Following the success we have had using probiotic creams for my daughters eczema a number of people have decided to give it a try. I can’t promise that everyone will have the same results but if you use the same protocol as I did then your chances of it working are better. I will keep the protocol simple and add explanations as to why it is important at the end.
The creams that I tried are La Roche Posay Lipikar Baume AP + which contains the thermal spring bacteria Vitreoscilla Filliformis and Avene Xeracalm AD which contains thermal spring bacteria Aquaphilus Dolomaiae. I found the La Roche Posay the better cream but it does sting at first for some people.
If you want to see the results of the probiotic creams that I tried then view my blog Millies Probiotic Cream Trial
Protocol is as follows:-
- Use emollient as many times a day as your dermatologist has instructed but replace two of the applications with the probiotic cream
- Do not use any emollients containing anti microbials or antiseptics 1
- Do not use any bath additives that contain anti microbials or antiseptics (e.g. dermol, bleach baths) 1
- Try to start off with skin as clear as possible using your prescribed steroid.2
- In the first 10-15 days you may continue to see the usual pattern of eczema. Continue using steroids as advised by your dermatologist in addition to the probiotic cream 3.
- Other than the steroid, the emollient and the probiotic cream do not use any other creams (e.g. zinc creams)
- Around the 10 day mark you may see a change in the pattern of eczema. This is the vital point at which a difficult decision has to be made. Watch the eczema for 24 hours without applying steroid. If it has not got any worse and is not spreading just continue with the probiotic cream and emollient but no steroid. If the probiotic cream is working you should see the eczema reduce and even disappear in 24 to 48 hours. If it looks like the eczema is getting worse and spreading apply the steroid cream and try the same again with the next flare. Be patient and don’t rush the stopping of steroids.
- You should see reduced itching in approx. 15 days and improved eczema in 30 days.
These creams will not stop eczema appearing but I believe they reduce inflammation and stop the staph spreading the eczema and steroid rebound.5
- This is because antispeptics and anti microbials will kill the good bacteria
- This is because the steroid will reduce the amount of staph. Also the Lipikar can sting and these creams are not meant to be used on broken skin. The Lipikar might sting even clear looking skin. This is a difficult decision to continue using it. I persevered despite my daughters protest and Im glad I did. The eczema is now better than ever. She is off steroids and after 10 days the Lipikar did not sting anymore because her skin was so good.
- The battle between the staph and the probiotic bacteria takes time so be patient. 90% of eczema patients have staph. As staph makes eczema more severe you should see a change in the pattern when the staph is reduced by the probiotic. We used to get a rebound flare that spreads quickly 3 days after using steroid.We would have to use steroid again or it would spread like wildfire in 24 hours. When we did not see the flare on day 3 (post steroid) we stopped using steroid and watched it closely. Although we saw more eczema patches appear several days later when watched for 24 hours it did not spread like previously and went back down in a day or two. We never had to use steroids again.
- We actually saw an improvement in less time than this but these are the results seen in clinical trials on the creams that I mentioned.
- There is no cure for eczema. Atopic Dermatitis means allergic skin inflammation so you will still get these flares due to environmental triggers, food allergies etc. But the bacteria will stop staph being the dominant bacteria on the skin and they also have inflammation reducing properties. This could mean the difference between having severe or mild eczema. It did for us.