Corticosteroids for eczema treatment no 1

Class 1: Superpotent (based on vasoconstriction)

Eczema treatment

clobetasol propionate 0.05% cream, ointment, solution, foam

Betamethasone dipropionate 0.05% augmented (with propylene glycol)

Halobetsol propionate 0.01% cream, ointment

Class 2: Potent

Betamethasone dipropionate 0.05% nonaugmented cream, ointment

Mometasone 0.01% ointment

fluocinonide oinntment 0.05% cream, ointment, gel, solution

Halcinonide 0.01% cream, ointment

Desoximetasone 0.25% cream, ointment

Class 3: upper midsight

Desoximetasone 0.05% cream

Betamethasone valerate 0.01% cream, ointment, foam

fluticasone 0.05% ointment

Class 4: midstrength

Flurandrenolide 0.05% ointment

Mometasone cream 0.01%

Triamcinolone acetonide 0.1% cream, ointment, solution

Flurandrenolide 0.05% ointment

Mometasone cream 0.1%

Triamcinolone acetonide 0.1% cream, ointment, solution

Fluocinnolone acetonide 0.025% cream, ointment

Hydrocortisone valerate 0.2% cream

Class 5: lower midsight

Flurandrenolide 0.05% cream, lotion, tape

Fluticasone 0.05% cream, lotion

Prednicarbate 0.01% cream

Desonide 0.05% lotion

Hydrocortisone butyrate 0.1% cream, ointment, solution

Hydrocortisone valerate 0.2% cream

Class 6: mild

Alclometasone dipropionate 0.05% cream, ointment

Fluocinolone 0.01% oil

Fluocinolone acetonide 0.01% cream, solution

Class 7: less potent

Hydrocortisone acetonide 1, 25% cream, ointment, lotion, spray

Hydrocortisone acetonide 0.05% cream, lotion

Corticosteroid regimen according to eczema severity

ordinary presentation with good response

Class 4 midpotency- class 7 with improvement – moisturizing

Ordinary presentation with minimal response

Class 4 midpotency – class 1 or 2 superpotent or potent – class 7 with improvement, continue moisturizing

mild presentation

class 7 less potent or calcinerium inhibitors- improvement moisturize

Impetiginized

Class 4 midpotency plus topical antibacterials, moisturize

Heavily impetiginized

Class 7 plus topical and oral anti-MRSA (methicilin-resistant staphylococcus aureus), moisturize( eczema treatment)

virally infected–Herpes Simplex Virus ( HSV) or molluscum contagiosum

Class 7 for molluscum plus eczema first; when eczema clears, treat the molluscum

Agents for use in crusting and exudative eczema.

Antibacterium topicals (apply creams or ointments to affected sites and nares, axillae, and perineum with MRSA and recurrent MSSA infection)

Mupirocin ointment

Gentamicin ointment

Erythromycin ointment

clindamycin lotion, gel

Triple-antibiotic cream, ointment (neomycin, polymixin B, bacitracin)

Double-antibiotic cream, ointment (polymixin B, bacitracin)

(Fluroro)quinolone cream, ointment

Silver sulfadiazine cream

lodinated ointment, lotion, gel( eczema treatment)

Acetic acid (vinegar 3T/1 pint H2O=5% acetic acid solution)

Bleach (sodium hypochlorite) 1/4 cup per 6-8 in, in tub bath

Oral antibiotics

For MSSA (methiciline-resistant staphylococcus aureus infection)

Clindamycin

Doxycycline

Intravenous Vancomycin

Skin care for eczema

Minimize bathing in both duration and frequency

Minimize soap; unscented moisturizing bar soaps preferable, avoid liquid soaps, lotion soaps, gel soaps, for soiled diaper areas, cleaning with moisturizing lotion on toilet tissue preferable to “wipes”; it is effective and is kinder to both the baby and the caregiver

minimize use of washcloths or loofahs or other devices use warm, rather than very hot, water moisturize after bathing and as frequently as possible during the day

Treatment for severe atopic dermatitis.

• Corticosteroids orally
• Methotrexate orally
• Azathioprine
• Cyclosporine
• Mycophenolate mofetil
• Others

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