my son started with steroid (same one as yr child) from under 2yrs up until 5 years old. starting daily at first but as eczema increased, needed twice daily.
His skin improved at 5yrs with once a day steroid and then just skin ointments like 50/50.
His daily routine under 5, steroid application morning and night. (before starting school full time) had 5 over over body moisturisers applied. 8 with a flare up.
diagnosed at 2yrs with dust mite / tree pollen allergy.
So dust mite prevention/ lowering amounts added in to routine and in change of household dust management.
prescribed at 2yrs nasal sprays which were meant for children age 12, but that is just a guidance. Rhinitis needed steroids to control is as it has huge impact on quality of life, including school, growth etc.
Prescribed eye drops for tree pollen season, again marked as for older children but immunologists advice followed for similar reasons as rhinitis.
6yrs Daily antihistamine, one marked as non sleep inducing but given at night so that side effect reduced. Given to help skin, but also to control all environmental allergies now developed. Dog allergy considered severe and potentially life threatening by 7. Also not asthmatic but given inhalers due to asthma response to dog dander.
Has had many many prescriptions for antibiotics, skin infections often after a chest or ear infection. General health poor due to lack of sleep, poor weight gain forms cycle pattern as part of being an allergic person. I dont worry at all about this, very rarely had them past 6yrs old.
Skin is at 18yrs is normal, apart from dry on legs.
Has skin dermographism but no real eczema or any skin damage from steroid application. We have always carefully followed the doctors guidance in this area.
Eczema using steroids has been used for years and the current guidelines on treating eczema has taken in to account the mistakes from my early childhood! I have skin damage from the use of my childhood prescriptions, very thin damaged skin on my hands.
The skin is the largest organ in the body, if it is covered in eczema it has a HUGE impact on health and quality of life. Its a serious concern if uncontrolled and infected.
Here are a few things I would suggest you do, take what seems most sensible to you and discard the rest all eczema seems to be different from person to person. That's why we dont have a cure!
If your sons health and education and quality of life is dropping because of eczema I would to back to gp and ask for a referral to hospital skin specialists.
I would ring the eczema society or ring allergy uk for advice.
I would use steroids as instructed and up the amount of times your child skin has 50/50 etc. 3x a day at least.
I would increase the amount of water drunk as people with eczema are always dehydrated.
I would use the antibiotics as prescribed.
I would ask gp or hospital docs for further testing in case any other environmental allergies have developed. (allergies dont always come in ones!)
I would be very careful about hygeine and skin care.
I would boil wash bedding.
l would soak clothes you cant boil wash in buckets of cold water and lots of salt to remove old dirty creams from clothes.
If I think of anything else I will post later.
hope this helps.