Treatment of Atopic Eczema
Treatment of atopic eczema aims to reduce inflammation, relieve itching, and repair the skin barrier. Management typically involves a combination of moisturisers, topical treatments, and lifestyle adjustments.
Core Treatment of atopic eczema:
- Emollients (moisturisers)
- Used daily to prevent dryness and flare-ups
- Should be fragrance-free and thick in texture
- Apply multiple times a day, especially after bathing
- Topical corticosteroids
- Reduce redness, swelling, and itch during flares
- Vary in strength based on severity and area affected
- Use under medical guidance to avoid thinning of the skin
- Topical calcineurin inhibitors
- Steroid-free option for sensitive areas (face, eyelids)
- Antihistamines
- May help reduce night-time itching and improve sleep
- Antibiotics or antiseptics
- For infected eczema with weeping, crusting, or oozing
- Phototherapy (light therapy)
- For severe or persistent eczema not responding to creams
In South Africa, many over-the-counter emollients are available, but prescription treatments and phototherapy may only be found in urban hospitals or dermatology clinics. Cost and access can limit options for many families.
A Tailored Approach to Treatment
Effective treatment of atopic eczema requires more than just one solution — it’s a combination of consistent moisturising, targeted topical therapies, and lifestyle adjustments that work together to restore the skin barrier and reduce inflammation. Each person’s treatment needs may vary depending on severity, age, and sensitivity.
Accessibility and Support in South Africa
While emollients are widely available over the counter, advanced treatments like phototherapy and stronger prescription creams may be harder to access, especially outside urban centres. By working closely with healthcare providers and choosing affordable, appropriate options, families can successfully manage eczema and improve daily comfort and skin health.
👉 [Next: Complications of Atopic Eczema]
