Once your initial period of withdrawal has ended, addiction treatment will consist mainly of ongoing therapy – either on an inpatient or outpatient basis – to address the issues fueling the steroid abuse and addiction. You may benefit from therapy aimed to improve your self-esteem and help you learn to love yourself and your body, as research shows some people are driven to use steroids as a result of poor body satisfaction and an obsession with muscularity, or a need to get increasingly bigger. If you abuse steroids, you may have experienced these feelings of muscle dysmorphia or “reverse anorexia syndrome.” Feelings of low self-esteem and depression during withdrawal may also be attributed to temporary hypogonadism – or the failure of the gonads (testes or ovaries) to secrete adequate levels of testosterone or estrogen.
Clobetasol propionate is a man-made corticosteroid that is used on the skin (topically). It is available as foam, shampoo, cream, gel, lotion, ointment, solution, and spray. It is similar to alclometasone (Aclovate), hydrocortisone valerate (Westcort), halobetasol ( Ultravate ) and several others. Topical clobetasol is used to treat certain scalp and skin conditions such as psoriasis , rashes, and dermatitis . Corticosteroids have potent anti-inflammatory actions and also suppress the immune response. Clobetasol is a very potent topical corticosteroid and should only be used for a short period of time. Long term use of topical clobetasol propionate can cause serious systemic side effects and should be avoided.
Transdermal patches (adhesive patches placed on the skin) may also be used to deliver a steady dose through the skin and into the bloodstream. Testosterone-containing creams and gels that are applied daily to the skin are also available, but absorption is inefficient (roughly 10%, varying between individuals) and these treatments tend to be more expensive. Individuals who are especially physically active and/or bathe often may not be good candidates, since the medication can be washed off and may take up to six hours to be fully absorbed. There is also the risk that an intimate partner or child may come in contact with the application site and inadvertently dose himself or herself; children and women are highly sensitive to testosterone and can suffer unintended masculinization and health effects, even from small doses. Injection is the most common method used by individuals administering AAS for non-medical purposes.