Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
192 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest an alternative medication for Hydrocortisone taken for eczema

Answered by
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16656 Questions

Posted on Mon, 6 Jun 2016 in Skin Hair and Nails
Question: I have had a eczema for a long time and have several red patches that have been treated with various emollients and ointments from hydrocortisone , benovate and emuvoate . I have now developed Ezema also on my face and scalp as become very itchy and flaky. Is there tablet alternatives to helping with the treatment with Ezema .. As seen in other comments about Ezema my skin clears up when I go abroad due to the hot weather but maintaing the condition of the skin doesn't change the appearance. I have had a dermatologist look at it a few years back and take scrapings but the results came back that it wasn't fungi
Answered by Dr. Michelle Gibson James 2 hours later
Brief Answer:
unfortunately there are no oral options for this condition

Detailed Answer:
HI, thanks for using healthcare magic

Itchy flaky scalp and face are commonly symptoms of seborrheic dermatitis, it is similar to eczema. Dermatitis is inflammation of the skin

It is understandable to be frustrated with the use of different creams but unfortunately there are no tablets that are used for this condition.

The use of topical steroids for this condition, in these areas, is restricted to a few days only because they tend to foster dependence since they cause a rebound effect and they may also hasten recurrences.
This means that you should use the steroids- betnovate, eumovate or hydrocortisone for three to five days to treat an acute flare up of the seborrheic dermatitis (not referring to your normal eczema)

(b) though a fungus was not found in your normal eczema, there is usually a response to an anti fungal when used to treat seborrheic dermatitis

You can consider trying ketoconazole cream or ciclopirox cream or gels to the face

(c)use of any hair gels or pomades should be stopped for now

(d)wash your hair more frequently than normal, lather for a longer period of time

(e)shampoos containing salicylic acid, tar, selenium or zinc are very effective for the scalp and may be alternated.
You can obtain two of these, consider adding a ketoconazole or ciclopirox shampoo to the schedule

If there is no improvement, you may need to consider revisiting your dermatologist for reassessment.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,   ,  

Recent questions on  Ointments

doctor1 MD

hi i have many spot on my skin that are distributed not centralized. my doctor said to me use this cream (depiwhite) on affected area but i can not...

doctor1 MD

I have itching in back head, neck, on scar tissie on back, left arm around elbow, on both legs, esp right iches so much i make it bleed. had dtr do...

doctor1 MD

Hi my name is Dessy and I d like to ask you about my daughter condition, she s 6 months old baby ; has a persistance exzema on her face; its start...

doctor1 MD

Hi, My baby s breathing is very raspy. She is a one year old (but born at 28.5 weeks. She has been receiving the RSV shots (3 total). I have a warm...

doctor1 MD

I am 14 weeks pregnant with twins. For the past 3 days am having severe shooting pain in my arms and shoulders. It started with left hand now moved...

doctor1 MD

My wife has had sores on her arms and legs for about 1 year. They're not painful unless she picks at them. When she does pick at them, there's a...

doctor1 MD

any idea what these white marks are