Oral prednisone offers quick relief, but long-term use carries risks. Fortunately, many effective alternatives exist. Consider these options, always consulting your dermatologist for personalized guidance.
Topical Treatments
- Topical corticosteroids: These are your first line of defense against mild to moderate eczema. Different strengths exist, so your doctor will select the appropriate one for your needs. Always apply as directed. Topical calcineurin inhibitors (TCIs): Pimecrolimus and tacrolimus are non-steroidal options, particularly helpful for long-term management and sensitive skin. They’re generally well-tolerated but may not be as powerful as corticosteroids. Topical dupilumab: A newer biologic medication applied topically, it’s effective for moderate to severe eczema. It requires a prescription and may be a good choice if other treatments haven’t worked.
Other Management Strategies
Moisturizers: Daily moisturizing is paramount. Choose fragrance-free, hypoallergenic options. Wet wraps: Applying cool, wet compresses over moisturizer can significantly reduce inflammation and itching. Phototherapy (light therapy): Ultraviolet (UV) light treatments can be highly effective. This is typically done under the supervision of a dermatologist. Biologic medications (injections or infusions): Dupilumab, tralokinumab, and lebrikizumab are examples of biologics targeting specific inflammatory pathways. These are typically reserved for severe eczema unresponsive to other treatments. Allergen avoidance: Identify and minimize contact with known allergens. This can significantly improve symptoms.
Lifestyle Adjustments
Managing eczema also involves lifestyle changes. Reduce stress, ensure adequate sleep, and consider a healthy diet low in inflammatory foods. Regular bathing in lukewarm water with mild soaps can also help.
When to Seek Medical Attention
Severe eczema, unresponsive to home treatments, requires immediate medical attention. Don’t hesitate to schedule an appointment if your symptoms worsen or cause significant distress.
