Posts Tagged ‘Drug Therapy’
Topical Drug Therapy
* Moist compresses: cures are used in open, two to four times a day. They recommended the saline solution, potassium permanganate.
* Bathrooms: One or two baths a day, in full and total immersion bath for twenty minutes, are very effective for soothing dry skin and pruritus. Colloids are used oatmeal or some tar to dissolve in water.
* Emollients: These are the ideal for after bathing, but can also be used without it, several times a day. Contain urea and lactic acid at different concentrations. Children do not tolerate those who have urea. There are many on the market in different pharmaceutical formulations. The emulsions and / or applied after bathing, skin still wet, are especially beneficial.
* Tars: coal tar creams or ointments of 2 to 5% may be as or more effective than topical steroids. Applied especially in areas of chronic eczema or dry. Moreover, complement each other well alternating with steroid creams or ointments.
* Topical corticosteroids: In principle the best topical medications to treat eczema. Their use should always take into account the basic principles to avoid undesirable effects. Must be chosen in relation to the activity of eczema. A very potent topical steroid should be used for a limited number of days. You can then follow with another medium or lower activity. In the face should always be used for the weak and short-lived. In some areas, like the folds, areas of thin skin or body regions where the network appears classically “striae distensae” never should be employed to great power.
Phototherapy
The use of Ultraviolet while not useful in all patients, in some severe cases have been effective. Both UVA and UVB. The dose of PUVA (UVA oxoralen +) is used at two or more weekly sessions.
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Oral Drug Therapy
* Systemic corticosteroids: These are very useful in acute cases, appropriate dose, to break the cycle: itching, scratching, eczema, itching. Should be used for short periods, consistent with the basic conditions that are linked to the use of them. Not be used for maintenance treatment.
* Antihistamines for systemic use: These drugs should never be used topically. Can be used alone or in combination. They are useful combinations of a new generation antihistamine (levocetirizine, desloratadine, rupatadine, etc …) the day with a classic antihistamine (hydroxyzine, chlorpheniramine) at night.
* Antibiotic therapy: The use of antibiotics and topical general is necessary in superinfected eczema. Superinfected atopic eczema a few times. If everything is done on beta-hemolytic streptococcus. However, frequently, Staphylococcus aureus colonizes the plaques of eczema.
* Immunomodulators: Cyclosporine A is orally active in the treatment of atopic eczema in adults and children. Is generally used at doses of 2.5-5 mg / kg / day for short periods of time.
* Lipid Supplements: Use orally or transepidermal unsaturated essential fatty acids Omega-6, derived from vegetable oil and evening primrose (evering prime rose oil) or other vegetables rich in ac. Gammalineleico linoleic and help improve dry skin, relieve itching and reduce inflammation in eczema.