Withdrawal with a high content of protein and cellular debris which has escaped from dilated blood vessels (widened blood vessels) and has been deposited in tissues or on tissue surfaces, usually as a result of inflammation.  When it seeps out of the skin from the blood vessels it can form small blisters (vesiculation).  When this ooze dries it will create a hard crust on the skin. 

The itch can be quite uncontrollable, and like how they mention in the Q & A, that it can feel like the itch is under the skin.  I would describe it sometimes as if there were little bugs under my skin, yup… insane!

Intense Itch – This is caused by blood vessels and nerve endings healing from steroid damage.  As a wound or stitches heal, they itch.  The same happens as the body heals from topical steroid damage.  As your organs process all the inflammation caused by topical steroid damage, you experience a deep, general, systemic itch. More info on the itch HERE.

June 2012 was the height of my withdrawal (3 months in) to where my legs and feet were the absolute worst.  These areas were swollen, had HUGE crusty flakes, and oozing beyond belief.  I could barely stand for but a few minutes at a time and walking was the most painful experience ever!  It looked unbelievable!  It looked so crazy, that I took a photo of it to send to my health coach to see if this was a normal thing.  This photo became the first photo in my documentation.  I didn’t even want to take a picture of it, because it was so horrendous.  I’m so thankful that I did take that picture because when I’m going through a bad flare now, I can look back to that photo for perspective.  I tell myself, “Look how far you’ve come! You can keep pushing through!”  I wish that I had taken more photos of the rest of my body to see the progress, but during this time I barely wanted to look in a mirror, much less have my face and body documented.

My body went through feeling really feverish and having chills.  It was summertime at the height of the beginning of my withdrawal and I remember wanting the air condition on but yet wanting to cover up with a blanket.  I also remember having feelings of anxiety and heart palpitations.  I would also be able to feel this heat radiating off of my skin at times.

During this time, I was using coconut oil and turmeric on my skin, and sometimes shea butter.  I wish I hadn’t used anything and just let it do it’s thing without moisturizer (moisture withdrawal).  From experiencing more flares after that and testing it out without the moisturizer, I felt that it healed faster, especially the open sores.  If your skin is opened, cracked and oozing, its best just to let it ooze and do its thing without moisturizer.  It’s a wound/scab and it needs to stay dry (no water or moisturizers) to heal.

I know this sounds gross, but I went MONTHS without bathing.  I would have such anxiety before bathing and when I would get the strength to go in, just the water alone would burn my skin.  I would basically just be balling my eyes out trying to get through a shower, so I just ended up not showering altogether.  I would of course wash “the important parts” but that’s pretty much it.  Overtime, when most of my skin had calmed down and it was just from my knees down left to repair, I would use shower boots that are used for people with leg casts.  These worked amazingly to where I could bathe the rest of my body, but keep the really broken out, cracked areas dry so they could continue to heal.  Even still I would only shower every other day, just to give my skin a break to where the water wasn’t constantly drying out it’s natural oils.  I gotta make sure that I give props to my mom for washing my hair for me a million times over the kitchen sink.  During the beginning stages, my hands were so cracked and broken that I couldn’t do it by myself and I was definitely not going to stand forever in the shower and wash it (I could barely deal with 5 minutes in the shower).  She took the time out for me to do that, and I know that’s what mothers do, but I am forever grateful for that act of kindness.

When the oozy areas would crust over then the flaking and shedding would occur.  It was A LOT of shedding.  I mean I’m sure I’ve probably accumulated at least a garbage bag size full of dead skin over this whole time period that I’ve been withdrawing.  You gotta think about your skin as an onion, and all of the layers that have to peel off to get to that last layer of healthy, beautiful skin!

I’m not going to lie, going through this healing process tests you in so many various ways.  Depression sets in pretty easily and it can be a struggle to pull yourself out of it.  I was super emotional, to where I would just cry for hours.  Crying was the best release I had from the pain that I was feeling.  After time I would only allow myself to cry for a short period of time, and then make sure to pick myself up and keep pressing on.  I most definitely became more spiritual going through this whole ordeal.  You question why you’re going through such a rough time, but you know that it’s what you have to do to be in the best health.  I found myself holding on to my faith more and more because that was all that I really could hold on to.  It’s very important to have a great support system by your side to get through this.  People who can give you love and encouragement will keep you from losing hope.  I also read a lot of inspirational books, listened to sermons, and just tried to constantly keep myself in a positive mindset.  You end up seeing how much strength you truly have, and you realize just how amazing your body is, that it can heal itself.  All it needs is time, love, rest and to feed it all the best nutrients possible!

I do feel that sticking to a healthy diet, and natural remedies help to ease the pain and makes it easier for your body to heal.  When I feed my body great nutrient dense food, and gut-friendly foods and supplements, the internal organs don’t need as much energy to process everything.  It can do it in a faster amount of time, and use the rest of the energy to heal.  Since changing my diet to a more raw/somewhat vegan diet, my digestion has improved immensely.  80% of the immune system is located in the gut and once the gut is in great working order the rest of your body can heal, so I think its very important to provide your body with healthy organic foods to help this process along.  I’ve noticed that since eliminating dairy, my digestion system works wonderfully!  I’ve also noticed that when I do consume wheat (which is very seldom) my digestion gets a bit irritated, and I do itch more.

Since I’ve started this process, I haven’t taken any kind of medication.  I will occasionally get headaches, but I haven’t used any aspirin.  On the Q & A, they mention that you can take anti-histamine drugs to help with the itching.  I’ve pretty much vowed to go cold turkey on all drugs altogether, and have found holistic remedies.  I’ve personally felt that my system has had its share of medications, and I don’t want to flood it with anymore.

Having patience during this process is key, and just know that as time passes the flare-ups won’t be as intense, and they won’t go on for as long.  The body needs time to get rid of all of the toxic accumulation.  You just have to think about it like this, it took a long time (years in most cases) to accumulate all of the toxicity… it’s not going to heal overnight.  Although we all may dream for it to do that! 🙂

28 thoughts on “What to Expect During Topical Steroid Withdrawal

  1. Going through this same stage, oozing, which I dreaded so much, God and that smell. I’m from Nigeria, Africa. Any suggestions on managing the ooze. This is painfull my mother now does everything for me.

    1. Hi Maryam! Ugh, yes the ooze is the absolute worst for me…so uncomfortable and disgusting! When my skin oozes I leave it alone, I do something people like to call “moisture withdrawal” and I don’t get it wet or put any moisturizers on it. I let it do its own thing; pushing out the lymph fluids, dry, crust and flake off. Taking extra probiotics, and doing some anti germ remedies (swallowing coconut oil, crushed papaya seeds or crushed garlic) can help stave off infection. You can shoot me an email and I can send you more tips and such as well as a health questionnaire which I can give you natural healing advice with 😉. eczema.holistic.healing@gmail.com. Btw my mom cared for me for months in the intense beginning stages, I’ll forever be grateful 💜

      Take care,

      1. Hi, I’d mailed you as you suggested. I couldnt sleep last night. ooze has increased, everyday I ask myself when? when will it end? how will I keep clean without a bath? how long will oozing last

      2. I know how frustrating it is. It helps to just take it day by day and not focus on the length of time it will take to heal. When I was oozing all over, I’d go quite awhile without fully showering, and just clean up the important parts.

  2. This made me feel so much better and so bad at the same time. My daughter had an allergic reaction to baby oil when she was jus 3 weeks old. They out her on topical steroids and at the time I thought nothing of it. From then they said she had eczema and of course started more steroids! She is now 2 and a half years old and her skin is out of control! We have been to doctors and dermatologists and its always the same, more steroids, new steroids, and antibiotics! I am so frustrated and vowed to never go back to the dermatologist because she was just getting worse! One night she was up all night crying in pain and I stayed on the internet through the night because I was determined to help her myself! That’s when I came across TSW! I had never even heard of such a thing! As I read and read all night about this I was shocked that I had finally figured out what was wrong with her! We have just started the detox stage and I will say I breaks my heart to see everything these nasty steroids have done to her! I wish I would have known about this sooner! More people should be aware of what happens when you use these medications! I have now started taking pictures and documenting everything so that maybe I can start a blog or something so that other people can be more aware of what can happen to their skin! We are only about 3 weeks in and we have such a long road ahead of us but reading this and knowing we aren’t alone makes me have some kind of peace! I hate that anyone would have to go through this and I can’t believe these so called skin professionals just keep prescribing these horrible creams and ointments just to make a dollar at someone else’s expense! Thank you so much for sharing this! My sweet baby girl has hard times to come but she is a super hero and I know with strength, determination and faith we will get through this together!!!

    1. Thanks so much Misty for leaving a comment! I’m glad the info resonated with you ☺️. So sorry to hear about your daughter, but it’s great that you’ve found this info early on enough and not years later! I pray that her withdrawal will be speedy. It’s so awesome that you are going to document her progress and share online, it will help so many people!

      You can send me a personal email if you like to eczema.holistic.healing@gmail.com I actually do “health coaching” and send out a questionnaire to my readers to give them tips and advice to get through this process.

      Take care & God bless,

  3. Hi I am Jane from Malaysia here I couldn’t find any doctors who believe in TSW so I am doing this by my own. I don’t really get enough info from web regarding oozing, I am in 5months withdrawal used steroid for 5 years and the oozing is so severe head to toe, I have almost full body flares. When the skin oozes and bleed I can feel burning pain usually worse at night. Is that normal ? I did moisturiser withdrawal almost one month, air dry is the method I use for the oozing. It is difficult to move because of dry skin and skin is easily cracked. Impossible to have a shower too. I am very scared because my condition is getting worst each day.. I just wish the pain and ooze to stop.. How Long will it take for the ooze to subside?

    1. Hi Jane! Yes many doctors don’t believe in this condition… I too have been doing this on my own as well as many others. I’m sorry your going through an intense ooze stage, that’s the absolute worst symptom for me 😔. It will get better though, what you’re doing with letting it air dry is a great idea, I do this as well because it creates a scab for healing to take place. It’s ok to not shower, I didn’t get my feet wet for months at the beginning when it was its worst. And if it becomes too dry, using a thin layer of coconut oil can help to ease it up plus coconut oil is antibacterial. The pain can be more intense at night because our bodies somewhat detox more at night. There’s no real telling about how long it will take to subside, just hang in there! Shoot me an email and I can send you some tips and such for healing! eczema.holistic.healing@gmail.com ☺️ stay strong warrior! The first 6 months are usually the hardest, you’re almost there & thankfully you didn’t use the medications for a super long time.
      Take care,

      This is what itsan.org defines as the ooze (this was from their Q & A section).
      Ooze/ Serous Exudate – A fluid the skin produces during Topical Steroid Withdrawal with a high content of protein and cellular debris which has escaped from blood vessels and has been deposited in tissues or on tissue surfaces, usually as a result of inflammation.
      Q: What is the liquid that oozes out of my body?

      A: This liquid is called serous exudate. Most going through Topical Steroid Withdrawal just call it ooze. It is thought to be the “interstitial” fluid that is pushed out when blood vessels are dilated. It may cover your skin in a thin, sticky layer or you may see small blisters form and collect this fluid.

  4. Hi just read your blog, I’m almost 3 months TSW and hating it! The ooze is nuts crazy my ears and face are terrible. So do you think Im ready for MW? It’s all over me and I’ve just started to sweat under my arms and my back??? Yes I stink of this odd smell and flake… argh I just scratch all day and it keeps on coming… crazy hey. I’ve constantly got heat packs and cold packs and the fan on day and night. Did you get nerve jolts?? It drives me nuts at night. My diet is healthy and Im under a Natropath as the doctors tell me to go to the hospital or my dermatologist haaaaaaa! They are the ones that did this damage. I drinkafair amount of filtered water too.ive been using the hair dryer on my ears to try dry up the ooze quicker as some days U can’t hear too well. Any suggestions would be appreciated… are you good with your skin now??

    1. Hi Joanna, thanks for checking out my site and for reaching out! I’m sorry to hear about all of your awful symptoms, I’ve definitely been there before. 3 months was the height of my withdrawal so I for sure know your pain well 😦 , I did get nerve zaps, it’s just the nerves learning to function properly again. You can try MW if you feel like your skin needs it, for me I would do it when the skin was oozing and I would use my trusted remedy: https://eczemaholistichealing.com/2017/09/28/my-1-eczema-ooze-remedy/ It’s best to let the ooze be because washing it and applying lotions to it can make it pour out ooze more. I will email you my health questionnaire, with it I can get to know you better and assist with your personal situation with suggestions, natural healing tips, advice and lots of info emails. For my services of coaching support, I accept a donation of any amount to my paypal account (whatever is in your heart to give). If this is something that you’re interested in, feel free to fill it out in detail and I’ll get back to you with my responses as soon as I can! My skin is much better, I’ve had a lot of toxic build up to deal with so my healing has taken longer, I’ll be 6 years ts free next month! You can check out more on my journey in the my story page. I hope all of this helps!
      Take care & God bless,

  5. Hi, I’m Tracy and I have been going through TSW for 1 month and MT for 1 week. I do not have any oozing but my face flakes up like crazy. I wonder how long the flaking/shedding lasts. Can you give me any advice to work on that? My wedding is 2 months away and I’m so frustrated.

    1. Hi Tracy! Thanks for reaching out! Ugh the flaking can be so terrible. There’s no real telling how long it can last, you’re still in the early stages of TSW and you can have many symptoms. The shedding is a natural process for the body to cleanse. Dry brushing can help gently slough off dead skin flakes & stimulate the lymphatic system. Gotta work on healing from the inside out with diet and deep cleansing methods. I’ll send you my health questionnaire (where I can give tons of info and suggestions according to your personal situation) if you need some support! I can for sure help you out to where you can hopefully feel a lot better for your wedding day! I look forward to hearing from you.
      Take care & God bless,

  6. Hi, I’m in my third month of withdrawal and have just developed some horrible symptoms., I didn’t really have many symptoms in the first two months besides extremely dry skin and the odd flare here and there. Just in the last week my face has become extremely swollen and covered in dried ooze. I don’t know what to do it’s driving me nuts!

    1. Hi Amara! Ugh, I’m so sorry to hear this! Yes my 3rd month of tsw was the height of it all…that’s when it got its absolute worst! I know how hard this is for sure! Im going to send you a health questionnaire which allows me to understand your situation more, get your health history as well and with it I can give tons of natural healing tips, advice and suggestions to help support you through this! I look forward to hearing back from you!

      Hang in there, you’re stronger than you know and remember “this too shall pass”. This suffering is only temporary! The body has to cleanse from the inside out in order for it to heal 💚

      Take care & God bless,

  7. Hello!
    I just finished my second month of withdrawal and am going through a very difficult time. My skin will ooze, crust and itch so badly that I’ll rip the crusts off and it will become raw and begin oozing again. I don’t know what to do and I feel like it’s my fault for scratching.

    1. Hi Jo!
      Ugh, I know that feeling…honestly the third month of tsw was the worst for me. It has to get worse before it gets better unfortunately but it WILL get better. Don’t beat yourself up about the scratching it’s inevitable… here’s some info on the itch: https://eczemaholistichealing.wordpress.com/2015/04/27/that-dang-maddening-itch/

      This is my TOP natural remedy for the itch….
      Natural Antihistamine: https://eczemaholistichealing.com/2017/06/30/my-natural-anti-histamine-remedy/

      And this is my #1 Eczema “Ooze” Remedy – Eczema Holistic Healing

      I send you a personal email as well if you’d like more support.
      I hope all this helps!

      Take care & God bless,

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