Every day we are reminded on social media what is the “ideal skin” or what we should aspire to. This can lead to issues with self-esteem and self-confidence. Conditions such as psoriasis, eczema and rosacea may have a major impact on one’s self-worth.
In February 2021 a new subcutaneous medication was released on the PBS which has improved the lives of people with moderate to severe eczema. It has improved the itch, discomfort, soreness as well as the sleep disturbance, anxiety and depression associated with moderate to severe eczema. This medication has been approved for use in patients from 12 years and in adults.
An additional but oral medication, a JAK inhibitor has been approved by the TGA but not yet released on the PBS for the treatment of moderate to severe eczema. This second medication has shown a rapid decrease in itch as early as Day 2. We are currently enrolling patients into the patient familiarization programme for this medication.
On the horizon there are groups of biologics, IL-13 inhibitors and IL-31 inhibitors in the last phase of clinical trials for the management of moderate to severe eczema.
For milder forms of eczema topical treatments are often adequate. One relatively new cream is a phosphodiesterase inhibitor (PDE-4) and is therefore not a steroid. It improves the redness, itch and discomfort. It can be a possible alternative to topical steroids and can be used on the face as well as the body.
There are other non-steroid creams in development aimed at reducing the symptoms and improving the skin barrier function.
Eczema is often the most common condition seen by a dermatologist, and can be quite an uncomfortable condition, with many patients suffering from an intense itch. Our team of dermatologists can give you the best advice regarding soap-free cleansers, moisturisers and prescribed therapy, which may include topical steroids, light and oral treatments. Newer treatments such as biologics are in the pipeline for patients with severe eczema.
For more information on the management of your eczema please see your local doctor.
