In cases where topical eczema treatment is not successful, doctors may prescribe oral eczema treatment. You may be prescribed one of the following namely antibiotics, antihistamines, corticosteroids and cyclosporine.
The antibiotics given are designed to decrease the irritation caused by Staph bacteria. You will have to take it for the next 14 to 28 days. In cases where you have this condition repeatedly, you may need to take maintenance antibiotics.
Some examples of these antibiotics include Bactroban, Cephalosporins, Cloxacillin, Erythromycin and Fucidin.
Next you have antihistamines which are very helpful in reducing itch. Because the side effect of this is drowsiness, patients are advised to only take it at night. Studies have shown that this will also help with any urticarial component of eczema of this skin condition. Two of these that are commonly used include Doxepin and Hydroxyzine.
You might be wondering if there are antihistamines that do not cause drowsiness and yes there are. But in a study that compared drowsiness and non-drowsiness antihistamines, the one that does not cause drowsiness is not as effective in helping those who have eczema.
Third, you have corticosteroids. There are 4 types of these namely mild, moderate, potent and very potent. The severity of your skin condition will determine how long you have to take the medication. The more severe it is, the shorter the period of time because you may soon suffer from serious side effects such as avascular necrosis of the hip.
Fourth, you have Cyclosporine A or Neoral. This is only used when the first 3 oral medications do not work. What makes this drug so powerful is that it prevents the immune system from sending special cells called lymphocytes into the affected areas of skin. By doing this, it reduces inflammation.
Doctors will usually start by giving you a 3mg. dosage per day and a maximum of 5kg. because of the side effects like hypertension, renal problems and the susceptibility of patients to other types of infections including skin cancer.
Whichever oral medication you are given, it is best to take this with food right after a meal. The only exception is the antihistamine since you have to take this at least 30 minutes before you go off to sleep.
You should follow the dosage as prescribed and if you miss taking one, don’t try to take the one scheduled for that day and the one you missed at the same time.
If the medication is working, your doctor will gradually reduce the dosage given and not suddenly. While there are known side effects, you just have to bear with it.
Some of oral medication for eczema can be purchased from the pharmacy without a prescription. Before you go out and get one, better check first with your doctor to make it is safe especially if the one who has the skin disorder is an infant.
Oral eczema treatment is sometimes used with topical products. If you do not see any improvements, perhaps it is time to find other options. You can try wet wrap therapy, light therapy, tar therapy and a list of other options once you have consulted your doctor.
Just remember that although eczema treatment is available, none of these will make it go away permanently so preventive measures must be taken seriously.