Treating Eczema Flare-Ups: Using Steroid Creams Safely

 

Key Information

  • Regaining Control: When your eczema flares up (becoming red, inflamed, and very itchy), moisturisers alone may not be enough. You may need a steroid cream or ointment to calm the inflammation.
  • Safety Assurance: Many people worry about using steroids. However, when used correctly for short periods to control a flare-up, they are safe and are the most effective treatment available.
  • The Goal: To calm the inflammation so you can return to your normal routine of using just your moisturiser (emollient).
 

The "Fingertip Unit": Getting the Dosage Right

The key to safe use is applying the right amount. We measure this using the Fingertip Unit (FTU).

  • The Measurement: One FTU is the amount of cream squeezed from the tube onto the tip of your index finger, from the very tip down to the first crease.
  • The Coverage: This single unit is the right amount to treat an area of skin roughly twice the size of your palm.

Using this guide helps ensure you are using a safe and effective amount — neither too little nor too much.

 

How to Apply

  • Target the Inflammation: Apply the cream only to red, inflamed, and itchy areas. Do not apply it to healthy skin.
  • Thin Layer: Smooth a thin layer gently into the skin, just enough to make it glisten (usually once a day).
  • The 30-Minute Gap: Continue using your regular emollient all over your body, but wait about 30 minutes after applying the steroid before applying your moisturiser. This allows the steroid to be fully absorbed.
  • Know When to Stop: Use the cream daily until the inflammation has completely settled. Once the skin is no longer red or itchy and feels smooth, stop the steroid and return to using only your emollient.
 

When to Seek Help

If a flare-up is not improving after one week, or if the skin starts to weep or crust over (which can be signs of infection), please contact us.

 

Further Information

For more information on how to use steroid creams safely and effectively, please visit the NHS website.

 

Last reviewed: 21 March 2026
Next review due: 21 March 2029