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Topical steroids are the mainstay of eczema treatment and are used intermittently during flare-ups of the disease (1).
The treatment regimens may vary according to the severity of the disease but the mildest potency preparation is usually recommended by the clinicians for treatment (1).
When prescribing topical
steroid treatment the clinician must consider:
- strength of topical
- duration of use of topical steroid
- vehicle used with
- site of eczema/dermatitis
- age of patient
Emollients are prescribed together with topical corticosteroids (1,2,3).
SIGN state (3)
- patients with atopic eczema should be advised to apply topical corticosteroids
- if there is an inadequate response to once daily application, the frequency
should be increased to twice daily
- twice weekly maintenance therapy with a topical corticosteroid should
be considered in patients with moderate to severe atopic eczema experiencing
frequent relapses (4)
- topical corticosteroids should be used with caution in the periocular
Last reviewed 10/2020