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Symptoms: Excessive prolonged use of topical corticosteroids can suppress pituitary-adrenal functions resulting in secondary adrenal insufficiency. Excessive prolonged use of topical preparations containing Salicylic acid may cause symptoms of salicylism.
Treatment: Appropriate symptomatic treatment is indicated. Acute hypercorticoid symptoms are virtually reversible. Treat electrolyte imbalance, if necessary. In case of chronic corticosteroid toxicity, slow withdrawal of steroids is advised. Treatment of salicylism is symptomatic. Measures should be taken to rid the body of salicylate. Administer oral sodium bicarbonate to alkalinize and force diuresis.
