KNOWLEDGE AND AWARENESS ABOUT ADVERSE EFFECTS OF TOPICAL STEROIDS AMONG THE MEDICAL UNDERGRADUATE STUDENTS

Background: Topical steroids (TSs) are commonly prescribed in dermatology for their anti-inflammatory and immunosuppressive effects. However, their misuse—especially for cosmetic purposes—can lead to significant adverse effects. In India, the over-the-counter (OTC) availability of TSs has contributed to rising concerns of inappropriate use. This study aims to assess the knowledge and awareness of TS indications and adverse effects among undergraduate medical students. Methods: A cross-sectional study was conducted among 2nd, 3rd and 4th-year medical undergraduates at Hassan Institute of Medical Sciences. A structured online questionnaire assessed knowledge of TS indications, dosing and awareness of misuse-related complications. Data were analyzed using descriptive statistics. Results: Of 451 students approached, 392 responded (86.9%). Peer-reviewed sources (66.83%) were the most cited source of information. Adequate knowledge of TS indications was found in 66.33% of students and 77.04% were aware of potential adverse effects. Importantly, 94.13% did not support the use of TSs for skin lightening. Conclusion: The study revealed a generally high level of awareness among medical undergraduates regarding appropriate TS use and risks. However, gaps in practical knowledge and continued reliance on non-peer-reviewed sources highlight the need for targeted educational interventions, including cosmeto-vigilance training in medical curricula.