Health Conditions

Topical treatments, which have minimal side effects, are usually the first-line agents used to treat atopic eczema. Creams, ointments, lotions, bath oils, and emollients can produce relief by hydrating the affected area. These should be applied frequently and in large quantities to be effective (every 4 hours or at least 3 to 4 times per day). For severe cases, low-dose topical corticosteroids may be used to assist the healing process by controlling inflammation. Topical steroids should only be used a few days per week for acute inflammation and after application the person should wait at least 30 minutes before applying creams or emollients. Corticosteroids are usually not used for less severe cases of eczema because of their side effects. Topical immunosuppressants such as tacrolimus or pimecrolimus, can also be used to decrease inflammation. These are more expensive and have about the same efficacy as topical steroids and are usually used after original therapy fails. In some cases, oral antihistamines and/or cold compresses applied directly to the skin may be used to control persistent itching associated with the outbreak. If the area becomes infected, antibiotics are used. Phototherapy can also be used to relieve moderate to severe cases after other treatments have failed. In children, atopic eczema may resolve without treatment, but adults usually end up needing some type of treatment.

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Note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It is not intended to diagnose a health condition, but it can be used as a guide to help you decide if you should seek professional treatment or to help you learn more about your condition once it has been diagnosed.