The Itch: Allergies, Asthma, Eczema & Immunology

#52 - Medications for treating atopic dermatitis in all skin colors


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You have been diagnosed with atopic dermatitis or you are experiencing an eczema flare, now what can you do to treat it? 

In the fourth part of the series on atopic dermatitis in skin of color, Dr. G and Kortney discuss all medications available to treat AD, from topicals (creams) to oral medication and injections. 

They also discuss how other strategies to treat AD that is more budget-conscious if your insurance does not cover certain medications. 

What we cover in this atopic dermatitis in skin of color episode:

- Topical steroids: what are they, how to use them and their side effects

- Topical steroid withdrawal

- Other topicals that do not contain steroids

- Oral medication that may be prescribed for atopic dermatitis: oral steroids, antibiotics and antihistamines

- Biologics: what are they and their side effects

- Wet wrapping

- Phototherapy

From Shiv

- How to wet wrap and why she likes this form of treatment

Helpful atopic dermatitis in skin of color resources:

Non-Steroidal Topicals

  1. Calcineurin inhibitors - tacrolimus ointment (Protopic) and pimecrolimus cream (Elidel)
  • Phosphodiesterase 4 inhibitor - crisaborole (Eucrisa)
  • JAK inhibitors. 
  • Bleach bath recipe from the American Academy of Allergy, Asthma and Immunology (AAAAI)

    • Add ¼ - ½ cup of common 5% household bleach to a bathtub full of water (40 gallons). 
  • Soak your torso or just the affected part of your skin for about 10 minutes
  • Limit diluted bleach baths to no more than twice a week. 
  •  

    More information about AD in skin of color: https://eczemainskinofcolor.org/eczema-diagnosis-skin-of-color/

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