The differences are so subtle.
. You may need to have a follow-up appointment several days later so your doctor can take another look at your skin.Topical medications
You may start by using topical steroids, which are medications you apply to your skin to bring down inflammation and relieve itch. “I usually will have my patients ‘soak and smear.’ The best time to put on your medicine is after you get out of the shower or bath,” Dr. Makhzoumi says. This may also be a good time to lather on a skin protector like an ointment, as long as your doctor says the two can be used together. “Just a simple emollient like Vaseline can do wonders.
Alternatively, your doctor may recommend a topical calcineurin inhibitor like tacrolimus or pimecrolimus as an alternative or in addition to steroids. These medicines work by dialing down the overactive immune response that causes eczema flares.If topical medicines don’t work, stronger oral or injectable medications may reduce your inflammation, according to the AAD.Understandably, it’s really hard not to scratch itchy skin, and doing so can lead to bacterial infections.
Sometimes, you may need to try several medications when you’re dealing with something as complex as eczema. If that’s true for you, Dr. Silverberg encourages you to keep working with your doctor to find a treatment that truly helps. “People often give up and say, ‘There’s nothing I can do about it,’ and that’s not really true. We have a lot of different options,” Dr. Silverberg says.
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