Medications Dermatitis




1 medications

1.1 colloidal oatmeal
1.2 corticosteroids
1.3 immunosuppressants





medications

there little evidence antihistamine; not recommended. sedative antihistamines, such diphenhydramine, may tried in unable sleep due eczema.


colloidal oatmeal

oatmeal contains avenanthramide (anthranilic acid amides), can have anti-inflammatory effect.


corticosteroids

if symptoms controlled moisturizers, steroids may required when flares occur. corticosteroids effective in controlling , suppressing symptoms in cases. once daily use enough. mild-moderate eczema weak steroid may used (e.g., hydrocortisone), while in more severe cases higher-potency steroid (e.g., clobetasol propionate) may used. in severe cases, oral or injectable corticosteroids may used. while these bring rapid improvements, have greater side effects.


long term use of topical steroids may result in skin atrophy, stria, telangiectasia. use on delicate skin (face or groin) therefore typically caution. are, however, tolerated. red burning skin, skin turns red upon stopping steroid use, has been reported among adults use topical steroids @ least daily more year.


immunosuppressants

tacrolimus 0.1%


topical immunosuppressants pimecrolimus , tacrolimus may better in short term , appear equal steroids after year of use. use reasonable in not respond or not tolerant of steroids. treatments typically recommended short or fixed periods of time rather indefinitely. tacrolimus 0.1% has proved more effective pimecrolimus, , equal in effect mid-potency topical steroids. there no link increased risk of cancer topical use of 1% pimecrolimus cream.


when eczema severe , not respond other forms of treatment, systemic immunosuppressants used. immunosuppressants can cause significant side effects , require regular blood tests. commonly used ciclosporin, azathioprine, , methotrexate.








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