What oral medicine should I take for eczema?
Eczema is a common skin inflammation that manifests as redness, swelling, itching, and scaling. In addition to topical medications, oral medications are also an important means of treating eczema. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to what oral medicines patients with eczema should take, and provide structured data for reference.
1. Classification of oral medicines for eczema

Oral medications for eczema mainly include antihistamines, immunosuppressants, antibiotics, and glucocorticoids. Below is a detailed description of each type of medication:
| drug class | Representative medicine | Mechanism of action | Applicable people |
|---|---|---|---|
| antihistamines | Loratadine, Cetirizine | Blocks histamine receptors and relieves itching | Patients with mild to moderate eczema |
| immunosuppressant | Cyclosporine, methotrexate | Suppress immune response and reduce inflammation | Patients with severe or refractory eczema |
| antibiotics | amoxicillin, cephalosporins | Treat secondary bacterial infections | Eczema patients with combined infections |
| Glucocorticoids | Prednisone, dexamethasone | Quickly anti-inflammatory and anti-allergic | Patients with acute attacks (short-term use) |
2. Hot topics: Precautions for taking oral medicine for eczema
Recently, precautions regarding oral medications for eczema have become a hot topic of discussion. The following are the points that netizens are most concerned about:
1.Choice of antihistamines: Second-generation antihistamines (such as loratadine) have become the first choice because of their small side effects and long-lasting effects.
2.Use of immunosuppressants: Strict monitoring is required under the guidance of a doctor to avoid decreased immunity caused by long-term use.
3.The glucocorticoid controversy: Although the effect is significant, long-term use may cause side effects, such as osteoporosis, elevated blood sugar, etc.
4.Rational use of antibiotics: Only used when combined with bacterial infection to avoid abuse leading to drug resistance.
3. Recommended plan for oral medication for eczema
Based on recent clinical research and expert advice, the following are recommended oral medications for eczema:
| Symptom level | Recommended medicine | Usage and dosage | Course of treatment |
|---|---|---|---|
| mild eczema | Loratadine (10mg/day) | Once a day, take before going to bed | 1-2 weeks |
| moderate eczema | Cetirizine (10 mg/day) + short-term glucocorticoids | Antihistamines once a day, hormones as directed by doctor | 2-4 weeks |
| severe eczema | Cyclosporine (3-5mg/kg/day) | Take it in 2 doses and monitor the blood concentration | 4-12 weeks |
4. Adjuvant treatment and dietary suggestions
In addition to oral medications, eczema patients also need to pay attention to their diet and lifestyle habits:
1.Avoid allergenic foods: Such as seafood, nuts, milk, etc., which may induce or aggravate eczema.
2.Supplement probiotics: Recent research shows that probiotics may improve intestinal flora and relieve eczema symptoms.
3.Keep skin moisturized: Use mild moisturizer to avoid dry skin.
4.reduce stress: Mental stress may aggravate eczema. Proper relaxation can help recovery.
5. Summary
Oral drug treatment for eczema needs to be chosen based on the severity of the condition and individual differences. Antihistamines are the first choice for mild eczema, while immunosuppressants or short-term glucocorticoids may be needed for moderate to severe eczema. At the same time, eczema symptoms can be more effectively controlled by combining dietary adjustments and lifestyle improvements. It is recommended to use drugs rationally under the guidance of a doctor and avoid abusing drugs on your own.
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