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I have a friend who gets very very bad systic acne and she'd have to get a shot directly into the swollen area with cortisone and than the swelling would go down... As for me and my little sister, we've both tried Hydrocortisone cream on our faces and it works so well. Not only does it keep down swelling of current problems, but it helped with the overall appearance of our skin.

The hemorrhoid cream sounds interesting... I've even heard of it being used on a swollen finger when you can't get a ring off.
I've heard about the cortizone injections. A woman on another board said she was addicted to them and would go everyday to get a shot. She didn't mention the side effects, but since then I've looked it up. A lot of weird stuff can happen as a result of having the shot, including: hair loss, joint pain, dry skin, etc. Most people get the shots for temporary relief in sports injuries, so their doses are probably higher.

I don't know how severe the topicals side effects are, but you're probably right in saying that they shouldn't be used over a prolonged period of time.

The hemorrhoid cream has the following active ingredients: petroleum, shark oil, mineral oil, and phenylephrine.

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