Step 1: Avoid all irritants that may aggravate the condition. These include:
EXERCISE, SPORT AND SWIMMING in chlorinated or salt water, e.g. swimming pools or the ocean. Once control of the eczema is achieved and the skin has been stable/clear for 6 to 12 weeks, exercise, sport and swimming may be resumed under guidance.
Avoid synthetic and woollen CLOTHING. Only cotton should be allowed to come into direct contact with the skin. Where applicable, avoid sandpits, grass, paints, glue and play dough.
FOOD ADDITIVES such as artificial colourings and preservatives (E-numbers) aggravate eczema and should be avoided. Freshly prepared meals are ideal and foods containing E-numbers should be avoided or at least restricted to an absolute minimum. If your child is on a dairy product alternative diet such as soya, do not change this when you start the treatment, although it may be possible to start dairy products in due course. If on dairy products, no change is necessary. Should you be convinced that your child is reactive or allergic to any particular food, continue to avoid.
A single BATH daily is acceptable. DO NOT USE ANY BATH ADDITIVES. Please use only Dove Cream Bar Sensitive, generally available in pharmacies and supermarkets. Use a non-medicated shampoo for the scalp.
DO NOT USE ANY ANTISEPTICS IN THE BATH OR DIRECTLY ON THE SKIN, UNLESS OTHERWISE ADVISED. DO NOT USE BLEACH BATHS.
We will email you a comprehensive letter of advice and instruction for presentation to your physician who will assist further.
On receipt patients in America, Canada, Australia, New Zealand and elsewhere should then contact their physician for further assistance.
Please see the “Getting Started” guide.
Central to a successful outcome is the frequency of application of the cream mixture. This is usually four to six times daily and is best applied with the patient at home.
The frequency of application will vary from patient to patient depending on the severity of the eczema and the speed of response to treatment. I will advise at regular intervals on this. The applications are usually stepped down at weekly or fortnightly intervals.
An important aspect of my therapy is that applications continue on previously affected areas even if they are clear as this reduces the potential for flares.
If any areas of skin do not respond to treatment, e.g, wrists, knees and ankles, (so called lichenification) a stronger steroid mixture may be prescribed.