what do you think of the local brand of topical steroids?

hey guys,
i have been using theses local creams (ELICA) manufactures here or in nieboring countries. and patients just swear they not getting the same results like with ELOCOM , is it just my patients or are you haveing the same problem.
 what about other treatments? i herd there is indian roacutane …they complain about that too?and hairgrow, do [...]