To      : Denise
Re      : Topical Steroids (Desowen 0.5%)

Topical steroids come in 4 different Potencies.  Very high potent, high potent,
medium potency, and low potency.

Generally,  it is advised to use medium to low potency steroids on the nipple
and areola.  In addition,  only very small amounts should be applied.  If you
can see the cream,  you have applied too much.  In essence, it should vanish
when applied.

Desowen 0.5% is considered a low potency steroid.  As for absorption of steroid
from the nipple by a nursing infant, I do not know of any studies that
specifically answer this question.  It is likely that some would be ingested,
but as to its oral absorption and bioavailability,  that is largely dependent
on the choice of product and I can't really answer that question.

I would not surmise that ocassional use of very small amounts during the day
would be detrimental to a nursing infant. Just don't swab on massive amounts.
For dry lesions, ointments are preferred. For wet lesions, such as inguinal
areas or maybe the areola,  creams are probably preferred.

Regards

Tom Hale, Ph.D.