The Pharmacy Care section is a sponsored resource, however, the sponsor has no influence over the content, which is editorially independent.
Pharmacy Care provides information about self-care, that is how to treat minor medical conditions with products available at the pharmacy. Find out how your pharmacist can help you to manage minor conditions yourself.
If you wish, myDr can notify you via email when this article is updated. Your notification settings can be changed at anytime by updating your member profile.
This feature can only be used when you register. Not a myDr member? Register now, it's free and takes only a minute!
Here you can increase the font to your preferred size. This setting will be saved temporarily, however if you are a registered member, this can be saved into your personalised profile.
Dermatitis is a common skin reaction in which the skin becomes red and itchy, sometimes with swelling and a rash. The skin may be dry and flaky, and blisters may occur. Although dermatitis is not an infectious condition, there is a risk of developing an infection from scratching. ‘Eczema’ is often used to describe an atopic skin reaction, and ‘dermatitis’ is usually used to describe the skin reaction caused by irritants or allergens, but the two words are sometimes used interchangeably.
Atopic dermatitis/eczema
Atopic eczema is common and affects up to 20% of people at some time during their lives. A red, itchy rash commonly occurs in the skin creases, such as behind the elbows or knees. Sometimes the skin may be broken. Although the cause of eczema is not known, there is often a family history of the condition. Many people with eczema also have hayfever and/or asthma. Allergies sometimes play a part, such as reactions to certain foods, dust mites, pollen or animal fur. Eczema may be made worse by irritants such as woollen clothes, perfumes, soaps and chemicals. Stress or changes in the weather can also cause flare-ups (periods of time where the skin becomes more itchy and inflamed than usual). Eczema often follows different patterns depending on the age a person develops it.
Infantile eczema
Infantile eczema usually starts between 4 and 6 months of age. The baby develops a red rash, which may weep. It appears on the cheeks and may spread to the forehead, scalp and the backs of arms and legs. In severe cases it may involve the whole body. This type of eczema usually disappears between the ages of 3 and 5 years.
Childhood eczema
Childhood eczema may follow infantile eczema, or it may start for the first time between the ages of 2 and 4 years. It tends to occur in the creases of the elbows, behind the knees, across the ankles and also may involve the face, ears and neck. Childhood eczema usually disappears by the age of 10, but may continue into adulthood.
Adult eczema
Adults with eczema usually have large areas of itchy, reddened, weeping skin. The elbow creases, wrists, neck, ankles and behind the knees are areas especially affected. The condition tends to improve in middle life and is unusual in elderly people.
Allergic contact dermatitis
When you touch a substance you are allergic to, your body’s immune system reacts and a rash appears at the point of contact, often your hands. Common substances that cause allergies include hair dye, nickel in jewellery, sticking plasters, latex in rubber gloves, plants and cosmetics. This type of dermatitis usually resolves with avoidance of the allergen.
Irritant contact dermatitis
Irritant substances such as soaps, disinfectants, chemicals, detergents and solvents can remove natural oils from your skin. Repeated contact can make skin red, itchy and dry and lead to scaling, cracking and roughness. Hands are the area most commonly affected.
See Your Pharmacist or Medical Professional
if the person with dermatitis is a child
if the skin is broken, weeping or painful or is making you very uncomfortable
if there are signs of infection, such as pus, swelling, redness or warmth
if there are any vesicles, which look like small blisters filled with clear fluid
if the area has white patches or silvery scales
if the skin has become tough and leathery
if you have tried treating your skin but it has not improved
if you are not sure what type of skin problem you have
Treatment Tips
Tips for atopic dermatitis/eczema
use a moisturiser or emollient frequently, especially during flare-ups
patch-test moisturisers or emollients first before extensive use. Take a small amount of product and dab it onto a small area of skin. Wait for a few hours. If no redness or irritation is seen, the product should be safe to use on your skin
try to avoid scratching; keep fingernails short
anti-itch products may be helpful, although anti-histamines are generally ineffective for itch associated with atopic dermatitis
choose a mild soap or soap substitute
use lukewarm water in baths or showers
pat your skin dry, do not rub it; then apply a moisturiser or emollient
choose cotton clothing and bed linen
use a laundry detergent formulated for sensitive skin, and avoid fabric softeners
avoid overheating and sudden changes in temperature, as sweating can often increase the itch
Tips for allergic contact dermatitis
try to identify the substance causing the allergy and avoid it in future
your doctor can arrange for you to have allergy tests if necessary
Tips for irritant contact dermatitis
avoid contact with substances you know irritate your skin
use a barrier cream or gloves to protect your hands
use a mild soap or soap substitute to prevent loss of natural skin oils, since normal soap is very drying on the skin
Treatment Options
Soap substitutes
[GENERAL SALE]
e.g. Aveeno Active Naturals Skin Relief Body Wash, Cetaphil Gentle Cleansing Bar, Cetaphil Gentle Skin Cleanser, DermaVeen Soap-Free Cleansing Bar, DermaVeen Soap Free Wash 5.5 (Cleanser), Eulactol Soap-Free Cleansing Bar, Eulactol Soap-Free Wash for Dry Skin, Eulactol Soap-Free Wash for Normal to Oily Skin, Hamilton Dry Skin Treatment Mild Foam Wash, Hamilton Dry Skin Treatment Wash; aqueous cream, emulsifying ointment
use these whenever you would use a normal soap
if you use aqueous cream or emulsifying ointment, you can make a liquid soap substitute by putting a small knob of the cream or ointment in a jar, adding hot water and shaking it
Moisturisers or emollients
[GENERAL SALE]
e.g. Alpha Keri Lotion, Aveeno Active Naturals Daily Moisturising Lotion, Aveeno Skin Relief Moisturising Cream, Aveeno Active Naturals Skin Relief Moisturising Lotion, Cetaphil Moisturising Cream, Cetaphil Moisturising Lotion, DermaDrate Cracked Heel Treatment, DermaDrate Dry Skin Treatment, DermaVeen Moisturising Lotion, DermaVeen Moisturising Cream, Eulactol Cream for Very Dry Skin, Eulactol Heel Balm, Eulactol Hypo-A Sensitive Skin Moisturiser, Eulactol Moisturising Lotion, Hamilton Dry Skin Treatment Cream, Hamilton Dry Skin Treatment Lip Balm, Hamilton Dry Skin Treatment Lotion, Hydraderm, Macro Natural Vitamin E Cream (lanolin-free), Neutraplus, Neutrogena Norwegian Formula Hand Cream, Oilatum Emollient, Q.V. Cream (lanolin-free), Q.V. Skin Lotion (lanolin-free), Rosken Skin Repair; aqueous cream, emulsifying ointment
moisturisers add moisture to skin and emollients soften it; many products do both
these products should be applied frequently
lotions feel lightest on skin and are suitable for use on the scalp and other hairy areas; they can also be used to treat mild dryness on other parts of your body
creams are the next lightest type of product; they are usually easily absorbed into your skin and are pleasant to use
ointments feel much heavier on your skin and many people find them too greasy
ointments can be useful for thicker or more scaly areas of dry skin, and for use overnight, or on feet
Barrier creams
[GENERAL SALE]
e.g. Silic 15
barrier creams are useful if you frequently have your hands in water, or if you have contact dermatitis
they may make your hands slippery
if applied before getting hands dirty, they make it easier to wash off dirt and stains later
Bath and shower oils
[GENERAL SALE]
e.g. Alpha Keri Bath Oil, Aveeno Daily Moisturising Body Wash, Aveeno Skin Relief Shower Oil, DermaVeen Colloidal Oatmeal Bath Powder, DermaVeen Shower and Bath Oil, Eulactol Soap-Free Wash for Dry Skin, Eulactol Soap-Free Wash for Normal to Oily Skin, Q.V. Bath Oil (non-slip), Q.V. Flare Up Bath Oil
these products leave a thin layer of oil on your skin, which helps to hold moisture in
use no more than the recommended amount
these products can make the bath or shower slippery
Anti-itch (anti-pruritic) preparations
[GENERAL SALE]
e.g. Eurax (cream), Pinetarsol Cleansing Bar, Pinetarsol Bath Oil, Q.V. Bath Oil, Sarna Lotion
Pinetarsol Bath Oil can also be used in the shower
Pinetarsol Bar is a soap substitute that also contains anti-itching ingredients
if itching is severe, some types of antihistamine tablets or syrups may help; ask your pharmacist for advice
This web site is intended for Australian residents and is not a sbstitute for independent professional advice. Information and interactions contained in ths Web site are for infomation purposes only and are not intended ot be used to diagnose,treat , cure or prevent any disease.Further , the accuracy, currency and completeness of the information available on this web site cannot be guaranteed. UBM Medica Australia Pty Ltd, its affiliates and their respective servants and agents do not accept any liability for any injury, loss or damage incured by use of or relance on the information made available via or throught myDr whether arising from negligence or otherwise.
See Privacy Policy and Disclaimer.