What medication is used for male perianal eczema?
Commonly used medications for male perianal eczema include tacrolimus ointment, calamine lotion, desonide cream, zinc oxide ointment, and loratadine tablets. The choice of medication should be based on the type and severity of eczema, following medical advice. If symptoms do not improve or worsen after one week of treatment, prompt medical consultation is recommended.
1. Tacrolimus Ointment: A non-hormonal medication that suppresses immune responses and relieves itching. It is suitable for mild to moderate perianal eczema, especially in cases of steroid dependence or sensitive areas, helping to reduce skin irritation and drug resistance.
2. Calamine Lotion: Provides astringent, anti-itch, and protective effects on the skin. It is ideal for acute perianal eczema with oozing and significant itching. Being gentle and non-irritating, it can be applied repeatedly to alleviate discomfort.

3. Desonide Cream: A low-potency corticosteroid with strong anti-inflammatory and anti-itch effects. It is effective for redness, swelling, itching, and papules during acute flare-ups of perianal eczema. Short-term, standardized use can rapidly control symptoms.
4. Zinc Oxide Ointment: Protects the skin barrier and reduces exudation. It is suitable for chronic perianal eczema or the later stages of the acute phase, helping to relieve dryness, scaling, and itching. It has a high safety profile for long-term use.
5. Loratadine Tablets: An oral antihistamine that alleviates itching by inhibiting histamine release. It is recommended for severe itching associated with perianal eczema that affects daily life and can be used in combination with topical treatments to enhance effectiveness.
Medications should be used according to instructions or medical guidance regarding dosage and duration. Avoid prolonged self-administration of corticosteroids. Maintain cleanliness and dryness of the perianal area, wear loose-fitting, breathable cotton underwear, avoid scratching or washing with hot water, and follow a light diet avoiding spicy and irritating foods.