There is no complete cure to eczema. However with good control, the frequency and severity of flares can be reduced to a minimum. There are a few things to take note of.
1. Identifying triggers factors
2. Moisturizers are the cornerstone of eczema management. Regular use of a good moisturizer improves the skin barrier function and helps in retaining moisture. There is no best brand of moisturizer but you may consider some of the more popular brands such as physiogel, atopiclair, ceradan, uriage, cetaphil . Some trial and error is needed to see which suits your skin best. It is best to apply the moisturizer within 5 mins after bathing to keep the moisture in.
3. Topical steroids are effective in managing acute eczema flare and reduce inflammation. There are various strengths (and types such as cream, ointments) available and some come combined with an antibiotic component as well. Your doctor will be the best person to decide which strength is most suitable, depending on the area being treated and the severity of the flare.
4. Oral steroids may be needed in severe cases to control the flare, but these are usually tailed down gradually and are not meant for long term use.
5. Proper skin care. Avoid long and hot baths which remove the natural oils of the skin, use gentle soaps (avoid things like dettol as these damage the skin), and avoid scratching or rubbing of the inflammed skin as these will only make the eczema worse.
Eczema is a chronic condition so regular and disciplined care is important. Keep moisturizing even after the flare/itch subsides to reduce to frequency of subsequent flares.
