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On-demand care for this condition is included with membership

With your membership you can:

Get 24/7 on-demand care via Video Chat or Treat Me Now
Convenient prescription refill and renewal requests
View a summary and action items after your visit, and directly message your care team
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Woman in bath towel touches eczema symptom of dry skin

Visit with a provider for same-day eczema (atopic dermatitis) treatment

For adults 18-64 & children 2-11

How it works

Start your visit
Get a virtual visit at your convenience 24/7—no appointment needed.
Connect with a licensed provider
Review your health concern or treatment request with a telemedicine provider.
Get telehealth treatment
Receive your personalized care plan. If appropriate, prescriptions are sent to your pharmacy or delivered to your door with Amazon Pharmacy (if eligible).
Smiling One Medical provider delivers telehealth care
Male healthcare provider examines patient’s eczema symptoms on elbow during clinical visit

What causes eczema symptoms?

The itchy, dry, and red skin that characterizes eczema is caused by a defective skin barrier. Our skin keeps in moisture and keeps out micro-invaders from the environment, but this function can be dysregulated when someone has eczema. Experts still aren’t sure why this happens.

How do you treat eczema flare-ups?

Eczema flare-ups are generally treated with anti-inflammatory therapies like topical steroids. Healthcare providers may also recommend over-the-counter antihistamines like Benadryl to reduce itchiness.
But eczema care is also about preventing flare-ups through moisturizing your skin regularly and avoiding common triggers like fragrant soap or detergent, wool fabric, and temperature extremes.

Can I get eczema treament for my child through Pay-per-visit?

Yes, Pay-per-visit offers eczema treatment for children.
Your child must be between the ages of 2 and 11 years old
You are a parent or legal guardian who can manage care for the child
Red-headed child with eczema symptoms embraces her mother

Is online eczema treatment right for me?

•
You’re 18-64
•
Your child is 2-11

Requirements for treatment

Prior diagnosis of eczema (atopic dermatitis) for adults
No oozing or bleeding from affected areas
No other signs of infection (like a fever or more pain, swelling, or more redness than usual)

Common eczema treatments

Your Amazon One Medical provider will determine which (if any) eczema treatment is medically appropriate for you or your child based on symptoms and health history. If medication is prescribed, pick it up at a pharmacy of your choice. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of any prescribed medication may be covered by health insurance.
Oral (systemic) steroids, injectables, and immunotherapy aren't available through Pay-per-visit, and providers won't prescribe topical calcineurin inhibitors to children.
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Topical corticosteroids
Steroid creams and ointments work on the skin to activate its natural protections. Steroids are classified based on how strong they are, ranging from the least potent (Class VII) to the most potent (Class I).
• Betamethasone
• Clobetasol propionate
• Desonide
• Fluocinolone
• Fluocinonide
• Halobetasol
• Hydrocortisone
• Mometasone
• Triamcinolone acetonide
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Lotions/emollients
Over-the-counter (OTC) moisturizers, especially those that are allergen-free and oil-rich, can help protect the skin barrier.
• Aquaphor
• Aveeno
• CeraVe
• Cetaphil
• Eucerin
• Gold Bond
• Lubriderm
• Vaseline
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Topical calcineurin inhibitors (TCIs)
These prescription eczema medications work directly on the immune system to control a chemical that can lead to eczema flare-ups.
• Pimecrolimus (Elidel)
• Tacrolimus (Protopic)
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Oral antihistamines
OTC antihistamines can relieve itchy skin caused by eczema, a symptom that may be worse at night.
• Diphenhydramine (Benadryl)
• Fexofenadine (Allegra)
• Loratadine (Claritin)

More care for kids and adults

Woman applies antibiotic eye drops for pink eye symptoms

Pink eye (conjunctivitis)

Pink eye can be caused by bacteria, allergies, or viruses
Get pink eye treatment ›
Woman scratches at an itchy rash on her neck on teal background

Rash & skin infections

Connect with a provider about eczema and other skin issues
Get skin treatment ›
Girl with head lice symptoms scratches head

Head lice treatment

Topical treatments can kill eggs and lice in one application
Get lice treatment ›

Frequently asked questions

About Amazon One Medical

What are your telehealth options for eczema treatment?
Amazon One Medical offers multiple ways to get care from the comfort of your own home.
If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care via the One Medical app at no extra cost, no matter where you live in the United States.
If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers 2 types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available from $49 in all 50 states and D.C. Message-only visits are available from $29 in 36+ states.*
To see your Pay-per-visit options for this condition, start a one-time virtual visit and choose your state.
*State availability varies by condition. Prices subject to change.
Can I use my health insurance for Amazon One Medical Pay-per-visit?
Amazon One Medical doesn't accept health insurance for Pay-per-visit care. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your one-time virtual visit.
If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Amazon One Medical services. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.
What happens if my provider can't diagnose or treat my health issue through Pay-per-visit?
If your provider can’t diagnose or treat your health issue through Pay-per-visit, they may recommend that you see a primary care provider or a specialist for in-person care. If that happens, you won't be charged.
Can I communicate with a provider after I get my Pay-per-visit treatment plan?
Yes. When you use Pay-per-visit, you can message with One Medical providers within your personal dashboard for an additional 2 weeks (14 days) at no extra cost. This complimentary communication window allows you time to:
• Ask follow-up questions about any prescriptions or over-the-counter medications in your treatment plan
• Connect with a provider if you think your treatment needs to be adjusted
• Tell a provider if you're experiencing side effects from your medication
• Tell a provider if there's an issue getting your prescription from the pharmacy
• Let the One Medical care team know that you're feeling better
Your secure, HIPAA-compliant message will be received by the first available provider, who will be able to review your visit’s treatment plan and any follow-up correspondence. If you still need treatment adjustments or have questions after the 14-day communication window, you'll need to start a new visit.
What if I want to refill my medication?
If your provider didn't include refills with a prescription when they sent your treatment plan through Pay-per-visit, you'll need to start a new one-time virtual visit to request another prescription.
There are many reasons why a provider may decide that prescription refills aren't medically appropriate. For example, they may want to assess how well a medication is working and whether or not it needs to be adjusted before you continue with the same treatment.
How does Amazon One Medical protect my health information?
Amazon One Medical protects customers’ protected health information (PHI) with stringent, Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy and security practices to keep information safe and secure.
We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.
Amazon does not sell customers’ personal information, including PHI.

About care for children

What kind of telehealth visits can my child have through Pay-per-visit?
At this time, parents and legal guardians can start telemedicine visits through Amazon One Medical Pay-per-visit for their children aged 2 through 11 years old for the following health conditions:
• Head lice
• Pink eye (conjunctivitis)
• Rash and skin infections
• Eczema
• EpiPen prescription renewals
• Asthma prescription renewals
Do I have to be the parent or guardian of the child seeking care?
Yes. A parent or legal guardian must initiate the child's care and be present during the visit.
What type of healthcare provider will treat my child through Pay-per-visit?
Children are treated by family practice physicians or licensed family nurse practitioners (FNPs). You'll be able to see the credentials of your child's provider during the visit.
Can I get a doctor's note for my child?
Yes. After your child completes their virtual visit, their provider can write excused absence notes, back-to-school notes, and no-play notes for sports or other activities if medically appropriate.
Does childhood eczema go away?
The majority of children who develop eczema (atopic dermatitis) by age 2 will no longer have symptoms by age 4. But even though eczema symptoms often improve or go away with time, many children will continue to have symptoms into adolescence and adulthood. Certain risk factors, like severe early disease and parents' allergy history, are associated with a greater risk of persistent eczema symptoms.
How is childhood eczema diagnosed?
Childhood eczema is typically diagnosed with a thorough clinical assessment. Healthcare providers will want to know about a child's history of allergies and asthma, since these conditions are associated with eczema. They'll also want to examine your child's skin, looking for certain symptoms in certain areas, depending on your child's age.
For example, in children younger than 2, eczema may show up as itchy, red, peeling, and crusted areas on the back of the arms and hands, on the front of the legs, and on the cheeks or scalp. In children ages 2 to 16, eczema may show up as thickened, itchy, red areas on the neck, on the front of the wrists and ankles, in the elbow creases, and behind the knees.
There is no laboratory test to confirm eczema, though testing can sometimes be helpful to rule out other causes for a rash.
What is the root cause of childhood eczema?
The causes of eczema in children are complex, touching on genetic predisposition, environmental exposures, and dysregulation of the skin barrier and/or immune system.

About eczema

What are the best eczema skin care habits?
Although everyone’s skin is different, the National Eczema Association recommends the following practices to help manage eczema and prevent flare-ups:
• Moisturize twice daily
• Use clinician-approved eczema treatments as needed for maintenance
• Work on managing stress, which can trigger eczema symptoms
Bathing
• After a daily bath or shower in lukewarm water, take the next 3 minutes to apply any prescription eczema creams to your damp skin, followed by lotion with a high oil content to help seal in moisture.
• Soak in a diluted bleach bath for 10 minutes twice weekly (or more frequently if your eczema is severe). Bleach baths should have a ratio of 1/4 to 1/2 cup of bleach per full bathtub of water. Be sure to rinse off the bleach solution, then moisturize your skin right away.
What is the 3-minute rule for eczema?
The 3-minute rule refers to the practice of applying liberal amounts of moisturizer to the skin within 3 minutes of finishing a bath or shower. This helps trap moisture in the skin, and can help reduce eczema flares.
Are people with eczema more likely to experience other atopic diseases?
Eczema, asthma, and allergic rhinitis are all atopic diseases, meaning they're caused by an exaggerated and inappropriate immune response to a perceived threat. Essentially, your body's immune system recognizes a harmless substance (an antigen) as an enemy and launches a counterattack, leading to inflammation.
• Eczema (atopic dermatitis): Skin inflammation caused by dysregulation of the skin's barrier function
• Asthma: Bronchoconstriction caused by hyperresponsive airways
• Allergic rhinitis (AR): Nasal inflammation caused by sensitization to aeroallergens
These 3 conditions are often linked across the lifespan, with childhood eczema sometimes leading to allergic rhinitis and asthma in a process called the atopic march.
Did you know?
• Up to 80% of children with asthma are later diagnosed with asthma and/or allergic rhinitis
• Up to 40% of people with allergic rhinitis also have asthma
• Up to 50% of people with asthma also have allergic rhinitis
There's no clear consensus on what causes these atopic diseases, though experts know that our environment is at least partially responsible. Factors like diet, hygiene, infections, and air pollution have all been implicated in the atopic triad.
Clinical sources
1. Hill, D. A., & Spergel, J. M. (2018). The atopic march: Critical evidence and clinical relevance. Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 120(2), 131–137.
2. Lopez, D. J., Lodge, C. J., Bui, D. S., Waidyatillake, N. T., Abramson, M. J., Perret, J. L., Su, J. C., Erbas, B., Svanes, C., Dharmage, S. C., & Lowe, A. J. (2022). Establishing subclasses of childhood eczema, their risk factors and prognosis. Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 52(9), 1079–1090.
3. National Eczema Association. (2013). National Eczema Association. https://nationaleczema.org/
4. Weidinger, S., & Novak, N. (2016). Atopic dermatitis. Lancet (London, England), 387(10023), 1109–1122.
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