{ "schema_version": 1, "kind": "condition", "id": "atopic-eczema-childhood", "name": "Atopic Eczema in Children", "category": "chronic", "sources": "NICE Guideline CG57 Atopic Eczema in Under 12s 2007 · Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103) · No labelled dose - emollient applied liberally and as often as needed, to effect", "review_status": "reviewed", "verified_against": "No labelled dose - emollient applied liberally and as often as needed, to effect · Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103)", "verified_date": "2026-08", "treatments": [ { "id": 226, "generic": "Liquid paraffin", "line": 1, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply emollients liberally to all affected areas at least 2-3 times daily", "adult_duration": "long-term continuous maintenance", "dose_source": "No labelled dose - emollient applied liberally and as often as needed, to effect", "rationale": "Emollient mixtures (liquid/white soft paraffin) serve as foundation of skin barrier repair in eczema.", "cautions": [ "Emollients are the cornerstone of management; continue even when skin is clear.", "Warn about fire hazard when fabric comes into contact with paraffin-based products.", "Use soap substitutes rather than standard soaps." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Apply liberally and frequently (at least 250-500g weekly) in direction of hair growth", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "ADCOCARE CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARAB DRUG COMPANY (ADCO)", "price_egp": 12.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "glyceryl monostearate, propylene glycol, urea" }, { "trade_name": "DERMOLAN CREAM 50 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "HI-CARE > EMICO PHARMA", "price_egp": 19.0, "pack_count": null, "unit_price": null, "strength_mg": 50000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "allantoin, glycerol, glycolic acid, panthenol, salicylic acid, urea, vitamin c, zinc oxide" }, { "trade_name": "ADCOCARE CREAM 40 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARAB DRUG COMPANY (ADCO)", "price_egp": 21.75, "pack_count": null, "unit_price": null, "strength_mg": 40000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "glyceryl monostearate, propylene glycol, urea" }, { "trade_name": "CARE MIX PLUS HAIR CREAM 50 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "VITA PHARM > CARE MIX", "price_egp": 29.5, "pack_count": null, "unit_price": null, "strength_mg": 50000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "cetostearyl alcohol, lanolin, panthenol, wheat protein, white soft paraffin" }, { "trade_name": "PROPOLIS CREAM 15 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "LUNA FOR PERFUMES AND COSMETICS > TECHNOMED GROUP", "price_egp": 30.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "cera alba, glycerin, propolis" }, { "trade_name": "PROPOLIS CREAM 30 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "LUNA FOR PERFUMES AND COSMETICS > TECHNOMED GROUP", "price_egp": 55.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "cera alba, glycerin, propolis" }, { "trade_name": "HEALTHPOINT NAPPY CREAM 100 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "HEALTHPOINT LTD. > PAXTON", "price_egp": 70.0, "pack_count": null, "unit_price": null, "strength_mg": 100000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "benzyl alcohol, cetearyl alcohol, glyceryl stearate, lanolin, peg-100 s, water, zinc oxide" }, { "trade_name": "HERCUL WHITENING CREAM 60 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "LEADER FOR COSMETICS > JUNIER PHARMA", "price_egp": 74.75, "pack_count": null, "unit_price": null, "strength_mg": 60000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "alpha arbutin, diemthicone, glycerin, licorice ext, octyl methoxy, titanium dioxide, vit.c" } ], "condition_id": "atopic-eczema-childhood" }, { "id": 227, "generic": "Hydrocortisone", "line": 2, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "To be applied sparingly to the affected skin two or three times daily", "adult_duration": "Courses of treatment in children should generally be limited to not more than seven to ten days.", "dose_source": "Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103)", "rationale": "Low-potency topical corticosteroid used to settle the inflammation of an active eczema flare; applied after emollient, and stopped once the flare resolves rather than continued indefinitely.", "cautions": [ "Apply steroid 15-30 minutes after emollient.", "Stop topical steroid once flare resolves.", "Watch for secondary bacterial infection (crusting, weeping, pustules) requiring oral flucloxacillin.", "Limit a course in a child to 7-10 days, and remember the face and scalp absorb far more than limb skin.", "Hydrocortisone Cream is contra-indicated in patients with bacterial, viral or fungal infections of the skin, urticaria, rosacea, ulcers and local infection.", "Hydrocortisone Cream is contra-indicated in patients with bacterial, viral or fungal infections of the skin. Urticaria, rosacea, ulcers and local infection are also contra-indications." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Prolonged use in infants and children and on the face should be avoided.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "NOVACORTIN 1% CREAM 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 4.75, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NOVACORTIN 1% OINT. 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 4.75, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MICORT 1% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 12.5, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "HYDROCORTISONE 1% OINT. 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 21.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "atopic-eczema-childhood" } ] }