Medications for Eczema: Uses, Side Effects, and Treatment Duration

Q: Medications for Eczema: Uses, Side Effects, and Treatment Duration

Hello： <br>1. <br>The function of Aceo： It is a synthetic NSAID derived from Indomethacin, possessing strong and rapid anti-inflammatory, antipyretic, and analgesic effects. <br>Endase is used to remove inflammatory edema, swelling, and hematomas. <br>It can dissolve and eliminat

Medication Inquiry

Hello, Doctor: Could you please explain the uses of aceocape, endase, and wilcon-u? I have eczema, and I would like to know if I can use the new medication Protopic.
Are there any side effects? Is a steroid considered an antibiotic? What is the typical treatment duration for steroids and antibiotics, whether topical or oral? Thank you for your assistance.
^ * ^

Ma Li, 20~29 year old female. Ask Date: 2004/08/22

Dr. Hou Fangmin reply Pharmacology

Hello:
1.
The function of Aceo: It is a synthetic NSAID derived from Indomethacin, possessing strong and rapid anti-inflammatory, antipyretic, and analgesic effects.
Endase is used to remove inflammatory edema, swelling, and hematomas.
It can dissolve and eliminate lesions and surrounding fibrin caused by surgery, trauma, burns, and inflammatory diseases, while simultaneously promoting the healing of lesions and the regeneration of granulation tissue.
It can also liquefy viscous secretions in the abdominal cavity, aiding in the expulsion of phlegm or pus.
The other medication is a gastric agent.
2.
Protopic ointment is used for the treatment of atopic dermatitis/eczema and other non-contact dermatitis, particularly suitable for patients who have poor efficacy or tolerance to conventional standard therapies.
When used intermittently under medical supervision, Protopic is safe.
Common side effects of Protopic include localized burning or irritation, which tend to diminish as the skin condition improves.
Studies have indicated that Protopic may exacerbate UV damage to the skin; therefore, patients using Protopic should be advised to avoid sun or UV exposure and to take sun protection measures when outdoors, such as wearing long sleeves, hats, and using umbrellas.
Nursing mothers should avoid using this product.

Protopic is the first non-steroidal topical immunomodulator for the treatment of atopic dermatitis.
After one week of use, patients showed significant and effective reductions in the affected area, severity of lesions, and itching.
Current treatments for atopic dermatitis primarily involve oral antihistamines and topical corticosteroid ointments, which, while effective, may lead to skin atrophy, telangiectasia, adrenal suppression, metabolic abnormalities, secondary infections, and decreased immunity with long-term use.
Applying these medications around the eyes can potentially lead to complications such as glaucoma, so caution is necessary.

Compared to traditional medications, Protopic does not have systemic immunosuppressive side effects, making it safer for short-term or intermittent long-term use in patients with atopic dermatitis.
Clinical data also show that during the initial use of Protopic, patients may experience burning sensations and mild itching at the application site.
The cause is unknown, but it is generally believed to be related to the base of the formulation.
However, the experiences of patients both domestically and internationally are similar, and these side effects typically resolve within three days to a week as the lesions improve, so patients need not be overly concerned.

When starting treatment, apply a thin layer to the most severely affected areas, similar to the size of a banknote, and once the skin adapts to the medication, other lesions can be treated to avoid the occurrence of burning sensations.
If there is a bacterial infection present in the affected area, consult a physician for appropriate management.
Pregnant and nursing mothers should consult a physician before using Protopic ointment.
3.
Corticosteroids are not antibiotics, and their treatment regimen should be determined by a physician based on symptoms.
Thank you for your question.
Bye.

Reply Date: 2004/08/22

More Info

When it comes to managing eczema, understanding the medications available, their uses, side effects, and treatment duration is crucial for effective treatment. Let's break down the medications you mentioned: Aceocape, Endase, and Wilcon-U, as well as the topical medication Protopic.

1. Aceocape: This medication is typically used to treat skin conditions, including eczema. It may contain ingredients that help reduce inflammation and soothe the skin. The specific formulation can vary, so it's essential to check the active ingredients for more precise information on its efficacy and safety.

2. Endase: This medication is often used for its anti-inflammatory properties. It can help manage symptoms associated with eczema by reducing redness, itching, and swelling. Like Aceocape, the exact formulation and active ingredients should be reviewed to understand its specific uses and potential side effects.

3. Wilcon-U: This medication is generally used to treat various skin conditions, including eczema. It may contain a combination of ingredients that work to hydrate the skin and reduce inflammation. Again, the specific formulation is key to understanding its effectiveness and safety profile.

Now, regarding Protopic (tacrolimus), it is a topical calcineurin inhibitor used to treat eczema. It works by suppressing the immune response that leads to inflammation and itching. Protopic is particularly useful for patients who may not want to use topical steroids due to concerns about side effects associated with long-term steroid use.

Side Effects of Protopic
While Protopic is generally well-tolerated, some potential side effects include:
- Burning or stinging sensation upon application
- Skin irritation or redness
- Increased sensitivity to sunlight
- Risk of skin infections
It's important to note that Protopic is not a steroid, so it does not carry the same risks associated with long-term steroid use, such as skin thinning or systemic absorption leading to adrenal suppression.

Steroids vs. Antibiotics
To clarify, steroids (corticosteroids) and antibiotics are two different classes of medications. Steroids are anti-inflammatory agents used to reduce inflammation and suppress the immune response, while antibiotics are used to treat bacterial infections. Corticosteroids can be topical (applied to the skin) or systemic (taken orally or injected), but they do not have antibacterial properties.

Treatment Duration
The duration of treatment with corticosteroids or antibiotics can vary significantly based on the condition being treated, the severity of the symptoms, and the specific medication used. For eczema:
- Topical corticosteroids are often used for short periods (a few days to a few weeks) to control flare-ups, with a strategy to minimize long-term use to avoid side effects.

- Protopic can be used for longer periods, as it is safer for chronic conditions, but it is still essential to follow a physician's guidance on duration and frequency of use.

- Antibiotics may be prescribed if there is a secondary bacterial infection, and the course typically lasts from 7 to 14 days, depending on the infection's severity.

In conclusion, managing eczema effectively requires a comprehensive understanding of the medications available, their uses, potential side effects, and appropriate treatment duration. Always consult with a healthcare provider for personalized advice and treatment plans tailored to your specific condition.

Similar Q&A

Understanding Your Skin Allergy Medications: Uses and Side Effects

Hello, a few days ago I experienced itching and rashes on my hands and ears, so I visited a dermatologist. The doctor said it was an allergic reaction and prescribed me some medications, but I forgot to ask about their effects and potential side effects. Could you please explain ...

Dr. Huang Ruiyun reply Dermatology
1. Antihistamines are used for itching and may cause drowsiness. If you are concerned about it affecting your work, you can take them after returning home. If you feel sleepy, do not drive. 2. Antihistamines that are less likely to cause drowsiness. 3. & 5. Corticosteroid...

Understanding Dyshidrotic Eczema: Treatment Options and Resources

Hello Dr. Cheng, I have been suffering from pompholyx for many years and understand that this condition cannot be completely cured. Currently, I am using a medication called Dermovate. I am concerned about whether prolonged use of this medication may have side effects on my ski...

Dr. Zheng Lizhen reply Dermatology
The treatment for dyshidrotic eczema typically involves the application of topical corticosteroid ointments, such as Dermovate, which is used to reduce itching and control the condition. For cases that are difficult to manage or that recur throughout the year, some individuals ha...

Understanding the Short-Term Use of Corticosteroid Creams for Eczema

Hello, doctor. My child has atopic dermatitis. Recently, during a flare-up, the dermatologist prescribed a topical corticosteroid ointment called Clobetasol. We are applying it twice a day for two weeks. I would like to know if using this ointment for a short period could have si...

Dr. Wu Yuxin reply Dermatology
You should consult your attending physician about this issue, as they are most familiar with your condition and can help you choose the appropriate medication.

Managing Eczema Around the Eyes: Medication Guidance for Parents

A 14-year-old child has redness, swelling, and scaling around the eyes, with some exudate. Initially, they were taken to an ophthalmologist who prescribed "Erythromycin" and advised that if there was no improvement, they should see a dermatologist. During this period, t...

Dr. Wu Yuxin reply Dermatology
This issue should be discussed with the physician who prescribed your medication. I do not understand your medical condition and am unable to provide you with an answer.