If you or your loved one has atopic eczema, you know how frustrating the cycle of dryness, itching, and flare-ups can be. But the good news is that with the right skincare routine and daily precautions, you can regain control over your skin. The secret? Consistent use of emollients and avoiding common triggers. In this guide, I’ll walk you through the essentials of managing eczema effectively.
Managing atopic eczema: essential tips
Atopic eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that causes dry, itchy, and inflamed skin. It often runs in families and is linked to an overactive immune response to environmental triggers such as allergens, stress, and irritants. The skin barrier in people with eczema is weakened, making it more prone to moisture loss and irritation. While there is no permanent cure, consistent skincare, avoiding triggers, and using emollients regularly can significantly reduce flare-ups and improve skin health.
Why Are Emollients Essential?
Hydrate & Strengthen: They lock in moisture and reinforce the skin barrier.
Prevent Flare-ups: Reducing dryness minimizes itching and irritation.
Improve Treatment Outcomes: They enhance the effectiveness of prescribed medications.
How to Use Emollients Effectively
Choose the Right Type: Ointments provide maximum hydration, while creams and lotions absorb faster.
Apply Generously & Frequently: Use at least twice daily, especially after bathing.
Use the ‘Soak and Seal’ Method: After a lukewarm bath, pat skin dry and apply immediately.
Avoid Rubbing: Smooth gently onto the skin rather than rubbing it in.
Continue During Flare-ups: Emollients support healing even when using medicated treatments.
Recommended Emollients
For optimal hydration and skin protection, consider using:
Physiogel Hypoallergenic Cream
CeraVe Moisturizing Cream or Lotion
Cetaphil Moisturizing Lotion
Ego QV Cream or Lotion
Vaseline Petroleum Jelly
Nivea Lotion
These products are fragrance-free, dermatologically tested, and effective for sensitive skin.
Things to Avoid for Better Eczema Control
1. Harsh Cleansers & Detergents
Opt for soap-free cleansers and mild laundry detergents to prevent skin irritation. Avoid antibacterial soaps like Dettol, Lifebuoy, and Safeguard, as they can strip natural oils from the skin.
2. Fragrances & Preservatives
Many skincare products contain allergens—choose fragrance-free, hypoallergenic formulas.
3. Hot Showers & Baths
Use lukewarm water and limit bath time to 5-10 minutes to prevent further drying.
4. Scratching & Rough Fabrics
Scratching damages the skin and increases infection risk. Wear soft cotton clothing and keep nails trimmed.
5. Environmental Triggers
Cold weather, dust, and pet dander can worsen symptoms. Use a humidifier and reduce exposure to allergens.
6. Stress & Diet Triggers
Manage stress with relaxation techniques and monitor food-related flare-ups with a food diary. Many food triggers for eczema overlap with those for chronic urticaria. Read more about them here.https://skincareaxis.com/uncategorized/trigger-food-in-chronic-urticaria/
7. Alcohol-Based Sanitizers
Use oil-based sanitizers instead of alcohol-based ones to avoid excessive skin dryness.
8. Hand Eczema & Dishwashing
If you suffer from hand eczema, wear cotton gloves first, then rubber-lined gloves when washing dishes to protect your skin from irritants.
Final Thoughts
Managing atopic eczema isn’t just about medication—it’s about consistent skincare and lifestyle choices. With the right emollients, a gentle routine, and avoiding known triggers, you can keep your skin healthy and comfortable.
If your eczema remains difficult to control or you need personalized advice, I’m here to help. Book a consultation with me, and let’s work together on a tailored skincare plan for you.
Dr. Bushra Zeeshan
Dermatologist & Skin Health Advocate