Atopic dermatitis (eczema) - topical steroids

1. Guidance

This appraisal relates to the frequency of application of topical corticosteroids in the treatment of atopic eczema. It does not include the use of topical agents that combine corticosteroids with other active agents (for example, antimicrobials or salicylic acid).

1.1. It is recommended that topical corticosteroids for atopic eczema should be prescribed for application only once or twice daily.

1.2. It is recommended that where more than one alternative topical corticosteroid is considered clinically appropriate within a potency class, the drug with the lowest acquisition cost should be prescribed, taking into account pack size and frequency of application.