What is the usual treatment for atopic eczema? Part 3

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Emollients (moisturisers)

People with eczema have a tendency for their skin to become dry. Dry skin tends to 'flare-up' and become inflamed into patches of eczema. Emollients are lotions, creams, ointments and bath/shower additives which prevent the skin from becoming dry. They 'oil' the skin, keep it supple and moist and help to protect the skin from irritants. This helps to prevent itch and reduces the frequency of eczema flare-ups.

The regular use of emollients is the most important part of the day-to-day treatment for eczema. Your doctor, nurse or pharmacist can advise on the various types and brands available, and the ones which may be best suit you.

You should apply emollients as often as you need. This may be twice a day, or several times a day if your skin becomes very dry. Some points about emollients include:

As a rule, thicker, greasy ointments work better and for longer than thinner creams, but they are messier to use. Some people dont mind using thick ointments, but some people prefer creams (but apply them more often.)
Apply liberally to all areas of skin. You cannot overdose or overuse emollients. They are not active drugs and do not get absorbed through the skin.
Use emollients every day. A common mistake is to stop using emollients when the skin appears good. Patches of inflammation, which may have been prevented, may then quickly flare-up again.
If you are also using a steroid cream or ointment, wait 30-60 minutes after you have applied the steroid before applying emollients. This avoids 'diluting' the steroid which may make it less effective.