Drug Treatment Of Atopic Dermatitis
Atopic dermatitis is a common disease. The disease is manifested with many different clinical forms. Any age can get atopic dermatitis.
Some forms of clinical-based atopic dermatitis are divided into 3 stages with different therapeutic medications:
Acute phase: Skin lesions are vesicles, papules, many secretions that are always wet, some are watery, some are yellow-scaly, skin is edematous, red. Sometimes it may be accompanied by pustules due to an auxiliary infection
Subacute stage: Dry skin lesions with papules higher than the skin surface, arranged in clumps on a red background, with mild edema. May be accompanied by many scratches, exudates caused by scratching.
Chronic phase: Completely dry skin lesions with manifestations of a thick, rough, lumpy complexion with dark or dark red skin
Can combine the expression of skin on hands, feet, feet, dry skin, hyperkeratosis, and chapped hyperkeratosis.
Medicines: Treatment drugs must be suitable for each stage of the disease.
Acute phase: Do not apply ointment as it will cause additional irritation. In the acute phase, the use of liquid solutions that causes suction to dry lesions (arish, dalibour, physiological saline ...)
If there is a lot of water, soak one of the above solutions in a gauze fold 4 layers, apply wet continuously for 10 minutes, do 2-3 times / day
Then apply topical creams.
Should use creams containing corticosteroids combined with antibiotics such as fucicort, gentrison, caditrigel ... Apply 2 times a day for 2-3 weeks.
Subacute phase: In the first few days, you can apply drugs such as lakes, tetrapred lakes to soothe and soften the skin. Apply twice a day. A few days later, topical creams were the same as in the acute phase.
Chronic phase: We can use topical creams or ointments such as diproson, temproson, betacylic.
Apply twice daily for 2-3 weeks. If the skin is keratosis a lot, apply 5% salicylic ointment. Exfoliating dry skin, apply more emollient creams, moisturizers such as vitamin E cream, baby care, lacticare ... While applying the drug do not scratch, not scrape, do not rub before applying. Do not rub soap on inflamed skin.
If the skin lesions show signs of an additive infection, they must be treated with antibiotics such as cephalexin, cefixime or clarithromycin for 5-10 days as prescribed by a dermatologist. If the patient is very itchy then take one of the antihistamines such as loratadine, fexofenadine. Take once a day for 10 - 20 days.
Skin care: Bath or wash once a day, do not scrub vigorously, do not use scrubbing or brush. You can take a bath with diluted lemon juice, marjoram leaves or other types of shower gel for inflamed skin like safforel, cetaphil ....
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