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What is the usual treatment for atopic eczema? Part 4

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Many people with eczema use a range of different emollients. For example, a typical routine for an 'average' person with eczema might be:

  • When you have a bath or shower, add an emollient oil to the bathwater or as you shower. This will give your skin a general background 'oiling'.
  • Use a thick emollient ointment as a soap substitute for cleaning. You can also rub this into particularly dry areas of skin.
  • After a bath or shower it is best to dry by patting with a towel rather than by rubbing.
  • Then apply a less thick emollient cream or ointment to any remaining dry areas of skin.
  • Between baths or showers, use an emollient cream, ointment or lotion as often as necessary.
  • Use an emollient ointment at bedtime.

Note: moisturisers used for eczema tend to be 'bland' and non-perfumed. Occasionally, some people become sensitised to an ingredient in a moisturiser. This can make the skin worse rather than better. If you suspect this, see your doctor for advice. There are many different types of moisturisers with various ingredients. A switch to a different type will usually sort this uncommon problem.

Warning: Bath additive emollients will coat the bath and make it greasy and slippery. It is best to use a mat and/or grab rails to reduce the risk of slipping. Warn anybody else who may use the bath that it will be slippery.

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