Concerns About Taking Anti-Inflammatory Pills for Eczema Treatment - Dermatology

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Questions related to the use of anti-inflammatory tablets for atopic dermatitis?


Hello Doctor, I have moderate to severe atopic dermatitis, and my primary physician suggested that I apply for health insurance coverage for Dupilumab.
They prescribed me anti-inflammatory tablets to take three times a week.
I'm concerned about the potential side effects, as I found some alarming information online.
Additionally, during the medication period, is it safe for me to take effervescent multivitamins? Also, I take "Xinkang Le," a medication for discomfort caused by arrhythmia, and I'm unsure if there will be any interactions.
Thank you, Doctor.

M, 30~39 year old female. Ask Date: 2024/07/08

Dr. Wu Yuxin reply Dermatology


Taking three capsules a week is still within the low-dose range.
As long as you cooperate well with your physician, they will regularly conduct blood tests and risk assessments, so there is no need to worry.

Reply Date: 2024/07/08

More Info


When considering the treatment of moderate to severe atopic dermatitis (eczema) with anti-inflammatory medications, it is essential to weigh the potential benefits against possible side effects. The medication you mentioned, likely a corticosteroid or another anti-inflammatory agent, can be effective in managing the symptoms of eczema, but it is crucial to understand how to use it safely and effectively.


Understanding the Medication
Corticosteroids, such as the one you referred to, are commonly prescribed for eczema due to their potent anti-inflammatory properties. They work by reducing inflammation and suppressing the immune response, which can help alleviate the redness, itching, and discomfort associated with eczema. However, long-term use of systemic corticosteroids can lead to significant side effects, including:
1. Weight Gain: Increased appetite and fluid retention can lead to weight gain.

2. Bone Density Loss: Prolonged use can weaken bones, increasing the risk of osteoporosis.

3. Adrenal Suppression: The body may reduce its own production of corticosteroids, leading to adrenal insufficiency.

4. Increased Blood Sugar Levels: This can be particularly concerning for individuals with diabetes or those at risk for diabetes.

5. Mood Changes: Some patients report mood swings, anxiety, or depression.


Side Effects Management
Given your concerns about the potential side effects, it is advisable to monitor your health closely while on this medication. Common side effects include gastrointestinal discomfort, changes in mood, and increased susceptibility to infections. If you experience severe side effects such as significant mood changes, signs of infection (fever, chills, or persistent cough), or any unusual symptoms, you should contact your healthcare provider immediately.


Interaction with Other Medications
Regarding your question about taking multivitamins and "心康樂" (likely a heart medication), it is generally safe to take multivitamins while on anti-inflammatory medications. However, it is essential to check the specific ingredients in the multivitamin to ensure there are no contraindications with your prescribed medication.
As for "心康樂," which is used for heart rhythm issues, you should consult your healthcare provider or pharmacist about potential interactions. Some medications can affect heart rhythm, and combining them with other drugs that have similar effects may increase the risk of side effects.

Recommendations
1. Regular Monitoring: Keep regular appointments with your healthcare provider to monitor your response to the medication and any side effects you may experience.

2. Lifestyle Adjustments: Maintain a healthy diet and engage in regular physical activity to help mitigate some side effects, such as weight gain and bone density loss.

3. Hydration and Skin Care: Ensure you stay hydrated and continue using emollients and moisturizers to manage your eczema effectively alongside the medication.

4. Educate Yourself: Stay informed about your condition and treatment options. Understanding your medication can help you feel more in control and reduce anxiety about potential side effects.

In conclusion, while the anti-inflammatory medication prescribed can be effective for managing your eczema, it is essential to be aware of the potential side effects and interactions with other medications. Always consult your healthcare provider before making any changes to your medication regimen or if you have concerns about side effects. Your health and safety should always come first, and open communication with your healthcare team is vital in managing your condition effectively.

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