The cosyntropin (ACTH1-24) laboratory test can evaluate patients for HPA axis suppression. HPA function can be reversed after the cessation of treatment or replacement with another less potent corticosteroid. If glucocorticosteroid insufficiency occurs, supplemental systemic corticosteroids may be required. Side effects of desonide requiring immediate contact with the prescribing physician:

Blistering, burning, crusting, dryness, or flaking of the skin
burning, itching, redness, skin rash, swelling, or soreness at the application site
flushing or redness of the skin
irritation
itching, scaling, severe redness, soreness, or swelling of the skin
peeling of the skin
raised, dark red, wart-like spots on the skin, especially when used on the face
stinging and burning
unusually warm skinSide effects that may go away as the body adjusts to the medication:

Body aches or pain
chills
cough
difficulty with breathing
ear congestion
fever
headache
loss of voice
nasal congestion
runny nose
sneezing
sore throat
unusual tiredness or weakness

Pregnancy
The FDA has labeled desonide as pregnancy category C. Desonide should only be used during pregnancy when absolutely necessary. Breastfeeding
It is currently unknown whether topical application of Desonide can pass into breast milk. Similar drugs taken orally have been seen to pass into breast milk. The prescribing doctor should be consulted prior to breast-feeding. Mechanism of action
Desonide is a synthetic nonfluorinated corticosteroid; topical corticosteroids have anti-inflammatory, antipruritic, and vasoconstrictive properties. The mechanism of these properties, however, is unclear for the dermal route of administration. Following absorption through the skin, corticosteroids follow pharmacokinetic pathways similarly to intravenously administered corticosteroids. The mechanism of corticosteroids is thought to induce phospholipase A2 inhibitory proteins (lipocortins). Lipocortins control the biosynthesis of inflammation mediators, like prostaglandins and leukotrienes.
Desonide (INN) is a low-potency topical corticosteroid anti-inflammatory that has been available since the 1970s. It is primarily used to treat atopic dermatitis (eczema), seborrheic dermatitis, contact dermatitis and psoriasis in both adults and children. It has a fairly good safety profile and is available as a cream, ointment, lotion, and as a foam under the tradename Verdeso Foam. Other trade names for creams, lotions, and ointments include Tridesilon, DesOwen, Desonate. It is a group VI corticosteroid under US classification, the second least potent group. Medical uses
Desonide is a prescription topical treatment for redness, swelling, itching, and discomfort of various skin conditions. Regardless of the vehicle used, desonide is applied 2 to 3 times a day, at the same times each day. Skin conditions typically improve in the first two weeks of treatment. Patients are instructed to use desonide for the minimum amount of time necessary for conditions to improve. Adverse effects
The safety of desonide has not been determined beyond 4 weeks of use. Patients with allergies to corticosteroids (like hydrocortisone or prednisone) should use caution when taking desonide. Pharmacists and prescribing physicians should be aware that this medication may contain inactive ingredients than can cause allergic reactions. Desonide should not be used if there is an infection or open wound in the treatment area. Systemic absorption of topical corticosteroids can produce adverse effects. Indication of Cushings syndrome, hyperglycemia, and glycosuria have been observed in some patients receiving treatment. After stopping treatment, reversible hypothalamic-pituitary-adrenal (HPA) axis suppression with the potential for glucocorticosteroid insufficiency is possible.