INTRODUCTION
Eczema, also called atopic dermatitis, is an inflammatory skin disease characterized by skin barrier damage, which translates to itch, dry skin, rash, scaling, blisters, and skin their eczema flares, patients want rapid relief. Over-the-counter (OTC) moisturizers are a cornerstone of eczema therapy and are useful even between itchy periods to soothe the skin and support the skin barrier.2 Eczema is estimated to affect between 2% and 10% of adults and up to 20% of children.3,4 In recent years there has been substantial increases in the knowledge-base about abnormalities in skin barrier and immune system function.5 However, management of eczema and eczema-prone skin continues to pose a clinical challenge. Eczema and associated pruritus may not only have a pronounced negative effect on sleep patterns and quality of life but can also create a substantial economic burden.6 Existing eczema guidelines highlight the importance of proper cleansing and moisturizing.4 Patients require education about how to cleanse skin thoroughly yet gently.4 It is recommended that topical emollients/moisturizers should be applied directly after cleansing. According to Wollenberg et al, proper use of skin care can result in both short- and long-term steroid sparing effects as well as maintenance of stable disease.4 In a recent systematic review, Maleki-Yazdi and colleagues report patients prefer to start with nonmedical treatments before moving to prescription products.7
To be effective in managing eczema symptoms, OTC moisturizing products should support and restore skin barrier function as well as provide itch relief. In addition to OTC product use being recommended in eczema guidelines, Miller et al reported that an OTC moisturizer was as effective as prescription barrier creams, while being less expensive.8 This study evaluated the effectiveness and patient perception of two moisturizers, Eczema Soothing Moisturizer (ESM) and Itch Relief Moisturizing Lotion (IRML), which contain various beneficial ingredients such as ceramides in formulations designed to be well tolerated by individuals with eczema.
To be effective in managing eczema symptoms, OTC moisturizing products should support and restore skin barrier function as well as provide itch relief. In addition to OTC product use being recommended in eczema guidelines, Miller et al reported that an OTC moisturizer was as effective as prescription barrier creams, while being less expensive.8 This study evaluated the effectiveness and patient perception of two moisturizers, Eczema Soothing Moisturizer (ESM) and Itch Relief Moisturizing Lotion (IRML), which contain various beneficial ingredients such as ceramides in formulations designed to be well tolerated by individuals with eczema.