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1) Read all the information below including the Patient Information Leaflet.
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4) Answer all medical questions during checkout before paying and then a doctor will inform you of his decision.
Please read all the information below (sections 1 to 5) before placing an order, it is very important and you must not skip this step.
Eczema, Psoriasis & Dry Skin
Eczema is an itchy inflammation of the skin associated to a varying degree with other features such as rednesss, blisters, lumps, infection, etc.
Psoriasis is a chronic, recurring skin disease. Its scope can vary considerably; from mild outbreaks, where the person may not even be aware they have psoriasis, to severe cases, which can be socially disabling and, in rare instances, life-threatening.
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Cost of Medicine
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About the condition
Eczema, Psoriasis & Dry Skin
Psoriasis
Psoriasis is a chronic, recurring skin disease. Its scope can vary considerably; from mild outbreaks, where the person may not even be aware they have psoriasis, to severe cases, which can be socially disabling and, in rare instances, life-threatening.
In principle, people of all ages can get psoriasis, but the early-onset form of the disease is mostly seen in 16 to 22-year-olds and the late-onset form strikes those between the ages of 50 and 60.
Psoriasis is derived from the Greek word 'psora', which means itch. Around 2 per cent of the population have psoriasis to a greater or lesser degree. Psoriasis is not contagious.
Symptoms of Psoriasis
Psoriasis vulgaris is the most common form. The first signs of an outbreak are:
* red spots or patches.
* the patches grow bigger and become scaly.
* the upper scales fall off in large quantities, while the lower layers of scales are firmly fixed.
* when the scales are scraped off, a number of small, bleeding points can be seen underneath.
* psoriasis of the nail often manifests itself as small indentures in the nails. The outbreak can be so severe that the nail thickens and crumbles away.
* flexural psoriasis occurs in skin folds (flexures). Red, itchy plaques appear in the armpits, under the breasts, on the stomach, in the groin or on the buttocks. The plaques are often infected by the yeast-like fungus candida albicans.
* guttate psoriasis is a special variant which primarily occurs acutely in children and young people due to a streptococcal infection of the throat. Drop-like, scaly patches appear on the entire body. In many cases, the condition disappears by itself after a few weeks or months.
Psoriasis of the scalp can be difficult to distinguish from a severe case of cradle cap, and sometimes the two occur simultaneously. An outbreak of psoriasis often leads to lesions on the face.
What are the symptoms of pustular psoriasis?
Pustular psoriasis is a rare variant where the inflammation is so severe that, in addition to the usual lesions, blisters or pustules containing fluid appear on the skin.
The severity of the condition varies.
Causes of Psoriasis
Psoriasis is a condition which runs in families, but the exact way in which the disease moves from generation to generation has not yet been established. Although the tendency to contract psoriasis is stored in a person's genes, it is by no means certain that it will ever develop.
However, exposure to certain stimuli (such as a streptococcal infection in the throat, alcohol, medicines and local irritation) or damage to the skin, may cause an outbreak of psoriasis in persons who have this genetic predisposition.
There are two main types of psoriasis: psoriasis vulgaris (plaque psoriasis) and psoriasis pustulosa (pustular psoriasis). The different types of psoriasis can be divided into subgroups according to severity, duration, location on the body and appearance of the lesions.
Around 6 per cent of the people who have psoriasis also get psoriatic arthritis in the joints. Psoriatic arthritis primarily occurs in fingers and toes, but is also quite common in the back bone.
Eczema
The word ‘eczema’ comes from Greek words that mean ‘to boil over’. ‘Dermatitis’ comes from the Greek word for skin and both terms refer to exactly the same skin condition. For simplicity eczema is the term generally used here, although the two words are interchangeable.
Eczema is an itchy inflammation of the skin associated to a varying degree with other features such as:
* redness of affected areas of skin
* generally dry skin, which is often thickened in the areas that have been scratched
* lumps or blisters in affected areas
* signs of superficial infection such as weeping or crusty deposits.
Eczema is divided into a small number of subgroups based largely on the factors that may be most important in causing eczema in any one individual, but it is important to recognise that the symptoms and appearance of the skin in all these types can be exactly the same.
Also, the classification system is far from perfect as it is often difficult or impossible to accurately say what causes eczema to occur in any one person.
The lines of treatment of the different types of eczema are also similar. The main differences are to do with the particular factors causing an individual’s eczema. Thus if it is thought to be mainly due to exposure to an irritant substance at work then removal or protection from this irritant will be an important part of managing that person’s eczema compared to someone else with no such history of exposure.
Symptoms of Eczema
Itch
This is the main symptom, and without it a rash is not due to eczema (unless the itch has been improved by treatment).
Itch is also a common feature of many other skin conditions as well as being a symptom of a range of diverse medical conditions not primarily to do with the skin, so although it is an ‘essential’ symptom when diagnosing eczema it is not specific for it.
We still do not fully understand what causes itch, but nerve fibres specialised in transmitting the itch sensation appear to exist within the skin. Like other nerves, these are ultimately connected to the spinal cord and so to the brain.
It used to be thought that the sensation of pain travelled along the same nerve fibres as for itch but this seems now to be unlikely. Interestingly, the two sensations can act against each other. Thus relief from severe itching may sometimes be had from inflicting pain instead, as might be seen in someone who prefers the discomfort of a very hot bath to that of constant itching.
The act of scratching may itself cause nerve signals to travel down the pain fibres, blocking the sensation of itch from being experienced.
Redness
Increased redness of the skin usually means increased blood flow. An extensive network of tiny blood vessels (capillaries) is present in the deeper layers of the skin that project loops of smaller vessels into the more superficial layers.
The very top layer of skin is composed of dead skin cells and has no blood supply, so a superficial cut to this level will not bleed. When skin is inflamed the local network of blood vessels widens, increasing the flow of blood and making it red.
The process of inflammation in eczema is complex and can be triggered by a range of factors but an important additional one to take into account when eczema flares up is the presence of bacterial infection.
When bacterial infection gets into the deeper layers of the skin there is usually a marked increase in redness and heat from the tissues. Recognising that this may be due to infection is important in bringing the eczema under control.
Thickening
The skin of areas of eczema that have been inflamed for a while are usually much thicker than unaffected skin. Mainly this occurs as a protective response of the skin to the repeated trauma of scratching.
Eczema often affects the skin in areas around joints such as the elbow, behind the knees and in front of the ankles (the ‘flexures’) where the skin also needs to be particularly flexible.
Commonly one will see splits in the skin here (fissures), as the thickened skin is unable to bend as it would normally.
Blisters
The microscopic study of skin structure in eczema shows there is less adhesion between the skin cells, particularly in the upper layers of the skin. This contributes to scaling and makes it easier for skin bacteria to get into the deeper layers, between the gaps. It also makes it possible for tissue fluids to ooze between the cells and, if sufficient, to gather into collections or blisters.
Small blisters may be seen in active eczema but occasionally large ones may occur, either due to the particular nature of the eczema or because of skin infection coming along as well when the blisters may be filled not only with clear fluid but also pus.
Crusts
The fluid that oozes from inflamed skin is rich in protein. When this dries out in contact with air the protein is left behind as a crusty deposit. Often this occurs in conjunction with infection, when the infected crusts typically have a golden colour.
A similar crusting is seen in the infectious skin condition called impetigo, which is commonly seen in children of primary school age as it is easily passed on by touching.
In impetigo treating the infection eliminates the problem, but it is of course only part of what’s required in eczema. Often doctors refer to infected eczema as being ‘impetiginised’.
Treatments
Active patches of inflamed skin are usually treated by GPs with steroid creams. These creams come in different strengths. Stronger steroid creams are used only where inflammation is very active. Steroid creams are effective although they tend to loose their effectiveness when used continuously for more than a few weeks. Excessive long-term use can damage the skin.
After active eczema has been reduced using steroid creams it can usually be kept under control by keeping the skin hydrated.
Keeping the skin hydrated with medical moisturisers called emollients often prevents flare-ups of eczema and can reduce the need to use steroid creams. Oil has a protective effect on the skin.
Emollients
Soap substitutes.
* Soap, shower gel and bubbles baths all dry the skin. We supply two alternative soap substitutes on prescription, emulsifying ointment and aqueous cream. Emulsifying ointment is a creamy material with a similar consistency to lard. Aqueous cream is thinner, with a consistency similar to Nivea cream.
* When rubbed over the skin in a bath or shower they both clean the skin and leave it slightly greasy. Aqueous cream can be mixed with a little warm water and used as a shaving cream. Aqueous cream is also a useful alternative to soap for hand washing.
* These soap substitutes do not produce lather and take some getting used to.
Emollient bath additives.
* The simple act of wetting the skin can dry it out. Adding small amounts of emollient oil to the bath water prevents this drying. Some bath emollients contain an antiseptic that can be useful where a person is prone to infections of their eczema. Caution: adding oil to the water makes a bath slippery.
Emollient creams and lotions.
* Emollients, creams and lotions, supplied here on prescription, are applied to dry areas of skin either occasionally or up to many times daily, depending on need.
* Used regularly or occasionally, when the skin is starting to dry out, they can prevent a flare up of eczema and reduce the need for steroid creams.
Product information leaflet
Click on the button below to read the Information Leaflet. Do not exceed the stated dose.
These leaflets are provided for information only and should not be used for treatment or in contradiction with your Doctor or Pharmacist's advice. One Click Doctor will do its best to keep these leaflets up-to-date but will not accept liability for out of date leaflets. You need to refer to the leaflets in the packaging for the latest manufacturer's information.
Choose your preferred medicine (Please pick one option only!)
Aqueous Cream BP 500g Relief of symptoms of dry or chapped skin. For topical use as an external skin cleansing agent and as an emollient for softening and soothing skin.
read more. Size: 500 grams Collect 1 points with this purchase!
SALE: £1.30 Was: £2.48 RRP: £4.21
Aqueous Cream x 100g A soothing cream for use on dry or chapped skin. Product description varies, may come in tube or jar. read more. Size: 100g Collect 2 points with this purchase!
£2.23 RRP: £3.12
Calmurid 100g Cream for Dry Skin Calmurid is an emollient, a product which moisturises dry skin and helps to restore normal elasticity.
Calmurid is used for dry, rough, scaly skin conditions such... read more. Size: 100g Collect 11 points with this purchase!
£11.44 RRP: £19.43
Calmurid 500g Cream for Dry Skin Conditions Calmurid is an emollient, a product which moisturises dry skin and helps to restore normal elasticity. Calmurid is used for dry, rough, scaly skin conditions such as eczema and r... read more. Size: 500 G Collect 44 points with this purchase!
£43.81 RRP: £74.47
Diprobase Cream x 500g Diprobase Cream is used as an emollient, moisturising and protective cream. It helps to soothe, smooth and hydrate the skin and prevent moisture loss.
read more. Size: 500g Collect 11 points with this purchase!
£11.28 RRP: £15.04
Diprobase Ointment 50g Diprobase is a mixture of liquid paraffin and white soft paraffin that produces a greasy moisturiser
read more. Size: 50g Collect 2 points with this purchase!
£2.22 RRP: £2.95
E45 Itch Relief Cream x 100g Rapidly treats itchy, irritated or inflamed skin caused by eczema, dermatitis, pruritus and other dry-skin conditions. read more. Size: 100 grams Collect 5 points with this purchase!
Emulsifying Ointment x 100g Emulsifying Ointment is used for very dry skin conditions, particularly eczema and dermatitis, which get worse when the skin is allowed to dry out. Used regularly they help restor... read more. Size: 100g Collect 2 points with this purchase!
£2.10 RRP: £5.10
Emulsifying Ointment x 500g Emulsifying Ointment is used for very dry skin conditions, particularly eczema and dermatitis, which get worse when the skin is allowed to dry out. Used regularly they help restor... read more. Size: 500g Collect 4 points with this purchase!
£3.85 RRP: £5.40
HC45 1% Hydrocortisone Cream Hc45 is an effective treatment that calms down itching, irritation and... read more. Size: 15 grams Max Quantity allowed to purchase: 2 Collect 4 points with this purchase!
£3.97 RRP: £5.56
Numark Hydrocortisone Cream 1% This cream offers fast, soothing and effective relief from irritation, inflammation and itching due to: Allergic skin reactions.
Other minor skin irritations including mild... read more. Size: 15g Max Quantity allowed to purchase: 2 Collect 2 points with this purchase!
Oilatum Scalp Treatment Shampoo x 150ml Oilatum Scalp Intensive Shampoo is used for the treatment of the itch, redness and the scales of sev... read more. Size: 150ml Collect 12 points with this purchase!
£11.52 RRP: £16.13
Oilatum Shower Gel Fragrance Free Oilatum Shower Gel Fragrance Free is a non foaming cleanser that gently soothes and conditions the skin. Helps moisturise and soothe dry and itchy skin. Leaves skin smooth and sup... read more. Size: 150g Collect 7 points with this purchase!
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