What medicine should I use for my child's eczema?

Childhood eczema is relatively common in life. It is also called atopic dermatitis. There are many causes, which are related to physical allergies. Severe eczema often recurs and has adverse effects on children's health. At this time, medication should be used in time. First of all, the cause must be eliminated, that is, the cause of the disease must be understood, and then symptomatic treatment must be given. Topical medications are also a common treatment method.

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Clear the wound secretions, eliminate chemical irritation, and control the infection, and the condition can improve rapidly.

1. Remove the cause

Parents should pay close attention to internal and external factors that may easily induce the disease, try to find possible pathogenic factors and eliminate them, actively cooperate with treatment, keep the skin clean, restore and maintain the skin barrier function, and insist on using moisturizing lotions as basic treatment. You can choose 5% to 10% Coptis chinensis ointment, compound snake fat ointment, etc.

2. External treatment

Topical medication is the mainstay of treatment:

(1) Corticosteroid cream is the drug of choice. Different strengths of corticosteroid creams should be selected according to the child’s age, location, nature, and area of ​​lesions, and attention should be paid to side effects.

(2) Calcineurin inhibitors include tacrolimus ointment and pimecrolimus cream, which are new non-hormonal therapeutic drugs with proven efficacy and no side effects of hormones.

(3) Antibiotics are mainly used for critically ill patients and those with obvious exudation;

(4) Astringent and antipruritic agents are mainly used for symptomatic treatment.

3. Oral medication

(1) Antihistamines mainly have antipruritic and anti-inflammatory effects. Sedative and non-sedative antihistamines can be selected according to the needs of the patient, such as using non-sedative antihistamines during the day and sedative antihistamines at night;

(2) Antibiotics are mainly used for critically ill patients and those with obvious exudation. Pay attention to the dosage and course of treatment and do not abuse them.

(3) Hormone therapy should be used with caution and only for severe attacks that are difficult to control with other drugs. For patients with acute and widespread disease or those who do not respond well to multiple treatments, short-term use of corticosteroids, such as oral prednisone, may be considered, but not long-term use.

(4) Immunosuppressants and anti-inflammatory mediator drugs should be appropriately selected according to the situation;

(5) Treatment based on syndrome differentiation in traditional Chinese medicine ① Treatment principle for syndrome of heat accumulation in the heart and spleen: clear the heart and guide the red. Main prescription: Sanxin Daochiyin with modifications. ②Treatment principle for heart fire and spleen deficiency syndrome: clear the heart and nourish the earth. Main formula: Qingxin Peitu formula with modifications. ③Treatment principle for spleen deficiency and dampness accumulation syndrome: strengthen the spleen and drain the dampness. Main prescription: Xiaoer Huashi Decoction with modifications. ④Treatment principle for blood deficiency and wind dryness syndrome: nourish blood and dispel wind. Main prescription: Danggui Yinzi with modifications.

4. Physical therapy

The main therapy is medium-wave ultraviolet (UVB) therapy, among which narrow-band UVB is more effective and safer. Use with caution in children under 12 years old.