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  Learn More about EczemaLearn More about Eczema
Learn More about Eczema

How is eczema treated?

The goal of eczema treatment is to relieve and prevent itching, which can lead to infection. Since the disease makes skin dry and itchy, lotions and creams are recommended to keep the skin moist. These solutions are usually applied when the skin is damp, such as after bathing, to help the skin retain moisture. Cold compresses may also be used to relieve itching.

Over-the-counter or prescription creams and ointments containing corticosteroids, such as hydrocortisone, are often prescribed to reduce inflammation. For severe cases, your doctor may prescribe oral corticosteroids. In addition, if the affected area becomes infected, your doctor may prescribe antibiotics to kill the infection-causing bacteria.

Other eczema treatments


Topical steroids can range from over the counter hydrocortisone creams, which are very mild and may even be used on the face, to stronger mid and super-potent steroids that require a prescription. In general, super-potent steroids are avoided in children, and intermediate or mid-potency steroids are more commonly prescribed, such as Cutivate, Dermatop, Elocon, and 0.1 percent Triamcinolone. Even these can cause side effects, including skin thinning and stretch marks if they are used for to long in the same place. They should also not be used on a child's face or under occlusion, like under a diaper.

Newer immunomodulators or steroid-free topical medications are also available to treat children with eczema, including Elidel and Protopic. They are generally used twice a day and can be applied to all areas where your child has eczema, including his face. Keep in mind that they don't work as quickly as topical steroids do, and may require four to six weeks to see full results. They may also help avoid flares if you then begin using them at the first sign of itching or a rash.

Antihistamines are also often used as part of a good treatment regimen for eczema. They are particularly helpful if itching is interfering with your child's sleep, in which case a sedating antihistamine, like Benadryl or Atarax, may work well. Cold compresses can also be effective at helping your child control his scratching when his skin itches.

Other treatments are also available for very difficult to treat cases of eczema, including using wet dressings, oral steroids, ultraviolet light therapy, and immunosuppressive drugs, like cylcosporin.

Eczema treatment facts


Other things to consider about eczema treatment include:

  • Although there is no cure, many children either outgrow their eczema or it at least gets better as they get older.

  • Eczema does run in certain families and can be associated with other 'allergic' type disorders, like allergic rhinitis and asthma.

  • You should apply moisturizers on top of your child's other topical medications during eczema flares.
  • Most experts now recommend that your child take a daily, ten minute bath to help moisturize his skin. As long as you immediately place a moisturizer or lubricant on his skin after his bath, it should keep his skin healthy and well hydrated.

  • Be ready for times when your child's eczema may get worse, including the winter, when your house may be dry, and summer time, when he may be swimming or getting overheated outside.

  • Keep in mind that skin infections often accompany difficult to treat eczema flares and your child may sometimes require an antibiotic, in addition to his usual eczema treatments.

  • If your child's eczema isn't improving with standard treatments, you should see a Pediatric Dermatologist for further help and treatment advice.




Learn More about Eczema
Atopic eczema and other types of eczema
How is eczema diagnosed?
How is eczema treated?
Symptoms of eczema
What causes eczema?



 

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