13 best creams for atopic dermatitis

Atopic dermatitis has many synonyms: atopic eczema, neurodermatitis, children's eczema. But whatever the name, the essence remains: it is a chronic, intermittently recurring disease, which usually begins in early childhood, and is manifested by inflammatory foci on the skin, itchy skin and intolerance to certain substances. According to statistics, they suffer from up to 30% of children, and in 85% of the disease occurs before the age of 5 years. Among adults, about one in ten suffer from atopic dermatitis.

Manifestations of the disease vary with age. In babies under two years old, they are usually swollen, red, moist, covered with crusts or scaly spots that itch. In older children and adults, the main manifestation of the disease is usually pale pink foci, the skin on which looks rough and dry, with pronounced "wrinkles" (enhanced skin pattern). If a person cannot refrain from scratching - and, more often, it is the itch that causes the main inconvenience - wounds and crusts appear at the site of scratching, and if an infection comes in, purulent inflammation may begin.

General principles of treatment of atopic dermatitis

Treatment of atopic dermatitis is usually topical: creams and ointments. They help to achieve remission, that is, to improve the condition of the skin. But atopic dermatitis cannot be completely cured - except to wait 40 years, when according to statistics, the intensity of its manifestations usually disappears. Therefore, the disappointed reviews of some patients who find that the disease has returned some time after the use of a remedy can be understood, but not taken into account. The treatment of atopic dermatitis is a lifelong process, like, say, the treatment of hypertension or diabetes.

Moreover, the main component of the treatment of this disease is not medicinal creams or ointments, but carefully selected and regular care, which maintains the normal water-lipid balance of the skin (namely, the loss of moisture and lipids makes it damaged and provokes local inflammation) and prevents exacerbation. Without proper care, the effectiveness of even the best creams for atopic dermatitis will be temporary - only for the period of use. Therefore, the first sections of our rating will not be medicinal creams and, moreover, not hormonal ointments, but products created for the care of atopic skin.

Top creams for atopic dermatitis

Nomination	a place	Name of product	price
The best cleansing creams for atopic dermatitis	1	Cream Mustela Stelatopia	1 048 ₽
	2	Lipikar Syndet AP + La Roche Posay	920 ₽
	3	emulsion for bathing Emolium P triactive	1 094 ₽
The best skin care creams	1	A-derma ECOMOMA Control	1 134 ₽
	2	Children's cream Tik-so, "Freedom"	1 334 ₽
	3	Balm lipid-repair TOPICREM BP	39 ₽
	4	Cream-gel "La Cree ATODERM"	1 737 ₽
	5	Cream F-99, Realcosmetics	289 ₽
The best non-hormonal drugs	1	Protopic	147 ₽
	2	Elidel	870 ₽
The best hormonal creams and ointments for atopic dermatitis	1	Belosalik	193 ₽
	2	Kutivate	314 ₽
	3	Triderm	784

The best cleansing creams for atopic dermatitis

It often happens that patients with atopic dermatitis rely only on medical ointments and creams, as the main method of solving the problem, completely ignoring the cleansing of the skin. Meanwhile, an already properly selected face wash or body wash can alleviate the condition. In case of atopic dermatitis you should never use soap. Its sharply alkaline environment destroys the already fragile lipid barrier, ruthlessly degreasing and drying out the skin. To avoid this, you need to use special cleansers that do not violate the water-lipid balance of the skin. Most often, they are available in the form of creams, cream-gels, oils or emulsions.

Cream Mustela Stelatopia

Rating: 4.9

Pharmaceutical French cosmetics designed for babies from birth. At the base are sunflower and avocado oils, which restore the lipid layer of the skin, vegetable glycerin for moisturizing and mild surfactants. The cream should be applied to wet skin with a hand, then rinse and gently blot with a towel (do not rub!).

Some of those who have taken advantage of the cream complain that after it remains some kind of film that is difficult to wash to the end. But in fact, this film is an indicator that the tool performs the stated functions - it creates an occlusion that prevents the loss of moisture. In the tube 200 ml. Many consumers say a very economical expense - one pressing of the pump is enough to distribute the obtained amounts of money throughout the body of the baby.

The cream does not irritate when it gets into the eyes.

Lipikar Syndet AP + La Roche Posay

Rating: 4.5

Lipid-repair cleansing cream-gel for face and body.

In addition to surfactants, which, in fact, cleanse the skin, contains moisturizing ingredients: glycerin, shea butter, mannose. Nicotinamide works as an anti-inflammatory and reducing agent. But the manufacturer considers Aqua Posae Filiformis, a complex of bacterial enzymes, to be the main advantage of the cream-gel. which improve the protective functions of the skin and contribute to the normalization of the microflora composition.

Emulsion for bathing Emolium P triactive

Rating: 4.1

This tool is designed to cleanse and restore damaged skin during the exacerbation of atopic dermatitis. Contains a complex of lipid components, similar in composition to skin lipids. Barley pulp wax contains phytosterols, vitamins, saturated fatty acids necessary for the skin. Corn oil triglycerides contain a lot of linoleic acid - the main component of sebum. Caprylic and capric triglycerides limit transepidermal water loss, protect the skin from aggressive environmental factors. It also contains macadamia oil, shea butter and avocado. Finally, liquid paraffin, although notorious for the comedogenic substance, perfectly protects the skin from moisture loss, creating on its surface a thinnest film softening, moisturizing and smoothing. Actually, this film explains the comedogenicity of paraffin oil - the outflow of sebum is disturbed. But if it is a disaster for oily skin, then for extremely dry, which is, in fact, characteristic of atopic dermatitis, such occlusion is simply vital.

For bathing an adult you need 2 measuring caps (30 ml) of the emulsion, for a child - 1 measuring cap (15 ml). After bathing, which should last no more than a quarter of an hour, you need to rinse with water and get wet (just get wet, not wipe) the body with a towel.

In a bottle 200 ml of funds, so it is enough for 6 or 13 applications, which, given the price (about 900 rubles at the time of the ranking), is very wasteful. On the other hand, as parents of sick children notice, when the baby is itchy and does not sleep well, it is no longer a matter of saving.

The best skin care creams

About the fact that the basis of atopic dermatitis - a perverted allergic reaction, today, probably, everyone knows. Much less is said that with this disease a special protein changes - fillagrin, which is “responsible” for the connections between the cells of the stratum corneum, the uppermost layer of the skin. When the cohesion between the cells weakens, the moisture loss through the skin increases. Hydrolipid mantle is broken - a natural protective layer of the skin, giving it softness, elasticity, smoothness.

People with atopic dermatitis have to take into their own hands the protection and restoration of the hydro-lipid mantle - the normal balance of water and fat in the surface layers of the skin. Especially important for this routine, daily care, for which we need special tools. They must contain emollients - special lipids that can linger in the skin, restoring its properties. In addition, care products for people with atopic dermatitis often contain anti-inflammatory and moisturizing ingredients.

Emoticons for atopic dermatitis should be used constantly, updating the layer as needed. That is, not to be limited to twice - morning and evening - applying cream, but to add it several times during the day. Whatever the manufacturers write about “moisturizing for 24 hours,” it is perfectly normal, especially during the exacerbation period, if a week requires 250-500 ml of the care product with emollients.

We draw the attention of readers that skin products with atopic dermatitis very rarely have a “natural” composition. This often repels opponents of "chemistry". But just such “unnatural” cosmetics are as neutral as possible, because any natural plant component is a potential allergen, and, therefore, it can trigger an exacerbation of dermatitis. By the way, that is why phytotherapy in any form is contraindicated in children and adults suffering from this disease.

Any emotion always applied to wet skin. If it is necessary to combine care with the use of therapeutic creams or ointments, emollients in the form of a cream or milk are used 15 minutes before the medicine, in the form of an ointment 15 minutes after it.

Softening cream A-derma Ekzomega Control

Rating: 4.8

This cream, intended for the treatment of atopic dermatitis, is distinguished by the Flaxerine complex consisting of omega-6 polyunsaturated fatty acids, which restore the lipid balance of the skin and filaggrin of that very protein, the disrupted synthesis of which causes most of the skin changes during the disease. In addition, it contains B3, which activates lipid synthesis and improves skin immunity; extract of oat sprouts, healing microdamages, and, of course, glycerin.

Alas, like most of this kind of funds can not boast a low price - as this series of pharmaceutical cosmetics produced in France.

Children's cream Tik-so, "Freedom"

Rating: 4.4

We are far from claiming that a cheap Russian children's cream can compete on equal footing with most pharmacy brands, but not everyone can afford the cost of more than 1,000 rubles. Especially given the fact that a week may need up to half a liter of cream.

Tik-Tak cream can be useful in situations where you literally have to be covered from head to toe.Moreover, it is for emolent - that is, a cream containing lipids, moisturizing substances, and, most importantly, film-forming agents that prevent the loss of moisture - its composition is quite adequate.

Glycerin moisturizes. Lanolin and vegetable oil restore lipids. Beta-carotene, promotes skin regeneration. Extracts of thyme, yarrow, viburnum reduce the activity of inflammation and soothe. Emulsifying wax, beeswax, mineral oils and silicones act as occlusive agents, that is, film-forming agents.

Balm lipid-repair TOPICREM BP

Rating: 4.0

Allantoin in the composition reduces itching and irritation. Omega-3 and 6 polyunsaturated fatty acids of linseed oil and shea butter already known to the reader supply the skin with lipids, glycerin moisturizes, and beeswax creates a protective film. The cream does not contain dyes, flavors, parabens.

Cream-gel "La Cree ATODERM"

Rating: 3.8

Another domestic product, not as budget as the previous one, but much more interesting in composition. The peculiarity of the cream is a complex of natural bioceramides. phospholipids and cholesterol - components of cell membranes and, in fact, the lipid layer. Restores barrier function and retains moisture. Betaine prevents dehydration of the epithelium, maintains electrolyte balance, reduces irritation and itching. Urea moisturizes and exfoliates. Peach oil helps reduce inflammation and improve regeneration. Licorice extract reduces allergic and inflammatory manifestations. Based on the composition and most of the reviews, the cream could be on a higher position in the ranking. But he has a peculiar, very characteristic smell of licorice, which many do not like. And, more importantly, on the review sites you can find stories about severe allergic reactions. This is, in general, expected for a cream that is declared as a product with a natural composition (we have already described above why natural components are not good at atopic dermatitis), but it’s not at all what you want to face during an allergic disease.

Cream F-99, Realcosmetics

Rating: 3.7

Pretty budget "workhorse", designed for very dry skin affected by atopic dermatitis. At the heart of - omega-3 polyunsaturated fatty acids, vitamin F, milk Thistle oil, reducing skin lipids; glycerin is a known moisturizing ingredient; and emulsion wax, which creates a protective film on the skin that prevents moisture loss.

The best non-hormonal drugs

A good, careful and, most importantly, constant care significantly reduces the likelihood of exacerbation. But sometimes this is not enough and there is a need for medication. For a long time, there was no alternative to hormones for the treatment of atopic dermatitis. But relatively recently, non-hormonal creams and ointments have appeared, which reduce the activity of inflammation and reduce the allergic reaction.

Protopic

Rating: 4.7

Active ingredient: tacrolimus.

Available in the form of 0.03% cream for children over 2 years old or 0.1% for adults. Suppresses the excessive immune response that underlies the pathogenesis of atopic dermatitis, inhibits the release of inflammatory mediators. The tool is applied 2 times a day at the lesions. The duration of treatment according to this scheme is up to 3 weeks. If after this the need for therapy is maintained. you must either switch to a lower concentration ointment (for adults), or apply it once a day.

Protopic can also be used for prophylaxis. In this case, it is applied to the places where there were active manifestations of dermatitis, twice a week.

The active substance is practically not absorbed into the blood, so there are no serious complications from the use of Protopika, but local irritation, rash, pain and itching may occur. Usually within a week these adverse events disappear. With prolonged use increases the likelihood of herpes and acne in the affected areas. Intolerance to alcohol may appear - signs of irritation on the skin after drinking alcohol.

The tool enhances the photosensitivity of the skin. therefore during its use it is impossible to sunbathe, to visit a sunbed. Be sure to apply sunscreen when going out.

Such a list of side effects and cautions may seem excessively large, especially in comparison with pharmaceutical cosmetics. But Protopic is not a cosmetic product, but a drug that must be sold by prescription.

Elidel

Rating: 4.3

Active ingredient: pimecrolimus.

Available only in a concentration of 1%, 15 and 30 g in a tube.

Like the previous tool of our rating, it reduces the activity of immune inflammation, suppressing both the immune response and the release of proinflammatory mediators. In anti-inflammatory activity, Elidel is not inferior to glucocorticoids, a recognized drug for the treatment of atopic dermatitis.

The cream is applied 2 times in the erasing in the lesion until completely absorbed. Course duration - up to 6 weeks, if during this time the symptoms have not passed. additional examinations are needed to exclude misdiagnosis.

Systemic (affecting the entire body) undesirable phenomena does not happen, since the active substance practically does not enter the blood. Locally possible itching, burning, irritation and redness of the skin. Over time, the likelihood of infection of the affected area increases: the occurrence of herpes simplex, folliculitis, molluscum contagiosum, purulent infections. Increases sensitivity to alcohol and ultraviolet. Approved for use in children from 3 months.

The best hormonal creams and ointments for atopic dermatitis

No matter how hard patients and their doctors try to avoid using hormones, sometimes there is simply no alternative. Creams, ointments, lotions with glucocorticoids - the most effective local anti-inflammatory agent. But high efficacy drugs are always accompanied by undesirable effects. And with prolonged uncontrolled intake of hormones can occur:

1. skin atrophy;
2. stretch marks;
3. telangiectasia;
4. steroid acne;
5. rosacea;
6. perioral dermatitis;
7. hypertrichosis;
8. secondary bacterial, fungal and viral infections.

In addition, the body gradually gets used to the use of the drug, and its effectiveness begins to catastrophically decrease. Therefore, hormonal creams are allowed to use no more than 4 weeks in a row, after which they can be used no more than 2 times a week.

Belosalik

Rating: 4.6

Rating: 4.6.

Active ingredient: betamethasone dipropionate, salicylic acid.

Possible analogues: Rederm, Akriderm, Diprosalik, Betasal.

Betamethasone dipropionate is a hormone that lowers the immune response and inflammation, salicylic acid softens the skin, enhances the depth of penetration of betamethasone, maintains the optimum pH of the skin to prevent bacterial and fungal infections.

Possible burning and irritation when applied topically. With prolonged use, the side effects described above are not excluded.

Not indicated for use in pregnant women and children under 2 years.

Despite the hormones in the composition, Belosalik and its analogues are available in pharmacies without a prescription. But we do not recommend abusing this opportunity and using the medicine without consulting a doctor.

Kutivate

Rating: 4.2

Active ingredient: fluticasone propionate.

Slightly less active than the previous corticosteroid from our rating. intended for topical use. In atopic dermatitis, like similar creams, it is used for no longer than 4 weeks in a row. The list of possible adverse events is the same as with other means of this type.

Approved for use in children from 1 year. Pregnancy may be prescribed, but possible risks should be correlated with the intended benefits.

It is released without a prescription.

Triderm

Rating: 3.9

Active ingredient: betamethasone + gentamicin + clotrimazole.

Possible analogues: Akriderm, Canizon Plus.

The combined drug that combines topical corticosteroid with antibiotic and antifungal agent. Unlike rating neighbors, which can only be used with uninfected atopic dermatitis, it is also used in the development of infectious complications, and the combination of antifungal and antimicrobial components allows you not to waste time on the exact determination of the pathogen.

On the other hand, if the disease is not complicated by infection, Triderm does not have any proven advantages in comparison with creams, where hormones work “solo”. But the possible undesirable effect of hormones can be joined by the side effects of an antibiotic or an antifungal agent: itching, peeling, blisters, local edema, urticaria.

Approved for use in children from 2 years. Use with caution during pregnancy.

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Attention! This rating is subjective, is not advertising and does not serve as a guide to the purchase. Before buying, you should consult with a specialist.