Thanks for your query. Betnovate usage for one long year is the worse thing that you have done. Its a potent steroid and these complications are well known. Your skin has become dependent on steroids, the day you dont apply, it rebounds with increase redness and burning. Your dermatologist has done the right thing by decreasing the potency to desowen and adding an non steroidal cream also. His plan may be to slowly withdraw desowen and pacroma too, you need time for skin to regenerate after such a long steroid insult. Meet him again and ask for a interim treatment to overcome the present problem and gradually make the skin healthy. Please read more about the steroid abuse. Hope it helps you.