References: 1. Bikowski J, Pillai R, Shroot B. The position not the presence of the halogen in corticosteroids influences potency and side effects. J Drugs Dermatol . 2006;5(2):125-130. 2. Del Rosso J, Friedlander SF. Corticosteroids: options in the era of steroid-sparing therapy. J Am Acad Dermatol . 2005; 53(1 Suppl 1):s50-s58. 3. US Food and Drug Administration NDA 017765. Promius Pharma, LLC, Princeton, NJ: Aug 1977. 4. Rosenthal AL. Clocortolone pivalate: a paired comparison clinical trial of a new topical steroid in eczema/atopic dermatitis. Cutis . 1980;25(1):96-98. 5. Kircik LH. A study to assess the occlusivity and moisturization potential of three topical corticosteroid products using the skin trauma after razor shaving (STARS) bioassay. J Drugs Dermatol . 2014;13(5):582-585. 6. Cloderm [package insert]. Princeton, NJ: Promius Pharma, LLC; 2017.
Flaxseed oil provides the body with Omega-3 and Omega-6 fatty acids which will help nourish the skin from within. We recommend Barlean’s or Omega Flo brands. You may also buy whole flaxseeds and grind them up and sprinkle them on cereal or salads. Do not use capsules for two reasons: they may have sat on a shelf, unrefrigerated, and you will have to take a lot of them to equal the same amount of flaxseed oil from a can, thereby pushing the cost way up. Begin by taking one tablespoon daily for two weeks and see if there is any change. If no change has taken place, increase dosage by one tablespoon for the next two to three weeks, and keep increasing the dose one tablespoon at a time until the desired result occurs. Using flaxseed oil in conjunction with EPO, the body is far more likely to convert GLA to beneficial prostaglandins, thereby reducing inflammation. The Omega-3 fatty acids also inhibit the body’s production of inflammation-causing arachidonic acid found in saturated fat. The Essential Woman brand from Barlean’s combines both evening primrose and flaxseed oils. You can also take flaxseed oil in conjunction with black current seed oil or sesame oil.
Occlusive therapy is highly effective. Apply the topical steroids mentioned above under subacute eczema and cover with a plastic wrap such as Saran wrap. The plastic dressing does not have to be airtight. Secure the dressing with tape on either end. A sock will hold the plastic dressing against a foot. The dressing may stay on for 2 hours or overnight. Remove the dressing and apply an emollient or more medication. It is not necessary to wash the skin each time a plastic dressing is applied. The appearance of pustules indicates a secondary infection. Stop treatment and prescribe topical or oral antibiotics for this side effect of occlusive therapy.