Wednesday, October 25, 2023

Treat severe eczema.. Topical medications. Systemic medications. Corticosteroids. Calcineurin inhibitors. Oral corticosteroids. Cyclosporine



Treat severe eczema:

Severe eczema can be treated with a combination of topical and systemic medications, as well as lifestyle changes.

Topical medications:

Topical medications are applied directly to the skin. They are the most common type of treatment for eczema and are typically used first-line.
Common topical medications for eczema include:

- Corticosteroids:

Corticosteroids are the most effective topical medications for eczema. They reduce inflammation and itching. Corticosteroids are available in different strengths and forms, including creams, ointments, and lotions. The strength of corticosteroid prescribed will depend on the severity of the eczema and the location on the body.

- Calcineurin inhibitors:

Calcineurin inhibitors, such as tacrolimus (Protopic) and pimecrolimus (Elidel), are non-steroidal topical medications that can be used to treat eczema. They are less likely to cause side effects than corticosteroids, but they may not be as effective.

Systemic medications:

Systemic medications are taken by mouth or injection. They are typically used for severe eczema that does not respond to topical medications or for eczema that is widespread.
Common systemic medications for eczema include:

- Oral corticosteroids:

Oral corticosteroids are the most effective systemic medications for eczema. They are typically used for short periods of time to treat severe flares.

- Cyclosporine:

Cyclosporine is an immunosuppressant medication that can be used to treat severe eczema. It is typically used for long periods of time and requires regular monitoring of blood levels.
Dupilumab: Dupilumab is a biologic medication that is approved for the treatment of moderate to severe eczema in adults and children 12 years and older. It is a self-injectable medication that is given every two weeks.

Lifestyle changes:

There are a number of lifestyle changes that can help to manage eczema and prevent flares. These include:

- Moisturizing:

Moisturizing the skin regularly helps to keep it hydrated and reduce itching. It is important to choose a moisturizer that is fragrance-free and non-comedogenic (does not clog pores).

- Avoiding triggers:

Common triggers for eczema include dry skin, sweating, stress, and certain foods and fabrics. It is important to identify and avoid your triggers to help prevent flares.

- Taking cool baths:

Cool baths can help to soothe itchy skin. Avoid using hot water or harsh soaps, as these can irritate the skin.

- Wearing loose-fitting clothing:

Loose-fitting clothing allows air to circulate and helps to prevent sweating. Avoid wearing irritating fabrics, such as wool.

If you have severe eczema, it is important to work with a dermatologist to develop a treatment plan that is right for you. With proper treatment, most people with eczema can manage their condition and live full and active lives.