Atopic dermatitis creams, lotions, and topical ointments can help soothe dry, itchy skin. Other treatments include over-the-counter and prescription oral medications, such as corticosteroids and antihistamines.
Atopic dermatitis is a type of eczema that affects around
Research from 2018 suggests atopic dermatitis affects
A person with eczema will typically experience patches of dry, itchy skin that may crack, bleed, or become infected.
This article discusses treatments and home remedies for atopic dermatitis, the latest treatment research, tips for managing the condition, possible treatments for babies, and more.
There is currently no cure for eczema, but many people find that symptoms improve as they get older. Treatments aim to help a person manage eczema symptoms.
Treatments for eczema typically fall into two categories: moisturizers to relieve dryness and itching and anti-inflammatories to reduce swelling, itching, and redness.
People usually apply moisturizers and anti-inflammatories directly to the skin as creams or ointments. It is possible to take some anti-inflammatories orally.
The following sections describe some common treatments for atopic dermatitis.
Over-the-counter (OTC) treatments
A person can buy certain types of eczema treatments without a prescription. These usually come in milder doses than the prescription version of them.
OTC treatment options include:
- moisturizing creams, lotions, or ointments
- corticosteroid creams, such as hydrocortisone to relieve itching and inflammation
- corticosteroid tablets, which are suitable for short-term use only, relieve itching and inflammation
- the oral antihistamine diphenhydramine (Benadryl), which may help relieve itching in some cases
- probiotics, which
may helpprevent an allergic response
A doctor may prescribe medicated creams or oral medication to hydrate the skin, reduce itching, and relieve inflammation.
These include stronger antihistamines and corticosteroid creams or tablets. A doctor may also prescribe:
- topical calcineurin inhibitors such as tacrolimus (Astagraf XL, Envarsus XR, Prograf, and Protopic)
- dupilumab (Dupixent), which is an injectable immunomodulatory medication that’s approved by the Food and Drug Administration (FDA) to treat atopic dermatitis
- phosphodiesterase inhibitors such as crisaborole (Eucrisa)
- oral medications such as cyclosporine and interferon
- injectable medications, such as tralokinumab-ldrm (Adbry)
- topical janus kinase (JAK) inhibitors, such as ruxolitinib (Opzelura)
- oral JAK inhibitors, such as upadacitinib (Rinvoq) and abrocitinib (Cibinqo)
Wet wrap therapy
Wet wrap therapy (WWT) may help improve eczema symptoms by increasing the moisture levels of a person’s skin.
According to a
To use this method, a person should wrap wet strips of fabric or gauze around the eczema-affected areas after bathing and moisturizing. Doing this
A person should place a dry layer over the wet layer to prevent it from drying out. They can leave the wraps on for several hours or overnight.
People with severe eczema
During phototherapy, a doctor or dermatologist will shine a UVB light on either the whole body or just the affected areas. This light helps reduce itchiness and inflammation and encourages the body to create vitamin D. It may also help the skin fight bacteria to prevent infection.
Side effects can include:
- skin sensitivity
- skin cancer
Learn more about UV light therapy for atopic dermatitis.
Certain home remedies can help relieve the symptoms of atopic dermatitis, though people should talk with their doctor to find out the best course of treatment for their symptoms.
Home remedies include:
Some natural products can help lock in moisture and relieve itchiness. According to the National Eczema Association, evidence has shown the following to be effective:
- Coconut oil: A person can apply virgin or cold-pressed coconut oil directly to eczema to help moisturize the area and reduce bacteria. A person should use it once or twice per day on damp skin.
- Sunflower oil: Sunflower oil may help improve the skin’s protective barrier and reduce inflammation. A person should apply it twice a day.
- Cardiospermum: Cardiospermum is a plant extract that may reduce inflammation, itchiness, and bacteria on the skin.
Doctors recommend testing new products, including oils, on a small spot on the skin and waiting at least 24 hours before applying the product to a larger area. This can help determine whether the product may cause a contact allergy.
Bathing every day is essential for eczema. It helps keep the skin hydrated and prevents infection. People can also try different kinds of baths for eczema, including:
A bleach bath may decrease skin inflammation and reduce the number of bacteria on the skin. This can reduce the risk of the rash becoming infected. However, a person should exercise caution with bleach and never soak in one of these baths for more than 15 minutes at a time.
A person may want to follow the National Eczema Association’s recipe for a bleach bath. In addition, a person should use a moisturizer on affected areas of skin within 3 minutes of getting out of the bath to stop the skin from drying out.
There is little clear evidence about whether eczema in babies is preventable.
Studies suggest that exclusive breastfeeding or chestfeeding for 4–6 months may reduce eczema in infants who are at high risk by 33%. However, this does not necessarily mean that feeding a baby formula will cause eczema or make the symptoms worse.
The American Academy of Dermatology Association also discussed a study that suggested moisturizing an infant’s skin daily may reduce the risk of developing eczema.
Infants may worsen their eczema by scratching because they find it more difficult than adults to avoid. Treatment for eczema in infants and babies is similar to treatment for adults, with the focus being on the application of moisturizing creams or ointments and anti-inflammatories that reduce the urge to scratch.
A person should also ensure that a baby’s room is not too warm at night, as sweat can make the symptoms of eczema worse.
Although there is no cure for eczema, many children who have this condition will outgrow it by adulthood.
Treatment strategies for atopic dermatitis have focused primarily on corticosteroids and immunomodulators such as tacrolimus. The FDA has also approved JAK inhibitors to treat severe eczema. These medications appear effective in treating atopic dermatitis but
Researchers are looking into using other medications that directly target specific immune factors involved in the development of atopic dermatitis. These medications broadly belong to a new category of medications called biologics. The only such medication currently approved for treating eczema is dupilumab (Dupixent).
One 2022 study examined the role of an overabundance of certain proteins that may contribute to the inflammatory response in the skin. Although researchers performed the study in mice only, they suggest that antibody therapy targeting these proteins may have potential in future eczema treatment. Learn more about this research.
In addition, some researchers argue that eczema
People can adopt various skin care methods to help reduce their eczema symptoms.
A person may want to avoid:
- scratching the affected areas, as scratching makes inflammation worse
- coming in contact with wool or anything that can scrape the skin
- using strong soaps, detergents, or products that contain scents, dyes, or fragrances
- scrubbing dry skin for too long
Other measures a person can take include:
- minimizing contact with water when washing objects such as dishes by hand
- trying not to scratch, for example, by keeping the hands busy with tasks or fidget toys
- keeping the fingernails short and clean in case scratching scrapes the skin too much or introduces bacteria that can cause an infection
- washing all new clothes with a fragrance-free detergent suitable for sensitive skin
- wearing loose clothing made of cotton
- protecting the skin from the sun by covering up or using sunscreen of at least SPF 30
- keeping a comfortable temperature
- limiting exposure to allergens such as dust mites, pollen, mold, and certain foods
In addition, taking care of one’s mental health can help limit flare-ups. Research from 2020 suggests that stress can be a trigger for eczema. Living with the condition
Speaking with medical professionals, friends, and family members may help people manage any mental health issues relating to their eczema. It may also contribute to the reduction of symptoms.
The following are answers to some common questions about eczema or atopic dermatitis.
When should I see a doctor for atopic dermatitis?
A person may need to contact a doctor if they experience complications from atopic dermatitis, such as bacterial, viral, and fungal skin infections. These are common complications of eczema, as people who scratch can introduce pathogens into the skin. In addition, the skin of people with eczema
Signs of infection include:
Can I treat infected eczema at home?
The treatment for skin infections is antibacterial, antifungal, or antiviral medications. In rare instances of viral infection, a person may need to go to the hospital. Therefore, a person should not try to treat infected eczema at home.
How do I treat eczema on my hands?
Treating hand eczema is similar to treating eczema elsewhere on the body. It includes minimizing exposure to triggering irritants, applying moisturizer, and taking prescribed medications as necessary. Wearing gloves when performing tasks that can cause flare-ups may also help.
Treatment options for atopic dermatitis include topical creams, oral medication, wet wraps, phototherapy, and special baths. These treatments may reduce itchiness and dry skin and lower the risk of skin infections.
There is currently no cure for atopic dermatitis, but treatments, home remedies, and management tips can help relieve symptoms. Some of these may even increase the amount of time that the condition stays in remission.