Managing Eczema: Experts Weigh In On Over-the-Counter Treatments And Lifestyle Strategies

Living with atopic dermatitis, commonly known as eczema, remains a challenging reality for many. This chronic condition causes dry, itchy, and inflamed skin that can flare up with minimal triggers. While the carefree image of a ‘summer girl’ is appealing, those with eczema often face harsh summer triggers like heat, humidity, pollen, and prolonged sun exposure. These factors can provoke allergic reactions and exacerbate symptoms. Although air conditioning provides some relief, it tends to dry out the skin further, adding to the problem, explains board-certified dermatologist Dr. Piyusha Bhagde.

Many individuals with eczema spend significant time searching for over-the-counter (OTC) treatments that do not aggravate their symptoms, but reliable information is limited. Flare-ups often occur after showering, making the choice of body washes and moisturisers especially important. Dermatologists recommend selecting products based on their ingredients. Dr. Swagata Chakrabarty from Kaya Wellness and Longevity Clinics in Dubai advises looking for moisturisers containing ceramides, colloidal oatmeal, shea butter, glycerin, panthenol, and hyaluronic acid, which help hydrate and repair the skin barrier. For body washes, fragrance-free and sulfate-free formulas with colloidal oatmeal, aloe vera, and glycerin are preferred. Non-soap syndet cleansers are also recommended for sensitive skin.

On the other hand, experts caution against products containing essential oils, exfoliating acids, and ‘invigorating’ ingredients. Dr. Ruhil Badiani from Cornerstone Clinic in Dubai warns that botanical extracts such as tea tree oil or citrus oils may irritate eczema-prone skin. Emulsifiers and thickeners, particularly in high concentrations, can also increase skin sensitivity. The safest option is to use products with minimal ingredients and no known irritants.

While OTC treatments can provide symptom relief, they are not cure-alls. Dr. Swagata emphasizes that these products may be less likely to cause reactions but do not guarantee safety for all eczema-prone individuals. Inconsistent use during flare-ups alone may lead to recurring symptoms. However, consistent daily use of moisturisers and barrier-repair creams can effectively manage eczema by maintaining skin hydration, reducing flare-ups, and strengthening the skin’s compromised natural barrier.

Despite consultations with multiple dermatologists, many patients remain uncertain about the long-term outlook for eczema. The consensus among experts is that atopic eczema is a chronic condition with no known cure, but it can be managed effectively.

In addition to topical care, lifestyle factors play a crucial role. Skin journaling to track product use, diet, sleep, stress, and environmental changes can help identify triggers. Dr. Piyusha encourages regular physical activity such as cycling, yoga, or walking to manage stress and enhance mood. Maintaining consistent sleep routines, limiting screen time before bed, staying hydrated, and reducing alcohol, sugar, and processed foods are also vital strategies.

Mental health is another key factor in eczema management. Emotional stress often precedes physical flare-ups. Dr. Ruhil explains that chronic stress leads to sustained high cortisol levels, which weaken the skin barrier, increase moisture loss, and amplify inflammation. This creates a vicious cycle where stress worsens eczema, and eczema-induced discomfort heightens stress. Stress also increases itch perception, leading to more scratching that further damages the skin. Poor sleep caused by stress or itching impairs skin repair and emotional regulation, exacerbating the condition.

Ultimately, managing eczema requires continuous attention to the complex interactions between the body, environment, and emotional health. There is no definitive endpoint—only ongoing adaptation and care.

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