Before prescribing any treatments for eczema, a dermatologist considers the individual’s type of eczema, severity of the condition, age, medical history, current overall health status, and any other possible medical concerns. Any medication prescribed is meant to clear the eczema infection, reduce inflammation, reduce itchiness, and prevent worsening of the condition.
Very seldom is one treatment effective enough for treating eczema. In fact, most medical research studies show that the most effective eczema treatments involves a combination of oral and topical treatments, along with lifestyle changes.
Eczema medications prescribed are based on several factors including the type of eczema, any past treatments, and the personal preference of the patient. The most commonly prescribed medications are both topical and oral. However, those with severe cases of eczema may undergo phototherapy treatments.
Below are the most common treatments for eczema:
Moisturizers. The #1 remedy for eczema that specialists recommend is frequent skin moisturizing. Dryness of the skin aggravates the problem of eczema; hence it is important to always retain moisture in the skin by regularly applying moisturizers. The best type of moisturizers have a low water and high oil content, and is free from any irritants such as fragrance. Emollients are often recommended as they are effective at rehydrating the skin while having a mild inflammatory effect. Avoiding over-bathing is also important for retention of the skin’s natural oils.
Corticosteroids or Topical Steroids. These creams are typically prescribed to decrease inflammation and are available in different strengths. Depending on the severity of the symptoms, a dermatologist may prescribe a mild, medium, or high-potency cream. High potency steroid creams usually have undesirable side effects, especially if used for eczema on the face. A common side effect that is a cause for concern is thinning of the skin when used for a prolonged period of time.
There are other types of non-steroidal creams that a doctor may prescribe to treat eczema. Two topical non-steroidal creams, Protopic and Elidel have been approved by the United States Food and Drug Administration (FDA) for the treatment of eczema. However, in 2005 the FDA issued a warning that these drugs may contribute to the development of certain types of cancers. Furthermore, these drugs are known as calcineurin inhibitors, which are immune system suppressants. Because of the potential dangers and side effects of these drugs, doctors tend to precribe them if a patient is unresponsive to other forms of treatments, and limit use for short time periods. Protopic and Elidel should also be avoided in peple who have compromised immune systems.
Oral antihistamines. These drugs are prescribe to control severe itching. Antihistamines are used to fight the histamines that trigger symptoms of inflammation. Antihistamines are sedatives, so drowsiness may occur. The most commonly prescribed histamines are diphenhydramine [Benadryl], hydroxyzine [Atarax, Vistaril], and cyproheptadine).
Oral corticosteroids. These are prescribed to control acute cases of eczema. Oral corticosteroids, such as Prednisone, are also known to produce harmful side effects, so long-term use is discouraged. Cyclosporine, an oral immunosuppressant drug is also used to treat some cases of eczema.
It is important to know that even though all of these methods will provide some eczema relief, none will actually cure eczema.
Eczema Remedies