The goals for the treatment of eczema are to prevent itching, inflammation, oozing and worsening of the condition. Oozing is controlled by condy’s compress( potassium permanganate). The commonly used drugs to control itching, inflammation is corticosteroid & antihistamine. For the acute and sub acute eczema lotion, and cream are used. Ointments are used for chronic eczemas,which requires occlusion. Our experience shows lesions having lichenification and induration often needs oral steroid and needs long treatment as the disease last for a long. Rarely the cytotoxic drugs are used for treating eczema. If used its used as the steroid spearing agent. Our experience is with Methotrexate, Azathioprine, Cyclophospamide, and Cyclosporine in treating eczemas with chronic recurrence as a steroid sparing agents.
Recently U.S. FDA has approved topical tacrolimus and pimecrolimus for the treatment of eczema. Photochemotherapy has been used in case of hyper keratotic and dry discoid eczema with variable success.
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