Beat Ezcema Guide Treatment and Advice
Eczema, a type of allergic dermatitis which can occur at any age group and is a cause of significant morbidity.
The disease is caused by hyperactivity of the immune system, the treatment involves suppression of the immune system either locally at the site of the lesion as done in mild forms of the disease or a generalized suppression of immunity as required in severe forms of the disease not responding to local therapy. Along with the direct treatment, other general and prophylactic measures may be taken to reduce the morbidity as told later in this article.
A word of caution before we delve into the specific medications, that the disease is not a condition that can be cured with any certainty. It can at best health pharmacies be suppressed for the time being and then hope for the best.
Specific drugs:
1) Corticosteroids: these can be used in topical preparations such as creams and ointments or in form of systemic therapy either oral or by injections.
Topical: Hydrocortisone, clobetasol, betamethasone, triamcinolone.
Systemic: oral prednisolone, injection triamcinolone.
2) Immunomodulators: May be used in place of steroids, these are tacrolimus and pimecrolimus.
3) Antibiotics: These are used because of the tendency of the lesions to get infected as these act as good culture media for bacteria and we provide a healthy dose of them by constantly scratching the lesions.
4) Immunosuppressants: These are only for very severe forms of eczema not responding to other dugs. The drugs used are cyclosporine, azathioprine or methotrexate.
5) Anti itch drugs: These are usually antihistaminics. Menthol may also be used as it soothes the skin.
6) Moisturizers: The idea is not to let the skin dry out. Thus emmolients in the form of creams (need frequent application due to high water content), ointments (are too greasy for general use), emmolient coated gloves (used while sleeping) may be used. Harsh soaps and detergents should not be used as these promote drying.
Other general measures can be carried out:
1) CLEAN YOUR SURROUNDINGS as many allergens are fount in house dust.
2) FOOD CHANGES including avoidance of dairy products, soybeans products, eggs, coffee, nuts etc.
3) TRADITIONAL approaches such as oatmeal patches, milk patches, salt water bath, topical sulfur may be used
4) CLOTHING CHANGES: prefer cotton clothes to synthetic clothes.
And last but not least, consult a dermatologist and do not try out the medications written above by yourself.
The Beat Eczema Guide is an invaluable resource for the treatment and understanding of eczema. It can be found at: http://actonmedicalproductreviews.com/
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