Topical corticosteroids for nipple psoriasis during breastfeeding

[andersond]

What topical corticosteroids are safe to use on the nipple during an outbreak of psoriasis?

[cpride]

Dear andersond,

We would recommend topical hydrocortisone ointment (0.5% to 1%) initially. If the psoriasis persists, then use of mometasone ointment 0.1% then proceeding to triamcinolone ointment 0.025% to 0.1% if needed. These ointments should be applied in a thin layer, with excess being removed prior to breastfeeding.

Sincerely,
Areeba Anam, B.S., M.S.,
PharmD Candidate Class of 2013