The treatment of eczema is complex and involves a total management programme. There is no one cream or treatment that will cure the problem. Prevention constitutes the most important aspect of eczema therapy, especially the avoidance of aggravating factors as mentioned above.
Moisturizing creams Moisturizing creams are the mainstay of treatment for children with eczema. It is important that children are bathed daily in a bath containing oil, for example Aveeno Bath Oil, Hamilton’s Bath Oil or QV Bath Oil, and that this is followed by the use of a good moisturizing cream. Over-the-counter moisturizing creams such as Aquatain, E45 cream, QV cream, 10% glycerol in sorbolene cream, 5% peanut oil in aqueous cream and 10% olive oil in sorbolene cream are just a few of the excellent preparations available.
Anti-itch creams Over-the-counter anti-itch creams should be avoided as they do not treat the underlying eczema and often cause severe allergic reactions. These include topical anesthetic and topical antihistamine creams.
Topical cortisone creams Topical cortisone creams are essential in the management of active eczema. Unfortunately, they have acquired an undeservedly bad reputation, yet cause very few problems or side effects. Topical cortisone creams are not absorbed into the circulation in significant amounts.Strong topical cortisone creams should not be applied to the face as they can lead to thinning of the skin, but they may be used intermittently on other parts of the body. Mild cortisone creams, such as hydrocortisone cream, can be safely used on the face and body.Cortisone creams are often used too sparingly and infrequently to be very effective. This can result in the eczema actually becoming more uncomfortable and itchy. Secondary infection may then develop from constant scratching.
Tar creams Although tar-based creams are still used in mild cases of eczema, they have largely been superseded by topical cortisone preparations. The effectiveness of tar creams varies enormously, depending on the source of the particular batch of tar. Their effect is therefore difficult to predict.
*9/150/5*

I was the typical ’90s superwoman or thought I was,’ says Clare, 39, who runs a public relations business near Bristol in western Britain. I’d spent years building up my business and we’d got to the stage where things were doing well. I had four staff and a good portfolio of clients. So I decided to have a baby.I went back to work when Gemma was six weeks old because I felt I couldn’t leave the business any longer. From then on things went downhill.I was working really long hours. My diet was terrible because I didn’t have the energy to cook properly in the evenings. On top of that I hardly ever had a good night’s sleep because Gemma was very unsettled at night.’PMS sort of crept up on me. I felt exhausted, which I thought was due to Gemma. I was so snappy and bad-tempered that I must have been impossible to live with. Nothing anyone did was right. I also used to get such a bloated abdomen that I couldn’t do up my skirt buttons.’My family doctor was really sympathetic. She inspired me to change my diet and to sort out my life so that I wasn’t putting in so many hours at work and at home. She said I needed to take time for myself so 1 joined a yoga class at my local health club.’It took quite a while for things to start improving. But I realized that I’d been heading towards a breakdown and PMS was just a warning signal. Now I take a much more relaxed approach to things and I actually think that I am more effective at work because of it.’My PMS has not totally disappeared but it’s manageable and it doesn’t cause the chaos it used to’.*37\120\4*

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