Treating Excema with Steroids

Treating Excema with Steroids

Treatment with steroid-based corticosteroids can mean relief from the constant itching and accompanying red, scaly skin patches of eczema.

Yet, many patients and their families are fearful of using steroids due to potential side effects associated with the medications. This fear, or “steroid-phobia,” among patients can be lessened by working with a dermatologist who is trained in prescribing these medications, can monitor patients closely, and knows how to incorporate creative treatment strategies to minimize side effects.

Eczema, a chronic disease in which the skin becomes itchy and inflamed, affects about 15 million Americans. One of the most common forms of eczema is atopic dermatitis, or AD, which can occur on just about any body part. AD takes a physical and emotional toll because it can be painful and physically unattractive, causing skin redness, swelling, cracking, weeping, and scaling.

The majority of patients have a “mild” form of the disease, meaning the AD affects less than 20 percent of the body surface area. Still, left untreated, even the mild form can result in itching and rashes that become a significant and visible reminder of the disease. For people whose AD affects more than 20 percent of their bodies, the disease can be a physically painful problem.

Excema Treatment – Home Remedies

Ecxema Treatment – Home Remedies

Home remedies for eczema may be as simple as changing your laundry detergent or as difficult as moving to a new climate or changing jobs. Removing whatever is causing the allergic reaction is the easiest and most effective treatment.

Prevent dry skin by taking warm (not hot) showers rather than baths. Use a mild soap or body cleanser. Dry yourself very carefully and apply moisturizing skin lotions all over your body. Avoid lotions with fragrances or other irritating substances.

Avoid wearing tight-fitting, rough, or scratchy clothing.

Avoid scratching the rash. If you can't stop yourself from scratching, cover the area with a dressing. Wear gloves at night to minimize skin damage from scratching.

Anything that causes sweating can irritate the rash. Avoid strenuous exercise during a flare.

If the allergy-causing agent cannot be removed or identified, the next step is to lessen the allergic inflammatory response.

• Apply a nonprescription steroid cream (hydrocortisone) along with anti-itching lotion (menthol/camphor, such as calamine). The cream must be applied as often as possible without skipping days until the rash is gone.


• Diphenhydramine (Benadryl) in pill form may be taken for the itching. Caution - you should not take this medication if you need to drive a car or operate machinery as it will make you sleepy.


• Clean the area with a hypoallergenic soap every day. Apply lubricating cream or lotion after washing.
  

Avoid physical and mental stress. Eating right, light activity, and adequate sleep will help you stay healthy, which can help prevent flares.

Do not expect a quick response. Eczema is easier to control than cure.