Treatments are prescribed by doctors but very often in close consideration of the patient's preferences. Eczema treatments pose a similar approach possibility given the fact that the type of eczema, the patient's background and the genetic predisposition have a word to say in the matter.
For this reason, doctors have come up with the treatment triangle. The three elements in this treatment scheme for eczema are: clinical experience combined with the evidence from the treatment, traditional medical evidence and the patient's preference. Traditionally speaking, the eczema treatments will include topical immuno-modulators, topical corticosteroids, interferon gamma, PUVA and UVB. The eczema treatments recommended starting from the clinical experience include oral antibiotics and antihistamines, topical antibiotics and immuno-modulators, the use of proper moisturizers and the avoidance of possible irritants.
In the resistant cases, oral or IM steroids, UVB, PUVA, cyclosporine, or methotrexate will be also used. When the patient preference scheme is taken into consideration, the approach to the disease is adopted by the doctor after discussing the matter with the patient. Treatment has to be adapted to each individual patient in accordance to the findings after the discussion between the doctor and the patient. Lots of people claim that one medication or another simply doesn't work for them, and this aspect needs medical tests too.
Here are some explanations why the different eczema treatments seem to be useless in some patients. Regarding moisturizers and cleansers, it has been found out that some patients are unable to tolerate sticky moisturizers, whereas others get itching or burning from certain brands. Another category of patients simply have a preference for certain cleansers over others.
When cortisone is concerned the reaction to the same substance concentration differs from case to case. There are eczema patients who will not use cortisone. Although many in this category have not had personal experience of side effects of cortisone, they have a fear of thinning the skin and worry about systemic effects.
Due to the incorrect use of cortisone ointments, purpura and skin thinning could be experienced. If it was not the strength of the drug, then it may have been used in the wrong place or it has been used too much for too long. People have to be informed about the adverse reactions to systemic drugs in order to know what to expect from eczema treatments on the long run. Among the eczema treatments on the market, some may even be out of patients' reach by administration length and medical costs.
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