• Topical corticosteroid misuse is a very important issue related to our specialty.
• The topical corticosteroid is a key player in dermatology therapy.
• The sale of topical steroid creams in India accounts for 82% sale of all topical drugs in India.
• Topical steroid preparations are available as stand alone topical steroid preparations; 2-drug combinations of topical steroids cream and 3-drug Kligman’ formula creams.
• Although evidence shows that combination antifungal/corticosteroid topical are more expensive and less effective than single-agent antifungals, still practitioners prescribe them.
• Unfortunately, it was also observed that even trained physicians and some dermatologists are prescribing either the wrong strength of topical corticosteroids or for the wrong indication.
• Pediatric dermatologists have long warned of the hazards of use of combination steroid cream for children.

Practice sutra: It is easy to keep away from steroid-antifungal combination while treating dermatophyte infection.