Feb
9
Managing Atopic Eczema
Filed Under Eczema
The first line of treatment in managing eczema is ‘complete emollient therapy’.
It is a simple effective treatment and is known to be effective in improving symptoms and minimising the risk of flare-ups. The fragrance-free products are usually better and less likely to cause irritation.
Emollients are therapeutic moisturisers that help to keep skin moist and allow it to feel more comfortable and less itchy. However, they are not often used appropriately leading to a greater use of topical steroids.
NICE (National Institute of Clinical Excellence) have issued guidelines on using a stepped approach to eczema treatment.
Mild atopic eczema – Emollients + Mild Potency Topical Corticosteroids
Moderate atopic eczema – Emollients + Moderate Potency Topical Corticosteroids + Wet or Paste Bandages
Severe atopic eczema – Emollients + Potent Topical Corticosteroids + Other Topical Treatments + Wet or Paste Bandages + Phototherapy + Systemic Therapy
Stepped-care plan
The basis of complete emollient therapy is the use of a combination of emollient creams, ointments, bath oils and soap substitutes to manage the symptoms. It is important that the correct quantity of emollient is applied throughout the day by using a combination of products applied at the appropriate time and in adequate quantities.
Topical corticosteroids are useful in speeding up healing and reducing inflammation. They are usually applied twice a day and should be used in conjunction with the emollient therapy. At least 15 minutes should be left between each treatment type.
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Eczema can be managed by using corticosteroids to reduce inflammation and an antihistamine to reduce itching. it is also wise to avoid dairy products and nuts if you have food allergy.