WHAT ARE ECZEMA TREATMENT Options?

* Be aware that the recommended treatments of illnesses are always being improved. This website was last update on 11/1/2024. The best treatment option MIGHT have changed since that time.

1. Avoid triggers that may exacerbate Eczema.
A. Avoid excessive bathing or washing
B. Avoid Harsh soaps
C. Avoid Sweating (if possible)
D. Avoid Rough fabrics such as wool

2. Apply Moisturizers:
A. Ointments or creams that contain Ceramide
- Eucerin Eczema Relief
- Aveeno Baby Eczema Therapy
- CeraVe Moisturizing Cream
B. (Petroleum Gel) Vaseline
C. Extra Virgin Oil

3. Consider Anti-Itch Medications:
A. Hydroxyzine (Atarax) 25 mg 3 times a day or 4 times a day a
B. Diphenhydramine (Benadryl) 
D. Loratadine (Claritin)
E. Cetirizine (Zyrtec)

4. Topical corticosteroids:
A. Hydrocortisone butyrate 0.1%*
B. Desonide topical 0.05%*
C. Fluticasone topical 0.05% *
B. Triamcinolone topical 0.05% *
C. Many others are available.

5. Topical Calcineurin inhibitors:
A. Tacrolimus cream
B. Pimecrolimus cream

6. Emerging Treatments: monoclonal antibodies
A. Lebrikizumab
B. Nemolizumab
C. Omalizumab
D. Orismilast

CAUTION:

1. All medications have a risk of side effects, including all types of cortisone creams, and monoclonal antibodies.
2. Mild side effects are nausea, vomiting, diarrhea, itching, and light skin rash.
3. Possible Severe side effects are a severe skin rash, an anaphylactic allergic reaction (leading to the inability to breathe and subsequent death if not treated rapidly), and Clostridioides difficile infection (C. Diff.) of the colon.
4. Medications such as creams, lotions, and gels should be tested in small dosages in areas of the body that are not easily seen.

Consult “Epocrates.com” for each Specific Medication’s possible “Adverse Reactions.” Side effects are also referred to as “Adverse Reactions.” Epocrates.com will tell you both “common reactions” and “serious reactions.” You will have to create an account, but it is simple, fast, and free.

WHAT ARE THE SYMPTOMS OF ECZEMA?

Eczema appears as a dry, flaking skin. In older children and adults, a rash usually occurs (and recurs) in only one or a few spots, especially on the front of the neck, the inner folds of the elbows, and behind the knees.

Although the color, intensity, and location of the rash vary, the rash always itches. In older children and adults, intense itching is the main symptom.

WHAT CAUSES ECZEMA?

The exact cause of eczema is complex. It involves the interaction of the immune system and epidermal gene mutations. It is not an allergy. But, people who have eczema DO HAVE more allergies and asthma than people without allergies and asthma. It is also known that certain things in the environment and excessive stress can trigger an exacerbation of eczema.

HOW IS ECZEMA DIAGNOSED?

Eczema can be diagnosed by its appearance and a careful history. Eczema usually starts in early childhood.