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Eczema Care Guide: Treatments, Triggers & Flare Control

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Eczema Care Guide: Treatments, Triggers & Flare Control

Eczema Care Guide: Treatments, Triggers & How to Calm Flares

Medically reviewed by Dr Mohammad Ghazavi, MD FRCP • 12 September 2025 • 8–10 min read

Eczema can feel relentless — from itching and broken sleep to sudden flares with no obvious cause. This guide explains common triggers, evidence‑based treatments, and practical routines that help calm the skin barrier and break the itch–scratch cycle.

Need a personalised eczema plan?

If flares persist despite good routines, a consultant‑led pathway can help. See what’s typically included.

Eczema Treatment Pathway

Eczema — At a Glance

  • What it is: Chronic, itchy inflammation with a fragile skin barrier.
  • Common triggers: Fragrance/detergents, hot showers, climate shifts, stress, infection, allergens.
  • First‑line care: Daily emollients, correct‑potency anti‑inflammatories, soak‑and‑seal.
  • When to escalate: Widespread/stubborn disease → consider targeted UVB; suspected allergy → patch testing.
  • Related topics: eczema overview, atopic dermatitis, discoid eczema.

How Eczema Is Treated

Treatment is phased: calm the flare, repair the barrier, then prevent recurrence. The mix depends on your subtype and sites involved.

  • Prescription topicals: potency matched to area/severity; taper to avoid rebound; calcineurin inhibitors for delicate zones.
  • Barrier support: emollients morning/evening and within 3 minutes after bathing (“soak & seal”).
  • Targeted light therapy: Excimer UVB for localised, resistant plaques; reduces steroid burden.
  • Patch testing: if flares persist on hands/eyelids or products sting → identify contact allergens.

Triggers You Can Influence

  • Fragrance, certain preservatives, and harsh surfactants in skincare or laundry.
  • Very hot, long showers; dry heated environments; sudden weather changes.
  • Dust mites, pollen and pet dander; manage exposure if relevant.
  • Stress and poor sleep; build a calming evening routine and nail‑care to reduce scratching damage.
  • Infection or yeast overgrowth; treat promptly then resume anti‑inflammatories.

Children, Teens & Adults

Protocols are adjusted by age and severity. Paediatric pathways emphasise gentle regimens and parent‑friendly flare plans; teen/adult plans may add device‑based options and lifestyle tweaks for sustained control.

Explore Your Options

See what a consultant‑led pathway includes — from wet‑wraps and patch testing to UVB.

Eczema Treatment Pathway

Related Reading

Learn more about dermatitis, discoid eczema and dry skin. If you suspect allergy‑driven eczema, see contact dermatitis and our skin allergy (patch) testing.

Eczema FAQs

What’s the difference between eczema and atopic dermatitis?
They’re often used interchangeably. Atopic dermatitis is the most common form of eczema with genetic and immune components leading to dryness and itch.
When do you use Excimer UVB for eczema?
For localised, treatment‑resistant plaques and sensitive sites. It delivers targeted UVB to reduce inflammation while sparing surrounding skin.
Is PDT suitable for eczema?
In selected cases, PDT can help reduce inflammation and bacterial load. Suitability is assessed during consultation.
How do you prevent flares?
We provide a personalised plan for daily emollients, targeted anti‑inflammatory topicals, trigger control, and early‑action steps when symptoms start.
Do you treat children with eczema?
Yes — paediatric protocols are adapted for gentle care, practical routines, and school/day‑care considerations.

Get Back to Calm Skin

See how a structured pathway helps reduce flares and steroid burden.

Eczema Treatment Pathway
Disclaimer: Education only; not personal medical advice. Please consult a qualified clinician for diagnosis and treatment.

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