Atopic dermatitis can be continual thus you can require trying different treatments over months or years to control the condition. Signs and symptoms can return even if treatment is successful.
Itâ€™s important to diagnose the condition early so that its treatment can be started. In case regular moisturizing and other home remedies fail to treat your condition then your doctor can recommend you one or more of the following treatments:
- Creams: Creams which control itching and repair the skin can be prescribed by the doctor as corticosteroid cream or ointment. Apply these creams as directed by the doctor after you moisturize. Other creams that contain drugs called calcineurin inhibitors as tacrolimus and pimecrolimus affect your immune system. They are for the use of children older than 2years of age. They help to control the skin reaction. Avoid exposure to strong sunlight after applying these products.
- Drugs to fight infection: antibiotic creams are prescribed in case your skin has a bacterial infection or crack. He or she can prescribe oral antibiotics for a short period to treat an infection.
- Oral drugs which control inflammation: For very severe cases, the doctor can prescribe oral corticosteroids as prednisone.
- A newer option for severe eczema: Injectable biologic called dupilumab is used to treat the patients with severe eczema who do not respond well to its other treatments.
- Wet dressings: Wrapping the affected area of skin with topical steroids and wet bandages is an effective treatment for the severe cases of eczema. This is done in a hospital otherwise you can ask your doctor about the technique to do it.
- Light therapy: This treatment is done in people who do not get better with topical treatments. The simplest type of light therapy involves exposing the skin to restricted amounts of natural sunlight. Other types use artificial ultraviolet A and narrowband ultraviolet B either alone or with medicines. Phototherapy is not used in infants and it is less commonly used in young children.
- Counseling: Counseling can help those people who are frustrated or embarrassed by their skin condition.
- Relaxation, biofeedback and behaviour modification: These approaches can be helpful to people who habitually scratch.
Treatment for infantile eczema includes:
- Avoiding extreme temperatures
- Identifying and avoiding skin irritants
- Lubricating skin of the baby with bath ointments, oils or creams
Consult the doctor of your baby in case these measures do not improve the rash or if the rash appears infected. Your baby can require a prescription medicine to treat the rash or an infection. The doctor may also prescribe an oral antihistamine which can lessen the itch and cause drowsiness so as to ease discomfort and nighttime itching.