Many times the treatment decisions for different diseases are built not only on high quality evidence based on medicine, but also in combination with patient preference, so to say. Eczema treatments pose a similar approach possibility given the fact that the type of eczema, the patient’s background and the genetic predisposition have a word to say in the matter.

Specialists often speak of the eczema treatments triangle to define a more special form of addressing the condition. The three points in this treatment scheme for eczema are: clinical experience combined with the evidence from the treatment, traditional medical evidence and the patient’s preference. From the perspective of the medical tradition, the eczema treatments will include topical corticosteroids, topical immuno-modulators, interferon gamma, cyclosporine, UVB, and PUVA. The eczema treatments used starting from the clinical experience include moisturizers, avoidance of irritants, topical immuno-modulators (TIMS), topical antibiotics, oral antihistamines, and oral antibiotics.

The eczema treatments for very resistant dermatological conditions will consist of cyclosporine, methotrexate, oral steroids, PUVA and UVB When the patient preference scheme is taken into consideration, the approach to the disease is adopted by the doctor after discussing the matter with the patient. The course of action has to be adapted to each individual patient in accordance to the findings after the discussion between the doctor and the patient. Lots of people claim that one medication or another simply doesn’t work for them, and this aspect needs medical tests too.

Here are some explanations for the fact that different eczema treatments seem to be useless in some patients. Regarding moisturizers and cleansers, it has been found out that some patients are unable to tolerate sticky moisturizers, whereas others get itching or burning from certain brands. Some patients know what products to choose, and they prefer to stick to a certain brand. When cortisone is concerned the reaction to the same substance concentration differs from case to case. There are eczema patients who fear cortisone. Although many in this category have not had personal experience of side effects of cortisone, they have a fear of thinning the skin and worry about systemic effects.

Due to the incorrect use of cortisone ointments, purpura and skin thinning could be experienced. Unless the concentration of the drug is to blame, then improper administration could be suspected. The doctor should also discuss with the patients about the possible side effects of systemic drugs in detail. Among the eczema treatments on the market, some may even be out of patients’ reach by administration length and medical costs.