Eczema – Canadian Dermatology Association

Posted: Published on March 6th, 2018

This post was added by Alex Diaz-Granados

Most types of eczema require a combination of treatments and medications. Your dermatologist will choose the ones that will work the best to control your condition.

The three main steps of eczema management involve:

Antihistamines that cause sedation may be prescribed in those whose symptoms are interfering with sleep.

Moisturizers and emollients decrease dryness and scaling, leaving the skin feeling more comfortable. Barrier repair moisturizers also known as physiologic moisturizers, contain some of the essential oils that are missing from eczematous skin, most commonly ceramide.

Coal tar is an old remedy but still effective. It soothes inflamed skin and helps reduce itching, flaking and redness. It is available in bath oils, shampoos, gels, creams, ointments and in combination with corticosteroids.

Bleach baths in a solution of bleach and clear, warm water for 5-10 minutes twice weekly can be effective in those susceptible to frequent infections which can worsen eczema.

Cool compresses relieve inflammation and itching.

Antibiotics are used to treat secondary skin infection, which is a common complication of any type of eczema. The skin barrier is broken both by scratching and the inflammation allowing bacteria to penetrate the skin.

Corticosteroids are the most effective anti-inflammatory agents. They come in a variety of strengths, ranging from mild to extremely potent. They should be applied regularly until the inflammation has resolved. When used appropriately, the incidence of side-effects is low.

Topical Calcineurin Inhibitors specifically inhibit the cells of the immune system in the skin. They are very effective at reducing itch and preventing flare-ups if applied regularly.

Phototherapy: In those who have severe eczema, regular exposure to specific rays of ultraviolet light is very effective in reducing symptoms. This treatment should only be done under the supervision of a dermatologist.

Cool compresses relieve inflammation and itching. Follow these easy instructions for fast relief:

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Eczema - Canadian Dermatology Association

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