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.
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.
This will be simplified by using only two bath products. Dove Cream Bar Sensitive may be used as a soap substitute and CLn BodyWash will be used as an antibacterial measure.
In order to reduce the potential for staphylococcus aureus reinfection, please use CLn BodyWash once daily from the 8th day of treatment. The entire body is to be lathered with the product, left on for two minutes and then washed or showered off. Do daily until your first progress report, I will then advise on the tapering process. This applies to all patients older than one year. To obtain a supply please visit the CLn website by clicking on the CLn Wash button below. In adults and some older children CLn Gentle shampoo may be recommended. This will be explained in your letter of advice and instruction. Australian patients can obtain a supply from Sunit Raparelia, Tony Ferguson's Terry White Chemists in Penrith on 02 4721 2422 or email him at firstname.lastname@example.org.