Antibiotics – Neosporin and Polysporin are popular topical antibiotics that come in both a cream and ointment form. Neosporin consists of three different antibiotics, neomycin sulfate, polymixin B sulfate and bacitracin. Polysporin is a combination of two antibiotics, bacitracin and polymixin B sulfate. Generic versions of topical antibiotics are also available, usually marketed as “triple antibiotic” ointment or cream. Topical antibiotics are used to aid healing of minor cuts, scrapes, and burns. Since many people are allergic to neomycin, it may be best to use a topical antibiotic that does not contain this ingredient.
Topical steroids are available as creams, lotions, gels and ointments; selection of an appropriate product can also provide good moisturization of the skin. The wide spectrum of potencies and bases allows these mediations to be used both effectively and safely while under the care of an experienced physician.
During flares, over-the-counter moisturizing preparations that include a topical corticosteroid (such as clobetasone butyrate and hydrocortisone) are helpful to control inflammation and restore the skin barrier. The intensive use of emollient-based products can reduce the need for topical steroids.
The obvious priority is immediate discontinuation of any further topical corticosteroid use. Protection and support of the impaired skin barrier is another priority. Eliminating harsh skin regimens or products will be necessary to minimize potential for further purpura or trauma, skin sensitivity, and potential infection. Steroid Atrophy   is often permanent, though if caught soon enough and the topical corticosteroid discontinued in time, the degree of damage may be arrested or slightly improve. However, while the accompanying Telangectasias may improve marginally, the Striae is permanent and irreversible.