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  5. I have eczema on both legs. I have used Dermovate ointment and taken fluconazole 150 mg once weekly, but there is no improvement. What is the best treatment for eczema?

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I have eczema on both legs. I have used Dermovate ointment and taken fluconazole 150 mg once weekly, but there is no improvement. What is the best treatment for eczema?

Asked by Male, 40 ยท 17 days ago

Eczema on the legs often does not improve if the treatment is not used correctly or if the skin barrier is not well cared for, and medicines like fluconazole are not useful unless there is a fungal infection. The main treatment is regular and frequent use of a thick, fragrance-free moisturiser (at least 2-3 times daily, especially after bathing) along with avoiding triggers like harsh soaps, hot water, and scratching. Strong steroid creams like Dermovate should not be used long-term without medical supervision, as they can thin the skin; instead, a doctor may prescribe a safer, appropriate-strength steroid or other medicated creams for short periods to control flare-ups. Wearing soft cotton clothing and keeping the skin hydrated is important. Since your eczema is not improving, it is best to consult a dermatologist for proper evaluation and a tailored treatment plan.
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  1. Medication Review:

    • Dermovate (hydroquinone) is not typically used for eczema; it's important to confirm if you meant clobetasol, a corticosteroid.
    • Fluconazole is an antifungal and not effective for eczema unless a fungal infection is present.
  2. Recommended Actions:

    • Consult a dermatologist for accurate diagnosis and appropriate treatment recommendations.
    • Consider alternative topical steroids or non-steroidal options like calcineurin inhibitors.
  3. Self-Care Tips:

    • Use a gentle, fragrance-free moisturizer regularly.
    • Avoid hot showers and use mild soaps to prevent skin irritation.

Answered 17 days ago