Brief Answer: Skin will be more vulnerable now Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. Use of momate cream for a long duration of time, especially for durations longer than the recommended maximum dosage can result in making your skin very sensitive to physical trauma and also making it difficult to respond to any physical stress (eg. Surgeries, injuries, emergency treatment, etc). Thr long-term use of this medicatio would have resulted in thinning of the region exposed to this medication for long, making it more vulnerable to injuries and so on. I would recommend a visit to your skin specialist at the earliest who will advise you on what precautions need to be taken and also on how we can help your skin to return back to normal state; as much as is possible. I hope you understand why I recommend such precautions and a visit to a skin specialist at the earliest. I also hope you found my response helpful enough to guide you through to good health. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes ma'am.

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Brief Answer: Physical examination required to assess condition Detailed Answer: Hello once again ma'am. I can understand how your skin may become dry without the application of the cream. I would recommend adequate hydration with the help of plenty of fluids and the use of a moisturizing cream with Vitamin E as part of the contents. This should help in rejuvination of lost texture and alsp help in avoiding dryness of your skin. You can apply this every morning after a shower and every night just before sleeping. It is not really very harmful, but such long term use can really cause change in the normal consistency and texture of your skin. It is difficult to assess the current condition and predict complete recovery without physical examination; for this you will have to visit a skin specialist as advised earlier ma'am. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to be of assistance. Best wishes.

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Brief Answer: Thats really good Detailed Answer: Hi. Great. Do keep me updated and lots of luck. Best wishes.

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Brief Answer: Cannot predict when symptoms will subside ma'am Detailed Answer: Hello once again ma'am. These are unfortunately expected and will gradually appear. May be not all at once and most probably not immediately, but should be expected soon. As for the duration they will persist, we really cannot predict that as of now; but your doctor (skin specialist) will advise various medication and a special diet to help overcome those symptoms at the earliest. So, I am sorry ma'am, but duration is something I really cannot predict and would not want to keep you under a false impression. I really hope and pray you overcome these symptoms at the earliest, and hopefully you do not even have to face them at all. Please feel free to write to me regarding any queries or clarifications, I would be more than happy to help you. Best wishes.

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Brief Answer: All queries addressed ma'am Detailed Answer: Hello once again ma'am. I would be more than happy to help you. 1. This is usually an individual based response, but the appearance of changes should range anywhere from 1-4 weeks after stopping momate 2. The steroid that you used can cause changes to the texture and consistency of your skin, at times not letting the skin return to its normal state even after long duration of discontinuation. But in general yes, steroids are not good for long-term use, and can result in various side effects that can reduce the quality of life. Although cannot directly lead to fatality 3. In some individuals the damage caused can be reversed a 100 %, whereas in some the reversal takes place only from 50 - 80 % or slightly less. So, in the latter, it would be considered to be permanent as further improvement does not take place. although this is rare 4. Yes, it is true. The internal side effects can be growth of tumors, infertility, fetal death or impaired growth and/or development in pregnant women, etc. But I doubt these would be possible in your case as you have not used the steroid for that long a duration 5. Unfortunately there is no way to avoid them. We can only be very careful by conducting regular health check ups and ensure good health. In all likeliness, you should be spared from all of these internal side effects, and they should never appear. But it is also wise to anticipate them and thus get checked up regularly at least for the next 6-12 months 6. I would not call it an addiction, I would call it more of dependence. The individual using the cream feels they are better off using the steroid cream, and that their beauty is well preserved while on the cream, than when not. But they don't realize the long-term side effects and bring nothing but harm to themselves by using this steroid for a long duration of time 7. Unfortunately, the long term use of the steroid cream may have made your skin dependent on the steroid, and so as explained by your skin specialist also, your skin will be vulnerable without this cream now, and may get mildly bad 8. Yes ma'am, you may see the side effects of using this cream for such a long duration after discontinuing the cream I hope I have successfully explained everything to you in a manner best understood by you. Please feel free to write back to me for any further clarifications, I would be more than happy to be of assistance. Best wishes.

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Brief Answer: The prescription is perfect XXXXXXX no changes Detailed Answer: Hi XXXXXXX I have gone through the list of creams advised and am very happy with the prescription. I do not think anything more is required to be added to the treatment regimen. 1. Advan will take care of you skin tone, and prevent the darkening of your skin which is anticipated after discontinuation of the steroid cream 2.Normaderm will provide an anti-inflammatory and moisturizing effect, which should help by preventing any reactions to discontinuation of the steroid cream and also prevent dryness 3. Atoderm PP will help in regeneration of new skin and treat the problem of skin thinning, and will also help in preventing dryness of skin 4. Adaclene will take care of any pimples or acne that may appear as a side effect of discontinuation of the steroid cream I am sure these creams will help your skin to recover and cope well after discontinuation of momate. Wishing you lots of luck, and hope your recovery is rapid and effective. Do not worry XXXXXXX everything will be fine in no time. God bless.

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