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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.

For this reason, doctors have come up with the treatment triangle. 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. Traditionally speaking, the eczema treatments will include topical immuno-modulators, topical corticosteroids, interferon gamma, PUVA and UVB. The eczema treatments recommended starting from the clinical experience include oral antibiotics and antihistamines, topical antibiotics and immuno-modulators, the use of proper moisturizers and the avoidance of possible irritants.

In the resistant cases, oral or IM steroids, UVB, PUVA, cyclosporine, or methotrexate will be also used. When the patient preference scheme is applied, the approach to the disease is adopted by the doctor after discussing the matter with the patient. Treatment has to be adapted to each individual patient in close connection with the details of the doctor-patient consultation. Through these talks significant aspects regarding the patient’s claims that certain medications simply do not have any effects on them will be discussed and dealt with.

Here are some reasons for the fact that different eczema treatments seem to be useless for 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. Another category of patients simply have a preference for certain cleansers over others. When cortisone is concerned it has been noticed that there is a variable reaction to the same strength corticosteroid or base. There are patients with eczema who will not use 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.

Thinning of the skin and purpura are indeed some real side effects in some patients’ inappropriate use of cortisone. Unless the concentration of the drug is to blame, then improper administration could be suspected. People have to be informed about the adverse reactions to systemic drugs in order to know what to expect from eczema treatments on the long run. Among the eczema treatments on the market, some may even be out of patients’ reach by administration length and medical costs.