How Is Eczema Treated
The main goal in the treatment of eczema is reducing the risk of flare-ups through preventative and medical management. There are several types of eczema, and all require specific treatments to alleviate symptoms. However, since eczema results in itchy, inflamed skin, the main goal of treatment is to ease itching and pain.
Other goals of treatment include:
- Lowering the risk of infection
- Preventing eczema flare-ups
- Preventing eczema from spreading or worsening
- Keeping skin moist
While over-the-counter or at-home treatments often help with eczema symptoms, in more severe cases, it may be necessary to see a dermatologist for a skincare routine and any prescribed medications.
Baby eczema is a relatively common occurrence in infants. Although the cause of this condition is not known, many treatments are the same as those for adults, its essential to take your baby to their pediatrician or dermatologist as soon as you notice it, so they can begin treating your childs eczema and prevent the condition from worsening.
Possible Risks Associated With Otc Medications
One MyEczemaTeam member shared their success with OTC medications, âFor many people, over-the-counter remedies are more beneficial than prescription meds. Iâm not discouraging prescription options for those that need them, but some of them pose side effects.â But OTC products are not without their risks, too.
It is always important to follow the labelâs instructions when taking any type of OTC medication. Using them off-label, underdosing, or overdosing can be both dangerous and lead to harmful side effects in some people.
Certain OTC medications can interact with other medications you may be taking. Always consult your doctor before applying topical hydrocortisone or taking antihistamines, pain relievers, or other medicated treatments.
Another MyEczemaTeam member shared their caution about using OTC medications: âI have to watch what medications I take because so many over-the-counter medications work against the medications I take now for epilepsy.â
Potential drug interactions aside, possible side effects of OTC topical steroids include:
What Are The Different Types Of Eczema
There are several different types of eczema that people may experience, which include: atopic dermatitis , contact dermatitis, dyshidrotic eczema, nummular eczema, seborrheic dermatitis, and stasis dermatitis. Children and babies commonly experience eczema on their cheeks and chin. Adults may develop eczema as well even if they never had it as a child.
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Is There A Way To Prevent Eczema
You can prevent eczema by avoiding triggers, for some, skin irritants like dry heat, wool, harsh soaps, fabric softeners and sweating may lead to flares, Dr. Libby said.
Dilute bleach baths using a quarter cup of bleach in a half tub of water and thoroughly mixing is also a mainstay of eczema prevention and treatment, as they have been found to reduce eczema symptoms by reducing bacterial load and inflammation on the skin, she adds.
Best Eczema On Eyelid Treatment Options
The skin on the eyelids is verythin with lots of blood vessels, making it prone to sensitivity and allergic reactions. Although there can be many causes, eczema on eyelid treatment doesnt have to be difficult as youll see below. Symptoms of eyelid eczema may occur in one or both eyes, affectjust the eyelids or also the surrounding area, and may be chronic or onlyhappen occasionally. These symptoms include:
- Scaly,irritated skin
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Top 5 Most Common Otc Treatments For Eczema
Eczema treatment can go beyond prescribed medication. There are many OTC products which can provide hydration and itch relief, stop some skin types from becoming scaly and prevent skin dryness. Check out these four OTC products and see how they might work with your eczema therapy and treatment plan.
How Is Phototherapy Used To Treat Eczema
Nearly 70 percent of patients who are treated with phototherapy have positive results, but its important to note that this treatment is not for everybody.
It is important for the doctor to determine what type of UV light is right for you in order to time the treatments and avoid risks to your health. The amount of light exposure is timed and increased as treatment progresses.
Some areas may not have phototherapy readily available and accessible. Talk with your doctor. A trip to the tanning bed is not a replacement for phototherapy.
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Ultraviolet Light And Phototherapy
Light therapy is often used to treat severe eczema that doesnt respond to creams. This involves a machine that exposes your skin to ultraviolet light.
UVB light is most common. However, some forms of eczema therapy use UVA. According to the National Eczema Association, about 70 percent of people with eczema had improved symptoms after phototherapy.
Cerave Therapeutic Hand Cream $10
This formulation contains dimethicone, ceramides, hyaluronic acid and ceramides. All of the above ingredients help to lock in hydration and improve the functionality of the skin barrier, Dr. Mack said. I use this personally after hand washing multiple times a day the nongreasy formula makes compliance easy.
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Let The Healing Begin
Get started with our natural and soothing eczema treatments today and marvel at the difference in your skin.
Bio: Kazandra is a contributor and content developer for The Eczema Company with a flair for creative storytelling rooted in strategy. Her comments, suggestions, and reflections are not intended to replace any medical advice. Always seek the help of a medical professional before undertaking any diet or lifestyle changes.
Is Dandruff Related To Eczema
Dandruff and eczema are two common types of skin conditions that can affect your scalp, which often results in itchy, and sometimes dry, flakes. In some cases, dandruff may be mistaken for eczema, and vice-versa.
Dandruff is a condition where dry skin flakes off of your scalp. You may notice these skin flakes stuck in your hair, or they may fall onto your shoulders and become visible on clothing.
Eczema, on the other hand, is a chronic, inflammatory skin condition often associated with allergies. Depending on the type of eczema, you may notice dry or greasy flakes, along with redness, burning, and swelling.
With all the possible conditions that can affect your scalp, you may be wondering if your symptoms are an indication of occasional dandruff, or if you may be dealing with a more long-term condition, such as eczema. Read on to learn the key differences and similarities between the two.
Dandruff and eczema may both cause an itchy scalp, along with flakes. Heres how to tell the difference between the two:
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What Questions Should I Ask My Doctor
- How can you tell that I have ear eczema?
- What kind of ear eczema do I have?
- If I dont have ear eczema, what other skin condition might I have?
- Is there a specific brand of moisturizer or skin care ointment that you recommend?
- Is there a prescription cream or ointment that you can prescribe?
- Should I see a dermatologist or another specialist?
- What soaps, lotions, hair care products and other skin care products should I avoid?
- What medications do you recommend?
- What at-home treatments do you recommend?
A note from Cleveland Clinic
Ear eczema is annoying and embarrassing, and it can be alarming if it impacts your hearing. It can affect your quality of life or make you feel self-conscious. However, its common and very normal. With a proper skin care routine and treatment, you can reduce its impact. See your healthcare provider as soon as you notice signs of ear eczema.
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Amlactin Ultra Hydrating Body Cream
AmLactin is arguably the best OTC treatment for atopic dermatitis, says board-certified cosmetic dermatologist Kenneth Mark, MD. Its an alpha hydroxyl acid, which smooths out skin by removing the dead layer of skin cells, helping nix the flaky skin that patients with eczema suffer from. Its also a humectant, so it helps the skin retain and increase its moisture levels.
This helps restore the skins barrier function and minimizes transepidermal water loss, which can play a key role in the inflammation of eczema, he says. But take heart: When people first start using it, it can cause some minor irritation and redness.
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Soothing And Natural Eczema Medicine
Calendula Facial Cream: We love this gentle over the counter eczema treatment because of its calming and cooling effects. Containing high concentrations of calendula resins, it helps reduce itching and aid in wound healing. This moisturizing facial cream is the perfect natural treatment for eczema on the face and eyelids.
Conqueror Soothing Eczema Balm: Treat your dry, sensitive skin this 15-in-1 formula that was specially created to naturally moisturize and soothe inflammation. Its a perfect choice for people with dry skin, eczema, psoriasis, burns, or even stretch marks. We love its 100% natural ingredients and the fact that its safe to use on adults and babies alike. Heres to long-lasting hydration and relief!
Baby & Adult Soother: Adults and little ones alike can benefit from this soothing itchy eczema treatment. Its free from colorants, artificial fragrances, preservatives, and chemicals, making it a safe and effective skin for those with dry skin. This gentle cream contains just three Chinese herbs in a base of olive oil and beeswax. Use it to treat your dry and itchy rashes today.
Organic Manuka Skin Soothing Cream: Unlike a prescription eczema cream, this creamy oil-based balm contains just 6 ingredients, all of which were handpicked by an eczema mother because of their known soothing abilities. Because its 100% natural, you can use it to nourish your whole body from head to toe. This golden pot of goodness is a great choice for both adults and babies.
What Are The Side Effects Of Jak Inhibitors
Common, less serious side effects include:
The FDA has issued a boxed warning for some JAK inhibitors, including Cibinqo, Opzelura, and Rinvoq. This type of warning means these drugs could cause serious or even life-threatening side effects such as:
Infection. JAK inhibitors lower your immune systemâs power to fight infections. You should also avoid taking JAK inhibitors if you have an active infection.
Cancer. These drugs raise your chances of getting lymphoma, skin, lung, and other forms of cancer. If you smoke now or have in the past, your odds of getting lung cancer are even higher.
Cardiovascular disease. Youâre also more likely to have a heart attack, stroke, cardiac death, and blood clots in your leg veins or lungs.
Low blood cell counts. JAK inhibitors can trigger a drop in your platelet, red blood cell, and white blood cell counts.
Higher cholesterol. Your cholesterol may also rise while taking this medication in pill form.
Your doctor will want to know if youâve ever had any of these conditions or if youâre pregnant or plan to get pregnant. Avoid breastfeeding while taking this medicine and for 1 month after your last dose.
Be sure to also tell your doctor about any prescription or over-the-counter medicines or supplements you take since JAK inhibitors can interact with some drugs.
If you have symptoms of a heart attack, stroke, or blood clots while taking a JAK inhibitor, call for help right away.
FDA: âCibinqo Prescribing Information.â
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Oral Antihistamines For Eczema
Antihistamines may help prevent nighttime scratching, which can further damage the skin and cause infections.
Various protectant repair creams may also help ease eczema symptoms by restoring essential skin components, like ceramides, fatty acids, and cholesterol.
For some people with atopic dermatitis, certain foods may cause allergic reactions that can lead to flare-ups.
An elimination diet, or food challenge which involves cutting certain foods out of the diet for a while, and then slowly adding them back in and monitoring how the skin responds may help determine whether any foods may be triggering. But keep in mind that research supporting this approach as an effective treatment for atopic dermatitis is lacking, notes a review published in September 2017 in the journal Pediatric Dermatology.
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Other Topical Medication For Eczema
TCIs dont contain steroids. Instead, they control inflammation and reduce eczema flare-ups by suppressing the immune system.
Though TCIs dont cause the same side effects as topical corticosteroids, patients should only use them for short periods of time. A boxed warning alerts patients to the possible cancer risk associated with these drugs.
PDE4 inhibitors, another class of topical drugs for eczema, work by blocking an enzyme called phosphodiesterase 4 from producing too much inflammation in the body. There is currently only one PDE4 inhibitor on the market that is approved by the U.S. Food and Drug Administration for atopic dermatitis: crisaborole .
The skin cream ruxolitinib , the first topical Janus kinase inhibitor for atopic dermatitis, is another approved treatment. The FDA has placed a boxed warning on this medication for potentially increasing the risk of all-cause mortality, as well as increasing the risk of developing dangerous infections, heart attack, stroke, and thrombosis and certain cancers, including lymphoma.
Wet-wrap therapy is another option for severe eczema. Sometimes given in a hospital, this treatment involves applying topical medicines and moisturizers to affected areas, then sealing them with a wrap of wet gauze.
Best For Face: Eucerin Daily Hydration Lotion
Enriched with sunflower oil and vitamin B5
Has a slight smell
You dont need to spend a lot of money on an effective eczema face cream. Eucerin Daily Hydration Lotion is a non-greasy but hydrating lotion that will feel silky on your the most sensitive skin without clogging pores. Fragrance-free, like the majority of eczema-specific lotions, it includes effective ingredients such as sunflower oil and pro-vitamin B5.
Ingredients: Helianthus Annuus SeedOil, Petrolatum, Glycerin | Uses: Light-weight and fast-absorbing
Too heavy for face
Dr. Saedi is a huge fan of Cerave products, including their Moisturizing Cream, which has ceramides to help strengthen the skin barrier and will help lock in moisture while keeping potential eczema-triggering irritants at bay. Your skin will also reap the added hydration benefit of hyaluronic acid. This giant tub of ultra-rich moisturizer is perfect for your body, but probably too heavy for your face.
Ingredients: Glycerin, Ceramide Np, Ceramide Ap, Ceramide Eop | Uses: Moisturizes, restores and maintains skins natural barrier
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Treatment For Severe Or Refractory Eczema
If you are suffering from mild to moderate eczema, OTC or some prescription medications are likely all that you will need to treat single or exacerbated occurrences.
If you are using OTC medications and have either no resolution or even a worsening of symptoms, then you should start with seeing your healthcare provider.
A healthcare provider can help evaluate the following common reasons that treatment may initially be ineffective. Reasons can include:
- Non-adherence to medication directions
- The increased presence of environmental triggers this can also include food allergies
- Skin infection – Staphylococcus aureus and herpes simplex virus is the most common
- Hypersensitivity or intolerance to the OTC medication
- Incorrect diagnosis – your skin condition isn’t actually eczema
Prior to starting any prescription medications to enhance your eczema treatment, the items listed above should all be evaluated to help bring resolution as quickly as possible. A resolution will not occur despite more aggressive therapy if instigating factors have not been removed.
What Foods Should I Eat Or Avoid To Reduce My Risk Of Eczema
The connection between eczema and food allergies is unclear. If you have food allergies, then one of the reasons why you must avoid that food is that it may cause or worsen dermatitis. Examples of common allergies include peanuts, dairy, eggs, sugar, alcohol and gluten. Pay attention to what you eat. If your eczema flares up after you eat a certain food, then you might have an allergy to it.
If you dont have a food allergy then there are no foods, including chicken, that will cause or worsen your eczema.
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What Gets Rid Of Eczema Fast
Eczema is typically caused by an overactivity of the immune system, which means it can last for various amounts of time. Most of the medications available or at-home remedies will work quicker than not treating eczema at all. However, there is not an instant or guaranteed overnight relief. Many eczema sufferers have had success with moisturizing and oatmeal baths for quicker relief.
Gentle Soaps And Detergents
Laundry detergent can contain harsh chemicals that aggravate eczema.
Many body washes and cleansers contain detergents, which help provide a soapy lather. Detergents and other lathering agents can dry out the skin, especially in people with eczema.
Bar soaps can also be harsh on the skin because of their alkalinity.
Try using a gentle, no-lather, fragrance-free cleanser. Avoid products with rough particles for scrubbing or exfoliating, as these can further irritate the skin.
Many people with eczema also find that switching to a more gentle, fragrance- or color-free laundry detergent can help improve symptoms.
Try skipping fabric softener, which lingers on clothes and often contains fragrances and chemicals that can cause skin irritation.
Sitting next to a fireplace or near a furnace may feel good, but it can make eczema symptoms worse. The hot, dry air can dehydrate the skin and aggravate the itchiness of eczema.
Use a humidifier during the dry winter months and avoid getting too close to heaters and fireplaces.
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