Eczema is an increasingly common chronic skin condition affecting both children and adults in Singapore. Also called atopic dermatitis, eczema causes inflamed, itchy, and scaly skin, which can significantly impact daily life. The year-round heat and humidity in Singapore make effective management especially important. This article, written by an experienced dermatologist in Singapore, will outline modern eczema treatment options available here, highlighting what really works, and referencing medical guidelines and current research.
Eczema rates are high in Singapore: community studies estimate that up to 20% of children and about 11% of adults are affected. The prevalence is rising, with the National Skin Centre handling more than 14,000 new eczema cases in a year. Factors contributing to high rates include:
The foundation of eczema treatment in Singapore centers on a combination of daily routines and lifestyle modifications:
1. Moisturisation
Daily, generous use of fragrance-free moisturisers (emollients) restores the skin barrier, decreases itch, and prevents flares. Apply after bathing and throughout the day as needed.
2. Avoiding irritants
Identify and avoid triggers such as harsh soaps, sweat, dust, and certain fabrics. Soft, cotton clothing is preferred.
3. Gentle cleansing
Use mild, soap-free cleansers and take short, lukewarm showers. Pat skin dry and moisturise promptly.
4. Environmental controls
Reduce house dust mites by washing bedding regularly in hot water and minimising carpets or stuffed toys.
Key takeaway:
Consistent basic care is essential, even if medications are prescribed. Many people find this routine alone provides significant relief for mild cases.
When eczema is moderate to severe, or fails to respond to lifestyle changes, an eczema specialist will recommend one or more of these evidence-based medical therapies.
1. Topical steroids
These are the mainstay for controlling inflammation. Mild creams are used for the face and stronger ointments for thicker skin or severe cases. Use is guided by a dermatologist to avoid long-term side effects, like thinning of the skin.
2. Topical non-steroidal creams
These include calcineurin inhibitors such as tacrolimus and pimecrolimus, and a newer PDE-4 inhibitor called crisaborole. These non-steroidal creams are especially helpful for sensitive areas or when steroid use needs to be limited.
3. Antihistamines
Oral antihistamines can help relieve severe itch but are not a primary treatment for inflammation.
4. Phototherapy
Ultraviolet (UV) light treatments may be used for widespread or chronic eczema that does not respond to topical therapies. This is offered in specialist clinics and requires regular visits.
5. Oral immunosuppressants
Medications such as ciclosporin, methotrexate, and azathioprine are used in resistant, moderate-to-severe cases. These require close specialist supervision and lab monitoring.
In recent years, new therapies have been added for difficult-to-treat eczema. Singapore dermatology guidelines now include options such as:
1. Biologics: Dupilumab, Lebrikizumab
2. Janus Kinase (JAK) Inhibitors
Key takeaway:
See an eczema specialist or a dermatologist for assessment and discussion about advanced therapies. New options offer hope for those not responding to traditional strategies.
Eczema treatment in Singapore is evolving rapidly, with proven strategies ranging from basic skincare and topical therapies to advanced medications like biologics and JAK inhibitors. A close relationship with a dermatologist or an eczema specialist will help tailor the right plan for you, maximising effectiveness while minimising side effects and cost. Newer options provide hope for those struggling with severe eczema, helping restore quality of life in Singapore’s challenging climate.
If you’re ready to take control of your eczema and find lasting relief, book an appointment with TSN Dermatology Skin Specialist Clinic today. Our experienced dermatologists offer tailored eczema treatment plans designed to soothe your skin and improve your quality of life.
Eczema. SingHealth. (n.d.). https://www.singhealth.com.sg/symptoms-treatments/eczema
Yew, Y. W., Alagappan, U., Aw, D., Chandran, N. S., Choo, K. J., Chu, R., Koh, H. Y., Koh, M. J. A., Lee, S. X., Neoh, C. Y., Tan, S. L., Tang, M., Tay, Y. K., Francis-Graham, S., Lim, A., & Lee, H. Y. (2024). Updated consensus guidelines for management of moderate-to-severe atopic dermatitis in Singapore: Integrating biologics, Janus kinase inhibitors and conventional therapies. Annals of the Academy of Medicine, Singapore, 53(11), 670–682. https://doi.org/10.47102/annals-acadmedsg.2024158
Teo, J. (2024, December 16). Singapore seeing more cases of moderate to severe eczema. The Straits Times. https://www.straitstimes.com/singapore/health/singapore-seeing-more-cases-of-moderate-to-severe-eczema
Abrocitinib, baricitinib, upadacitinib and dupilumab for treating atopic dermatitis. Agency for Care Effectiveness. (n.d.). https://www.ace-hta.gov.sg/healthcare-professionals/ace-technology-guidances/drug-guidance/abrocitinib-baricitinib-upadacitinib-and-dupilumab-for-treating-atopic-dermatitis/
Crisaborole ointment for treating atopic dermatitis. Agency for Care Effectiveness. (n.d.-b). https://www.ace-hta.gov.sg/healthcare-professionals/ace-technology-guidances/drug-guidance/crisaborole-ointment-for-treating-atopic-dermatitis/
New Drug Indication approval – April 2025. HSA. (n.d.). https://www.hsa.gov.sg/announcements/new-drug-indication-approvals/new-drug-indication-approval—april-2025
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