Emollients
Emollients (moisturisers) are the most important treatment. Use them every day, even when your skin is clear.
- use them generously and often, at least twice a day
- use an emollient instead of soap to wash
- smooth them on in the direction the hair grows
- try different types to find one you like
Steroid creams
Topical steroids reduce inflammation during a flare. They come in different strengths. Your GP will choose the right one for the area and severity. A fingertip unit (a line of cream from the tip of an adult finger to the first crease) covers an area the size of two adult hands.
Other treatments
- tacrolimus or pimecrolimus creams, often used on the face and eyelids
- antibiotics or antiviral medicine for infected eczema
- bandages or wet wraps, for some people
Specialist treatments
For severe eczema, a dermatologist may offer:
- phototherapy (light treatment)
- tablets that calm the immune system, such as ciclosporin or methotrexate
- biological medicines, such as dupilumab, or JAK inhibitor tablets
Common questions
Are steroid creams safe?
Yes, when used as prescribed. Using the right strength for a short time to control a flare is much better than leaving eczema untreated. Your GP will tell you how much to use and for how long.
Sources we used
- NICE clinical knowledge summary, Eczema, atopic
- NHS, Atopic eczema
- National Eczema Society, Treatments
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