Eczema Management

A good emollient used twice per day should be recommended even in the absence of a current flare. Creams and emollients should be low in pH. As a general rule creams with no added plant or food substances should be recommend
A class three steroid, like Advantan or Elocon (both have very good safety data) should be applied once to twice daily for as long as needed to the areas that are inflamed (with the exception of peri-oral or peri-orbital regions). Applying liberally and no longer sparingly is now the advice and we no longer use a week on, week off approach. As a general rule, if a good steroid is used twice a day for two weeks and the eczema hasn’t cleared, then something else is going on.