BC Children’s Hospital - Allergy Clinic, 1C31B, 4480 Oak Street, Vancouver BC, V6H 3V4
Phone: 604-875-2118, Fax: 604-875-3653
ECZEMA SKIN CARE PLAN FOR: Date:
• Bathe daily
o Soak in warm water for 10 – 15 minutes
o Use mild unscented soaps for dirty areas only. For other areas try Spectro Gel or Cetaphil
o When out of bath, pat dry and apply creams within 2-3 minutes
• Medication creams
o Apply immediately after bath (before moisturizer) to red and itchy places
o Body: Apply 1-2 times every day for 2-3 weeks until skin is flat and smooth. Restart with flares.
Hydrocortisone, 1% or 2.5% ointment
Betamethasone valerate (Betaderm), 0.05% or 0.1%, cream or ointment
Mometasone furoate (Elocom - 15 or 50 g) 0.1%, cream or ointment *Once daily
o Face: Apply 1-2 times every day for 2-3 weeks until skin is flat and smooth. Restart with flares.
Hydrocortisone 1% cream
Tacrolimus (Protopic - 30, 60, 100 g) 0.03%
• Moisturizers
o Avoid lotions (they are not moisturizing enough) and choose creams instead
o Apply cream to entire body once or twice daily, after the medicated creams are used
o Good creams to use: Glaxal base, Cerave, Aquaphor, Aveeno Eczema Care Cream
• Avoid irritants
o Avoid harsh fabrics and tight, synthetic fabrics - loose fitting, cotton clothes are best
o Use laundry soap free of perfumes and fragrances. Double rinse if possible, avoid dryer sheets.
o Cut nails once a week
o Acidic foods can irritate skin on direct contact (tomatoes, citrus fruits, strawberries, vinegar). Avoid
these foods if symptoms are noted
o **Health Link BC reference: http://www.healthlinkbc.ca/healthyeating/pdf/eczema-and-food-allergy-in-
babies-and-young-children.pdf
• Avoid allergens (if relevant): Dust mite, cat, dog, etc.
• Infected skin
o If skin is weeping, pustular or honey crusted, it is likely infected
o Apply Mupirocin (Bactroban) 2% ointment (15 or 30 g) twice daily for 5-10 days
o If the skin is not better, please see a doctor as oral antibiotics may be necessary
• Prevention (when skin looks normal)
o MOISTURIZE!
o Steroid cream or Protopic twice a week to areas that frequently flare
• Sun safety: Use non-irritating sunblocks if over 6 months of age (ie. Neutrogena Pure & Free – only contains physical
blocks www.neutrogena.ca) with an s=SPF rating of 30 or more). Physical blocks include titatium dioxide or zinc oxide.
Apply 20 minutes before sunlight exposure. Infants less than 6 months of the age should be kept out of the sun
entirely.
• Follow up in this clinic in months