General Practice 2022

Treatment for dermatitis atópica: remédios and homemade opções

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Treatment for dermatitis atópica: remédios and homemade opções
Treatment for dermatitis atópica: remédios and homemade opções

Treatment for atopic dermatitis can be done with the use of remedies in the form of ointments, tablets or injections, prescribed by the doctor according to the severity of symptoms such as intense itching, redness, swelling or peeling of the skin, for example.

Atopic dermatitis can arise due to a genetic change that affects the skin's protective barrier, increasing the risk of inflammation, dryness or even infections, and can affect adults, children or babies. See other causes of atopic dermatitis.

Treatment of atopic dermatitis should be done with the indication of a general practitioner or dermatologist, who can prescribe the best remedy individually.In the case of atopic dermatitis in the baby, it is still recommended to consult the pediatrician to indicate the best treatment, since not all remedies can be used in children.

The main treatments for atopic dermatitis that may be indicated by the doctor are:

1. Moisturizers

Moisturizers are indicated for atopic dermatitis, as they help to retain and maintain moisture and soothe the skin, which helps to reduce the symptoms of itching, irritation, redness and dryness of the skin, in addition to preventing the appearance of of new attacks of atopic dermatitis.

The most recommended moisturizers for atopic dermatitis are those without perfume, neutral and with a greater amount of oils, and should be applied right after bathing, with the skin still damp.

Some examples of moisturizers for atopic dermatitis that may be recommended by your doctor are Fisiogel AI Stiefel Moisturizing Body Lotion, Nutratopic Pro-AMP Isdin Emollient Cream, Stelatopia Mustela Baby Infant Moisturizing Cream or HidraKids Biolab Moisturizing Infant Lotion.

2. Corticosteroids

Corticosteroids in the form of creams or ointments, such as betamethasone or dexamethasone, may be indicated by the dermatologist to apply to the skin as they help reduce inflammation, relieving the symptoms of atopic dermatitis such as itching, swelling and skin redness. See the main corticosteroid ointments that your doctor may recommend.

In severe cases of atopic dermatitis, the doctor may also indicate the use of corticosteroids in the form of pills, such as prednisone or prednisolone, for example.

However, corticosteroids should always be used under the guidance of a dermatologist, as they can cause side effects such as skin atrophy, discoloration, stretch marks, or increase the risk of skin infections, for example.

3. Antihistamines

Antihistamines, such as diphenhydramine or hydroxyzine, may be indicated by the dermatologist as they have antiallergic action, by blocking the action of histamine, which is the substance produced by the body responsible for the allergic response, helping to reduce itching in the skin. skin.

Generally, these antihistamines should be taken at night, due to their drowsiness side effect.

Antihistamines should not be used by children, pregnant or nursing women unless recommended by a doctor.

Also, antihistamines in ointment form are not recommended as they can cause contact dermatitis. Understand what contact dermatitis is.

4. Immunosuppressants

Immunosuppressants, such as pimecrolimus or tacrolimus, are antiallergic drugs as they act by reducing the action of the immune system, which helps to relieve the symptoms of atopic dermatitis, such as redness or itching of the skin.

These remedies can be used in the form of an ointment, and pimecrolimus is usually indicated for mild to moderate atopic dermatitis, while tacrolimus is indicated for moderate to severe dermatitis.

Unlike steroids, immunosuppressants in the form of an ointment can be applied to thinner skin areas, such as the face, neck or groin, after hydration, however, sun exposure should be avoided after hydration. application.

In addition to ointments, in cases of generalized atopic dermatitis or atopic dermatitis that has not improved with topical treatment with ointments, immunosuppressants may also be indicated in the form of tablets, such as cyclosporine, azathioprine, mycophenolate or methotrexate, for example.

Immunosuppressants can cause side effects on the skin, such as a burning or prickling sensation in the skin, or itching, and should only be used on the advice of a dermatologist.

5. Phototherapy

Phototherapy with narrow-band ultraviolet B radiation may be indicated by the physician for moderate to severe atopic dermatitis, which has not improved with other treatments, as it helps to reduce skin inflammation, with few side effects compared to other treatments. other treatments.

Phototherapy can be used together with an oral or topical remedy, psoralen, this treatment being called PUVA, which consists of taking or applying psoralen in the form of an ointment on the skin, and 2 hours later exposing the area to be treated to ultraviolet radiation.

6. Antibiotics

Atopic dermatitis antibiotics may be prescribed by your doctor if the skin is infected, has sores or cracks, and is usually used in the form of an ointment. However, in some cases, the doctor may also recommend the use of antibiotic pills.

7. Biological agents

Biological agents, such as dupilumab in the form of an injection, may be indicated by the physician for the treatment of atopic dermatitis when other treatment options have not been effective in reducing skin inflammation and relieving symptoms of dermatitis severe atopic.

Home care option

A great home treatment for atopic dermatitis consists of putting 1 cup of oatmeal in 1 liter of cold water and then applying the mixture on the affected skin for about 15 minutes. Afterwards, wash the skin with warm water and mild soap and dry without rubbing the towel on the skin.

Oatmeal is a natural substance with soothing properties that help relieve skin irritation and itchiness. Oats can also be substituted for cornstarch, as they have a similar action.

However, it is important to point out that the use of these, or any other home remedy, should not replace the remedies indicated by the doctor, being just a way to help relieve symptoms more quickly.

Care during treatment

Some precautions during the treatment of atopic dermatitis are important to avoid worsening symptoms or even to prevent symptoms from appearing again, being recommended:

  • Avoid putting perfume or scented lotions on the skin;
  • Avoid contact with substances that may develop or worsen symptoms, such as pollen or pool water;
  • Wear cotton clothes, avoiding synthetic fabrics;
  • Increase your intake of anti-inflammatory foods, such as chia seeds, for example. See a complete list of anti-inflammatory foods;
  • Avoid very hot environments that favor sweating.

In addition to avoiding the causes, it is recommended not to take very hot and prolonged baths, as they dry the skin, dry the skin with a soft towel and use moisturizer daily. It is important that these cares are continued even when the symptoms of atopic dermatitis disappear to prevent the skin from becoming too dry.

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