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Treatments for Atopic dermatitis 3

Treatment List for Atopic dermatitis 3

The list of treatments mentioned in various sources for Atopic dermatitis 3 includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Identify and avoid contact with irritants or triggers where possible. Consider use of gloves etc
  • Bathe in tepid water using a PH neutral soap or soap substitute. Avoid prolonged bathing
  • Soaking baths with bath oil or colloidal oatmeal for moderate to severe disease or disease flares
  • Moisturise promptly after bathing. Non - perfumed products are preferred
  • Wet compresses - aluminium acetate or potassium permanganate for infected eczema, or tap water after emollient and/or topical steroids for 15-60 minutes to increase benefits of topical therapy
  • Topical steroids in acute exacerbations to control symptoms. Avoid high strength steroids on the face and neck
  • Topical immunomodulators - Pimecrolimus and Tacrolimus - may be used as an alternative to topical steroids, but long term side effects have not been fully elucidated
  • Tar and ichthammol - useful for chronic or lichenified lesions
  • Antihistamines for control of itching - probably little help with awake patients, but sedating antihistamines may have some benefits at night
  • Oral steroids - reserved for acute severe exacerbations and widespread disease. Avoid in children. Disease may rebound on cessation
  • Systemic immunomodulators - cyclosporine, azathioprine - used for severe disabling disease unresponsive to other treatments
  • Phototherapy - UVB and PUVA used in unresponsive eczema, but expensive and concerns exist about long term safety
  • Dietary manipulation - unknown efficacy, but need to be cautious of vitamin deficiency, especially in children

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