Anyone can get eczema, regardless of gender or age. Although it is not inherited, through direct contact, sexual intercourse or other ways, there is a high risk of getting sick due to genetic inheritance, stress, and disruption of the endocrine system. There are several types of the disease, occurring in certain stages. In addition to using ointments, proper nutrition, taking vitamins, and following preventive measures are very important.
When symptoms first appear and before they enter the chronic stage, it is best to be treated with non-hormonal drugs - they do much less harm, but have a high therapeutic effect and have a healing effect. At the chronic stage, hormonal medications are the only option that can cope with the symptoms, but it is no longer possible to cure it.
When choosing a medication, it is very important to take into account the individual characteristics of the patient, his intolerance to the components and the stage of the disease, age. A list of effective hormonal and non-hormonal ointments for eczema and dermatitis on the skin of the arms, legs, face in adults, children, and pregnant women.
Indications for use of products for external use
Allergic rashes are characterized by the following symptoms: skin itching, peeling, burning, cracks, ulcers, erosions. Indications for the use of eczema cream are based on this symptom complex. The drug is used only for medical purposes after undergoing a series of diagnostic procedures. Despite the fact that the disease is caused by various factors, therapy in most cases begins with topical medications.
Any cream must meet the following requirements:
- Have a comprehensive effect on rashes on different parts of the body
- Eliminate pain, itching, burning, peeling
- Act as a protective barrier, preventing infection by pathogenic microflora
- Moisturize, preventing dryness and cracks of the epidermis
- Have a minimum of side effects and contraindications
It is difficult to independently select a drug that meets such criteria, but a doctor can prescribe the appropriate treatment for each specific case.
Briefly about pharmaceutical forms
According to medical reports, there are three main forms of topical medications: gels, creams and ointments. These are different categories of funds. They differ mainly in their texture and ability to penetrate the skin layers.
- Ointments . The most effective dosage form for deep eczema. Thanks to the oily texture, ointments penetrate into the thickness of the skin. However, with increased capillary permeability, penetration of active substances into the bloodstream is possible. It may be dangerous.
- Creams . Suitable for application to large areas of the skin, as it is absorbed only into the surface layers (epidermis and middle layer).
- Gels. Penetrate into the thickness of the skin to a minimal extent. They are water-based, so they lay down in an even layer and form a protective film. Ideal for preventing secondary infections in various forms of eczema.
What are the ointments for eczema?
All external remedies for eczema are divided into two large groups:
Non-hormonal agents | Hormonal agents |
Contains anti-inflammatory and drying substances. They do not have such a pronounced effect as the first group of drugs, but do not cause dependence or withdrawal symptoms. Also, these external agents may contain antibacterial and antifungal elements. Such ointments are used for microbial and fungal eczema. And preparations with moisturizing and softening components can also be used as a daily care option, which has a positive effect on preventing exacerbations. | Contains glucocorticosteroids. These drugs are very effective; they quickly relieve all symptoms, including pain and itching, but they have a significant drawback. All hormonal drugs are addictive. That is, over time, their effect may decrease, but the most unpleasant thing is that after their withdrawal, a new exacerbation of the disease may begin. |
Treatment of eczema is carried out with different drugs with different properties. The most powerful will be hormonal types, but a dermatologist should select a cream or ointment, taking into account the general condition of the patient, additional symptoms and diseases.
Non-hormonal ointments for eczema: list of the best
This type of medication should be used only until the chronic stage. It is possible to cure eczema before flare-ups occur. Everyone is allowed to use them, only in case of individual intolerance their use is contraindicated. Many non-hormonal medications have a natural composition, so they are allowed even for children and pregnant women.
Eplan
The best remedy for removing signs of disease on the hands. It has a bactericidal effect, accelerates skin restoration, and promotes wound healing. Prescribed for microbial nature of the disease. Apply until complete recovery, can be used as a prophylaxis.
Sold in the form of a 30 g cream costing 183 rubles and a 20 ml solution costing 110 rubles.
Losterine
Available in several forms. The basis of the ointment is naphthalan, which improves the condition of the skin, reduces symptoms such as rash, itching, peeling, and redness. Destroys germs from the skin.
The form of shampoos can be used on the hair. Also available as shower gel. The cream can be used on the face.
Bepanten plus
The active substance of Bepanthen is dexpanthenol, which is converted into pantothenic acid in skin cells and promotes the healing of ulcers.
The product also contains lanolin, which moisturizes the skin, almond oil, which softens the dermis, and chlorhexidine, which has an antiseptic effect. Bepanten plus helps the skin quickly regenerate in case of eczema. This cream can be used even in infants.
Elidel
Cream to remove itching and burning. Recommended by specialists for all types of eczema. Apply twice a day, treatment for 3 weeks. Helps eliminate disease in the hand area. Used from 5 years of age, contraindicated in case of sensitivity to the components of the drug.
You can buy the cream for 450 rubles.
Radevit
A good ointment for mixed eczema. It has a therapeutic and cosmetic effect, improves skin condition. It contains a vitamin complex that helps prevent the development of eczema and allergies. Main results from use:
- anti-inflammatory.
- restorative.
- moisturizing.
- softening.
- relieving itching.
If you are sick, use 2 times a day only on affected tissues. Before use, treat the skin with an antiseptic; the course of treatment is up to 3-5 weeks. A 35 g tube costs 434 rubles.
Zinc ointment
Zinc ointment for eczema on the hands is an effective and safe remedy. She:
- dries out exudate;
- disinfects the affected area;
- adsorbs dangerous compounds and microbes.
The drug works best in the treatment of weeping eczema. Before starting treatment, you should definitely consult a dermatologist. This will allow you to use the drug correctly and effectively. The advantages of the product are that it is not hormonal, does not cause addiction and does not have a negative effect on the body. The risk of side effects is minimized. The composition contains zinc oxide. It accelerates the wound healing process and disinfects the skin.
Iricar
A homeopathic remedy that effectively relieves itching and inflammation that can accompany eczema. The active ingredient is matrix tincture of Cardiospermum halicacabum.
Used in the complex treatment of dermatological diseases that are accompanied by itching: atopic dermatitis, insect bites, neurodermatitis. Do not use in case of hypersensitivity to active substances and other components.
For adult patients and children, it is recommended to apply the ointment to the skin in a thin layer 3 times a day. Since the drug is well tolerated, its long-term use is permitted.
Heparin ointment
It can be used even at the chronic stage. It consists only of natural ingredients and must be used until the symptoms of the disease are completely relieved. It has a restorative effect on the epidermis, eliminates inflammation and itching.
Contraindicated for pregnant women. Do not use for eczema on the face. Quite cheap - from 50 rubles.
Anti-inflammatory
Eplan
basic information | ||
Indications | Eczema in the acute phase. | |
When not to use | Gestation, lactation, fungal and infectious lesions of the dermis. | |
Application | Apply twice a day until the condition improves. | |
Price | 100 rub |
Skin Cap
basic information | ||
Indications | Acute phase of eczema with inflammation. | |
When not to use | Immune response. | |
Application | Apply twice a day for 7 days. | |
Price | 1000 rub |
Additional titles
- Magnispor.
- Oxycort.
- Levomekol.
Hormonal ointments for eczema: list of the best
Preparations with hormones are distinguished by the fact that they have a very strong effect even in the chronic stage of the disease. But they have a lot of disadvantages: a large list of contraindications and side effects, they can only be purchased with a doctor’s prescription, they can be addictive and lead to lack of effect when using conventional medications, so they should be used only after the approval of the attending physician.
The name, dosage and other features of the treatment of ointment or cream for eczema (other skin diseases, such as dermatitis, psoriasis) on the hands, face, legs are personally discussed with the patient for the patient.
Dermovate
Rarely used for eczema, doctors prescribe the composition if other ointments and creams do not show a positive trend. The drug belongs to the group of corticosteroids and is sold in the form of a cream and ointment for topical application. A very powerful remedy, eczema must be treated under medical supervision, following the dosage and course of therapy.
The cost of different forms of release is almost the same; for a package of 25 g you need to pay about 470 rubles. It is better to use on weeping wounds, distribute the mixture into a thin ball up to 2 times a day, gently rubbing the composition. Use for up to 4 weeks, reduce the dose if necessary and continue treatment. The maximum norm per week is 50 g of cream.
Prednisolone
The main active component of this ointment against eczema is a hormone that has functions similar to adrenal hormones. Relieves the patient from an allergic reaction, redness on the skin, pain, and is also effective for weeping eczema.
It must be used for half a month; it can cause serious side effects, so it is prohibited to use it without a doctor’s instructions. A very cheap medicine - one tube of ointment will cost only 30-35 rubles.
Advantan
Advantan is a hormonal medicine prescribed for eczema. The active substance of the drug is methylprednisolone. The effect of application is visible within a few hours after applying the product to the problem area.
Advantan is available in 3 main forms:
- Ointment: a fatty form containing castor oil (prescribed mainly for dry eczema); classic base;
- Emulsion, which is used for acute forms of dermatoses.
- Water-based cream that actively moisturizes the dermis.
Hydrocortisone ointment
Widely used for various types of skin damage. The use of the product allows you to quickly eliminate red plaques and swelling. To treat eczema, it is necessary to use the products daily, the duration of treatment is up to 10–14 days. Used to treat true eczema, seborrheic, microbial.
In the presence of open wounds, the drug is contraindicated for use; it is prescribed for children from 12 years of age. Cost 90 rubles.
Soderm
A potent hormonal drug. Prescribed for advanced stages of eczema, in particular varicose veins. The duration of use of Soderm ointment should not exceed 3 weeks. Otherwise, side effects cannot be ruled out in the form of increased signs of the disease, which manifest themselves as pain, increased itching and severe peeling of the skin. The product is used every other day.
In case of a pronounced side effect, for example, skin atrophy or persistent dilatation of small vessels, an alternative is immediately sought. The drug is contraindicated for dermatological problems, including weeping erosions, skin tuberculosis, acne and syphilis.
The approximate cost of the drug is 200 rubles.
Fluorocort
Ointment based on a synthetic analogue of Triamcinolone. As a result of use, it eliminates inflammation, swelling and itching. The active substances penetrate deep into the dermis layer, affecting the affected areas. Use only on damaged skin twice a day. Therapy for up to 1 decade, but not more than 4 weeks.
The average cost is 257 rubles per package of 15 g.
Skin Cap
Active substances suppress bacteria and fungi, preventing them from multiplying. The cream can be used for up to 2 weeks, 2-3 times a day. There are no contraindications, so the composition is recommended for children. A medicine based on zinc has been created; the active substances penetrate deep into the epidermis, inhibiting the growth of the virus.
Sold in any pharmacy, with different dosages. The cost of a 15 g tube is 964 rubles, and a package of 50 g is 2124 rubles.
General drug therapy
The cause of eczema can be various factors: psychological trauma and stress leading to dysfunction of the nervous system, diseases of internal organs (liver, stomach), exposure to allergies, endocrine diseases, heredity. It is almost impossible to accurately determine the cause of the disease, so the approach to treatment must be comprehensive and based on eliminating all possible factors.
The complex of therapy must include antihistamines. They affect the production of histamine, which leads to the development of an allergic reaction, and eliminate redness, swelling, and itching of the skin. The drugs can be used orally (in the form of tablets and soluble powders), as well as intramuscularly. At the stage of exacerbation, it is recommended to give injections, this will help to quickly alleviate the patient’s condition. After acute symptoms are relieved, a course of oral medications is prescribed: for children - syrups and solutions, for adults - tablets. All products must be taken strictly in accordance with the instructions.
If eczema occurs as a result of hormonal imbalance or metabolic processes, then hormonal medications are prescribed. At the initial stage, hormone-based creams, ointments, and lotions are used to treat skin diseases. If they do not bring results within a few days, tablets or soluble oral medications are prescribed.
Comprehensive treatment should include sedatives or tranquilizers. They have a relaxing effect, calm the nervous system, relieve tension and fear
This is very important for eczema caused by nervous tension and constant stress. In addition, an unstable psychological state can complicate the recovery process.
Skin diseases are often caused by a lack of vitamins, so it is recommended to use vitamin preparations with minerals, especially zinc and selenium. Zinc regulates and restores cell function. Selenium is necessary for the absorption of vitamins. A lack of vitamins A, C, E and B vitamins can lead to redness and flaking of the skin. If the disease is accompanied by symptoms such as swelling, disruption of the liver and digestive system, diuretic drugs and enzymes are prescribed.
Allergic eczema, especially in children, is often caused by a lack of calcium. To replenish this element, calcium gluconate is prescribed. It reduces the permeability of blood vessels and reduces allergic manifestations.
The drug is safe and can be used by children and pregnant women. To enhance the effect, calcium gluconate is prescribed simultaneously with antihistamines. The drug is taken before meals in the form of tablets or intravenously. Very rarely, calcium gluconate causes side effects such as nausea, diarrhea, and heart rhythm disturbances.
If eczema is caused by microbial flora or a purulent infection appears, antibiotics are prescribed. Before choosing a drug, it is necessary to conduct a culture to determine the flora and sensitivity to the antibiotic. Broad-spectrum antibiotics are used to treat eczema.
Side effects of hormonal ointments
Side effects of steroids are associated primarily with their effect on electrolyte-water balance, as well as with the effect on various aspects of metabolism, tissue repair and suppression of the synthesis of adrenocorticotropic hormone in the adenohypophysis.
Most topical corticosteroids are absorbed through the skin in sufficient quantities to cause systemic side effects from excessive hormonal treatment. Topical use of steroid ointments can cause collagen loss, skin atrophy, and hyperpigmentation. Skin atrophy occurs more often in children and elderly patients.
Glucocorticosteroids continue to be the most powerful anti-inflammatory drugs. Their synthesis and application led to a revolution in the treatment of skin diseases. But due to serious side effects and withdrawal symptoms, you should not abuse hormonal ointments in the treatment of eczema. They should be used only as prescribed by a doctor, and if possible, switch to non-hormonal treatment.
What medications are prescribed to treat eczema in different areas of the body?
Different manifestations of the disease require an individual approach to treatment.
- The following products are most often used to treat eczema on the hands: Triderm, hydrocortisone ointment, Skin-cap, prednisolone ointment, Celestoderm. In addition, complex treatment is carried out with sedatives, antihistamines, antipruritics, anti-inflammatory drugs, retinol ointments, and calcium gluconate.
- Therapy for eczema on the legs includes a complex of sedatives, glucocorticosteroids, antihistamines, keratolytics, and antipruritics.
The following medications are prescribed: calcium gluconate, boric and salicylic ointment, Triderm cream, Wilkinson ointment, hydrocortisone ointment. - To combat seborrheic eczema on the legs, local antimicrobial, sedative, corticosteroid, and enzyme preparations are used. Prescribe ointments and mash with drying and exfoliating effects.
How to make ointment at home using folk remedies
Not everyone can afford expensive pharmaceutical ointments. In folk medicine there are many recipes for homemade remedies. Skin diseases can be cured with cheap ointments made from grease, herbs and honey.
Homemade ointment recipes:
- Take half a glass of crushed St. John's wort and pour boiled vegetable oil (half a liter). You need to infuse the mixture for two weeks in a glass container in direct sunlight. Then strain the oil concentrate and apply to the affected areas in the morning and before bed.
- The combination of grease and tar leads to rapid improvement of skin with eczema. It is necessary to apply grease to sore areas, then rinse with warm water and tar soap. The first procedure lasts 5-7 minutes. If there are no negative skin reactions (irritation, blistering), the time of exposure to grease gradually increases to one hour.
- The ointment can be made from homemade honey with rye flour. The ingredients are mixed in equal quantities. You can apply the composition 3-4 times a day, it is recommended to wash off with warm milk or whey.
If home treatment does not bring a positive result in the first week, you need to seek help from a doctor.
Immunomodulatory drugs
Viferon
basic information | ||
Indications | Viral and bacterial infections, including eczema. | |
Contraindications | Excessive sensitivity to interferon. | |
Application | Apply twice daily in small quantities. The course is selected individually. | |
Price | About 140 rub. |
Also analogues of Viferon:
- Kipferon.
- Vitaferon and others.
Prevention
In addition to the use of ointments, it is very important to follow other rules that will ensure effective treatment. With a responsible approach to the therapy process, a disease can be quickly cured, but if it has entered the chronic stage, the disease will no longer be treated.
- To refuse from bad habits.
- Visit your doctor more often to determine the dynamics of the disease.
- Do not come into contact with chemicals.
- Following a diet is a very important measure, since it is due to poor nutrition that symptoms can intensify, which reduces the effectiveness of drugs.
- Take vitamins - they will improve metabolism and immunity, and contribute to a speedy recovery.
- Do not contact with water, temporarily refrain from washing dishes, floors, etc.
- Do not wear clothes and shoes made of synthetic materials, use cosmetics made from natural products.
The list of side effects depends on the drug chosen. For example, hormonal medications help eliminate the symptoms of eczema more quickly, but their list of side effects is much longer. At the same time, natural ointments rarely cause side effects, which include only an allergic reaction due to individual intolerance to the components in the composition. They are allowed for pregnant women, children, the elderly, and people with diseases of internal organs (with the exception of some drugs).
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Characteristics of the disease
The disease is chronic, which causes periodic relapses. Eczema can be of different types, but its causes are caused by the same factors. Their list includes:
- disturbances in the digestive system, kidney problems;
- diseases of the nervous system, disorders in the endocrine system;
- influence on the skin of allergens in the form of chemicals, acids, alcohol and other substances;
- exposure to ultraviolet rays, frequent hypothermia and overheating of the body;
- skin susceptibility to injury, allergies to drugs;
- fatty acid deficiency;
- vitamin deficiency, parasitic infestations;
- problems with the pancreas, disorders of the gallbladder;
- immune system disorders.
Like all diseases, eczema has its own characteristic symptoms. The symptoms are sequential. If you do not treat at the first signs of eczema, it will progress. The disease manifests itself in the form of the following problems:
- skin redness;
- formation of red-pink nodules;
- filling of nodules with liquid;
- cloudiness of the fluid and accumulation of pus;
- the appearance of erosions;
- hair loss in affected areas;
- the formation of dry crusts and their exfoliation.
In order for treatment to be effective, a thorough diagnosis is carried out, which helps to identify the causes. Based on the results of the examination, it is possible to create a complex of therapy, which consists of various drugs and agents.
The nervous system can malfunction, causing eczema