What Is Topical Steroid Withdrawal (TSW)?

What is Topical Steroid Withdrawl (TSW)? #HEALINGWITHCJAY #MYCJAYSTORY Our CJAY Story Here at CJAY we know TSW is More Than Skin Deep As TSW sufferers ourselves, we understand how important it is to feel connected during this journey. We are incredibly proud of the community we’ve built and recognise the value of every individual story. We encourage open conversations about TSW to help raise awareness and support one another. If you would like to join in on the conversation, feel free to use the hashtags #HealingWithCJAY and #MyCJAYJourney to share your experiences. If you have any questions regarding CJAY or would like further support, please don’t hesitate to get in touch with us—we’re here to help Your CJAY Stories FAQ Topical Steroid Withdrawal (TSW) is a debilitating condition that can occur after prolonged use of topical corticosteroids, which are commonly prescribed for eczema, allergic reactions, and other inflammatory skin conditions. Also known as Red Skin Syndrome, TSW happens when the skin and body become dependent on steroids, leading to severe withdrawal symptoms once they are discontinued. An Introduction The Biological Impact Steroid creams work by suppressing inflammation through artificial cortisol—a hormone naturally produced by the adrenal glands to regulate immune responses, stress, and skin health. However, prolonged steroid use can disrupt the body’s ability to produce cortisol on its own. When steroids are stopped, the adrenal glands may struggle to regain normal function, leading to cortisol deficiency. This can result in: • Increased inflammation and hypersensitivity • Severe skin reactions, including burning, peeling, and cracking • Extreme dryness and an impaired skin barrier • Chronic fatigue and difficulty regulating body temperature Additionally, the lack of cortisol can trigger emotional distress, leading to heightened anxiety, depression, and insomnia. Many people going through TSW report feeling mentally and emotionally drained, making recovery even more challenging. Why Is TSW Overlooked? Despite the growing number of people suffering from TSW, it remains widely unrecognised by mainstream medicine. Doctors often dismiss symptoms as a worsening of the original skin condition rather than withdrawal from steroids. This lack of recognition has left many people without proper guidance or medical support. Moisture Withdrawl Treatment (MWT) and TSW Recovery One approach that some people use to speed up TSW recovery is Moisture Withdrawal Treatment (MWT). This method involves reducing or completely eliminating external moisturizers, allowing the skin to naturally rebuild its barrier function. Many people going through TSW instinctively want to keep moisturising because they are used to managing eczema with creams. However, TSW is not eczema—it is a condition caused by steroid dependence, and the healing process is different. Instead of treating it like dry skin, it should be treated more like a wound Why Moisture Withdrawl Works • Think of a scab—if you constantly apply moisture, it won’t dry out and heal properly. TSW works in a similar way: over-moisturising can prolong the cycle of flaking, weeping, and inflammation. • Allowing the skin to adjust to producing its own oils helps restore its natural function. • Reducing external moisture can help limit excessive peeling and oozing by encouraging the skin to dry out and repair itself. As TSW sufferers ourselves, we understand that moisture withdrawal can be uncomfortable and challenging. That’s why CJAY has been specially formulated to bring relief without compromising your moisture withdrawal journey. Our serum supports the skin’s natural healing process, ensuring you experience the benefits of MWT while providing soothing comfort during this tough recovery phase. Supporting Your Skin Through TSW There is no universal treatment for TSW, but in addition to MWT, some people explore Cold Atmospheric Plasma (CAP) therapy, which has been proven to accelerate healing by reducing inflammation and promoting skin regeneration. However, CAP therapy is expensive and not widely accessible. CJAY is designed to support those undergoing TSW—whether following moisture withdrawal or another recovery method—by offering a gentle, effective, and affordable alternative to CAP therapy and conventional skincare The CJAY Community