Medicines for atopic dermatitis

藥物使用的部份,每位醫師的指導方式有所不同,
但都有其目的及原因,我在MASCAP上看到相關內容,

但也發現其實並非每一個醫生皆用這些藥物。

我的醫生用藥很輕,類固醇藥膏有癢才擦,

洗澡並不用POLYTAR,

而使用EPADERM(保溼也擦EPADERM),

我的孩子 曾經皮膚感染,吃了一陣子的抗生素,

至今幾乎是只靠抗組織胺藥來控制。

以下的藥物介紹,僅限於了解就好,

對藥物有初步的認識。

Medicines for atopic dermatitis include the following.

• Topical corticosteroids (such as hydrocortisone, betamethasone, and fluticasone) are the most common and effective treatment for atopic dermatitis.⁷ They are used until the rash clears and may be used to prevent atopic dermatitis flares. Topical medicines, such as creams or ointments, are applied directly to the skin. Only low-strength topical corticosteroids should be used on your face.

• Calcineurin inhibitors (pimecrolimus and tacrolimus) are topical immunosuppressants-medicines that weaken your body's immune system. The U.S. Food and Drug Administration (FDA) recommends caution when prescribing or using Elidel (pimecrolimus) cream and Protopic (tacrolimus) ointment because of a potential cancer risk.⁸ The FDA also stresses that these medicines only be used as directed and only after trying other treatment options. Calcineurin inhibitors are not approved for children younger than 2 years of age.

• Antihistamines (such as diphenhydramine and hydroxyzine) 通常使用在治療異位性皮膚炎的癢及有夜間嚴重搔癢的問題時可幫助睡眠。 But histamines are not always involved in atopic dermatitis itch, so these medicines may not help all people who have the condition.⁴
• Oral corticosteroids (such as prednisone and prednisolone) are used in severe cases when the rash covers large areas of the body or when complications occur.
• Cyclosporine or interferon is sometimes used in adults if other treatment is not successful.

皮膚會因為用指甲騷抓及發炎而變成感染,If the rash becomes infected, antibiotic, antiviral, or antifungal medicines are used.

Coal tar preparations 使用於皮膚幫助止癢. They are sometimes used to control the condition after a stronger medicine has successfully improved atopic dermatitis.

Mild- to moderate-strength corticosteroids that are applied to the skin, together with heavy moisturizing, are effective in reducing atopic dermatitis rash in most cases. Specific treatment depends on the type of rash you have.

If you or your child has a very mild itch and rash, you may be able to control it without medicine by using home treatment and preventive measures. But if symptoms are getting worse despite home treatment, it is essential that you use medical treatment to prevent the itch-scratch-rash cycle from getting out of control.

fromMASCAP