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Woman in bath towel touches eczema symptom of dry skin

Eczema treatment

Share your symptoms with Health AI and get treatment from a provider if appropriate.

How it works

Check-in with Health AI
Complete a check-in with the help of Health AI.
Discuss with a provider
Review your health concern or treatment request with a One Medical provider via message.
Get treatment
Receive your care plan. If appropriate, prescriptions are sent to your pharmacy and, if you use Amazon Pharmacy, delivered to your door (if eligible).
Smiling One Medical provider delivers telehealth care

Common eczema (atopic dermatitis) 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, your provider will send the prescription to your preferred pharmacy. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of any prescribed medication is not included with the treatment cost and may be covered by health insurance.
Oral (systemic) steroids, injectables, and immunotherapy aren't available through On-Demand Care, and providers won't prescribe topical calcineurin inhibitors to children.
Topical icon

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
Topical icon

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
Topical icon

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)
Topical icon

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)
Red-headed child with eczema symptoms embraces her mother

Can I get eczema treament for my child?

Yes, if you are a parent or legal guardian who can manage care for the child. Your child must be between ages 2 and 11 years old.
Eczema is a common condition in children, primarily occurring in the face, hands, and leg, but can also be in other locations. Eczema in children is caused by a sensitive skin barrier and an overactive immune response, which can be triggered by things like dry skin, irritants, allergies, or stress. Treatment for eczema typically includes a topical corticosteroid, along with keeping the skin hydrated and avoiding triggers.
Eczema can be easily confused for other skin conditions, especially in children. Speaking with a healthcare provider is the best way to confirm the condition and establish a treatment plan.
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 (atopic dermatitis) 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.

Frequently asked questions

See all Amazon One Medical FAQs

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.

About eczema care for children

What are the common symptoms of atopic dermatitis (eczema) in children?
Children with eczema often experience patches of skin that are red, irritated, and itchy. Eczema is a common condition for children but can look similar to other skin conditions, so it’s best to consult a healthcare professional for an accurate diagnosis and treatment plan.
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.
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.
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.
What is the best moisturizer for children with eczema?
Mild flares of eczema can be typically treated by keeping the skin moisturized with products that include soothing ingredients like petrolatum. Children with more severe or widespread cases of eczema may need prescription-strength topical corticosteroids.
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 their treatment.
What type of healthcare provider will treat my child through On-Demand Care?
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 after they're assigned to your child's treatment.
Can I get a doctor's note for my child?
Yes. After your child completes their treatment, their One Medical provider can write excused absence notes, back-to-school notes, and no-play notes for sports or other activities if medically appropriate.
What kind of online treatments can I request for my child?
At this time, parents and legal guardians can request treatments for their children aged 2 through 11 years old for the following health conditions through Amazon One Medical On-Demand Care (formerly Pay-per-visit):
• Head lice
• Pink eye
• Skin issue
• Eczema
• EpiPen prescription renewals
• Asthma prescription renewals
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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