Treatment for Moderate Dermatitis
Moderate dermatitis, also known as eczema, can cause discomfort and irritation for those affected. You can see a general overview of dermatitis treatment, but this page is about the treatment of moderate dermatitis that requires prescribed medications. This condition results in red, inflamed, and itchy skin, and managing it requires a combination of therapies to control symptoms and prevent flare-ups. While mild cases may improve with just moisturizers, moderate dermatitis typically needs stronger interventions. Below, we’ll explore some common treatments that can help manage moderate dermatitis.
Moisturizing Emollients
Moisturizing the skin is a critical step in treating dermatitis. Emollients, or moisturizers, should be applied regularly to keep the skin hydrated and prevent dryness. This helps reduce itching and discomfort. Thick creams and ointments are often more effective for keeping moisture in the skin, but lighter lotions can be useful in certain situations. It is best to apply emollients right after a bath or shower when the skin is still damp to lock in moisture.
Topical Corticosteroids
One of the main treatments for moderate dermatitis is topical corticosteroids. These anti-inflammatory creams or ointments help reduce redness, swelling, and itching. For moderate dermatitis, medium- to high-potency corticosteroids, such as triamcinolone or mometasone, are commonly used. These should be applied to the affected areas once or twice a day for a short period of time (typically up to two weeks).
It's important to follow your doctor’s instructions carefully, as overuse of corticosteroids can lead to side effects like skin thinning. Also, avoid using high-potency steroids on sensitive areas like the face or skin folds.
Topical Calcineurin Inhibitors
For areas where corticosteroids might cause unwanted side effects, such as the face or around the eyes, topical calcineurin inhibitors like tacrolimus and pimecrolimus are useful alternatives. These creams reduce inflammation without the risk of skin thinning. They are often used in sensitive areas or for long-term control of dermatitis.
Crisaborole
Crisaborole is a non-steroidal topical treatment used for mild to moderate dermatitis. It works by reducing inflammation and itchiness and can be applied twice daily. One advantage of crisaborole is that it does not cause the side effects associated with corticosteroids, making it a safer option for long-term use in many cases.
Bleach Baths
A diluted bleach bath can help control symptoms of moderate dermatitis by reducing the number of bacteria on the skin that can cause infection. Bleach baths are made by adding a small amount of household bleach to a bathtub filled with water. It’s important to follow the correct dilution instructions, as using too much bleach can cause skin irritation. Always consult with your doctor before starting bleach baths.
Avoiding Triggers
Managing dermatitis also involves avoiding triggers that can worsen the condition. Common triggers include harsh soaps, extreme temperatures, and stress. Wearing soft, breathable fabrics like cotton can also help minimize irritation. In addition, limiting the use of scented products and switching to fragrance-free moisturizers and cleansers can reduce the likelihood of a flare-up.
Phototherapy
For people with moderate dermatitis who don’t respond well to topical treatments, phototherapy may be recommended. Phototherapy involves exposing the skin to controlled doses of ultraviolet light to reduce inflammation and itching. This treatment is usually done in a medical office under the supervision of a dermatologist.
Conclusion
Treating moderate dermatitis requires a combination of moisturizing, anti-inflammatory creams, and sometimes more advanced therapies like phototherapy. Following a consistent skincare routine and avoiding triggers can help keep symptoms under control. Always consult your dermatologist for personalized treatment options and advice tailored to your specific condition.