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Breast Cancer awareness starts with prevention.
Eczema is a chronic inflammatory condition affecting more than 31 million Americans across all age groups. It is characterized by a compromised skin barrier that loses moisture easily and reacts to irritants, allergens and even many standard skin care ingredients. For many patients, this means that the base a formulation is prepared in matters as much as the active ingredients it contains, because fragrances, preservatives, alcohols and other common formulation components can penetrate more easily in eczema-prone skin and worsen symptoms. Compounded eczema formulations address both challenges simultaneously: active ingredients are prescribed at concentrations suited to each patient’s severity and affected area, and the delivery base is specifically selected to be non-irritating, barrier-supportive and free of known problem ingredients for that individual. Active ingredients commonly incorporated into compounded eczema preparations include topical corticosteroids at customized concentrations in barrier-supportive bases, calcineurin inhibitors such as tacrolimus or pimecrolimus for non-steroidal inflammation management, coal tar preparations for anti-inflammatory and antipruritic support, urea for moisturization and barrier reinforcement, and emollient-rich bases designed to reduce transepidermal water loss. Compounding is also well suited to pediatric eczema, where lower concentrations and careful ingredient selection are essential. Pharmacy Solutions is a PCAB-accredited 503A compounding pharmacy that works with dermatologists and other providers to prepare individualized eczema formulations. Pharmaceutical-grade sensitive skin care products and EltaMD options are also available without a prescription through the Pharmacy Solutions shop.
I had tried so many things over the years and nothing seemed to work for long. My dermatologist finally prescribed a compounded formula through Pharmacy Solutions that was actually built around my skin. The difference was noticeable and, for the first time, I felt like someone had actually looked at my situation rather than just handing me something off the shelf.
I had been dealing with dark patches on my face for years and felt like I had tried everything. Once my dermatologist prescribed a customized compounded formula, I finally had something that actually addressed my skin specifically. The pharmacy team was easy to reach and worked closely with my provider the whole way through.
I had been managing flares for years and never felt like I had a formulation that actually worked with my skin rather than against it. My dermatologist worked with Pharmacy Solutions to create something customized, and it has been the most consistent relief I have found. Having a team that actually communicates with your provider makes a real difference.
Eczema, most commonly referring to atopic dermatitis, is a chronic inflammatory condition that causes dry, itchy and irritated skin. It is one of the most common skin conditions in the United States, affecting more than 31 million Americans across all age groups. It is particularly prevalent in children but frequently persists into adulthood, and adults can also develop eczema for the first time. Several types exist including atopic dermatitis, contact dermatitis, dyshidrotic eczema, nummular dermatitis and others, each with different triggers and presentations.
Eczema is driven by a combination of immune system dysregulation and a compromised skin barrier that allows irritants and allergens to penetrate more easily. Common flare triggers include contact with certain fabrics, soaps, detergents, fragrances, preservatives, pet dander, dust mites, mold, certain foods, sweating, dry weather, stress and specific skin care ingredients. Identifying and avoiding individual triggers is an important part of long-term management alongside topical care.
Yes. Compounded eczema formulations typically contain prescription-strength active ingredients such as corticosteroids or calcineurin inhibitors and require a valid prescription from a licensed healthcare provider. Over-the-counter options including fragrance-free moisturizers and certain barrier repair products are available without a prescription, though a provider can help determine the most appropriate comprehensive approach.
Compounded eczema formulations may include topical corticosteroids at customized concentrations and in barrier-supportive bases, calcineurin inhibitors such as tacrolimus or pimecrolimus for non-steroidal inflammation management, coal tar preparations for their anti-inflammatory and antipruritic properties, urea at higher concentrations for moisturization and barrier support, and various moisturizing agents and emollients selected to support the compromised skin barrier. The specific combination, concentration and base are determined by the prescribing provider.
In eczema, the skin barrier is compromised, which means irritants, allergens and even the inactive ingredients in topical products can penetrate more easily and trigger reactions. Many commercial formulations contain fragrances, preservatives, alcohols, parabens and other potential irritants that can worsen eczema symptoms. Compounding allows providers to prescribe formulations in bases specifically selected to be non-irritating and barrier-supportive, and to exclude known problem ingredients for a specific patient.
Yes. Compounding is particularly well suited to pediatric eczema care because children may require lower concentrations of active ingredients, smaller application areas and formulations that exclude ingredients more likely to cause reactions in young or sensitive skin. A healthcare provider can prescribe a compounded formulation specifically suited to a child’s age, weight, affected area and skin sensitivity. All compounded medications require a valid prescription from a licensed provider.
Yes. Pharmacy Solutions carries pharmaceutical-grade skin care products available without a prescription through the Pharmacy Solutions shop. Products formulated for sensitive skin, along with EltaMD skin care options, may complement a provider-directed eczema care routine. As always, discuss any new products with your healthcare provider to confirm they are appropriate for your or your child’s skin.
[1] National Eczema Association. Eczema Stats. https://nationaleczema.org/research/eczema-facts/
[2] Pharmacy Compounding Accreditation Board (PCAB). Accreditation Commission for Health Care. https://www.achc.org/pcab/
[3] Eichenfield LF, et al. Guidelines of care for the management of atopic dermatitis. J Am Acad Dermatol. 2014;70(2):338-351. https://pubmed.ncbi.nlm.nih.gov/24280084/
[4] Langan SM, Irvine AD, Bhatt DL. Atopic dermatitis. Lancet. 2020;396(10247):345-360. https://pubmed.ncbi.nlm.nih.gov/32738956/
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