Compounding for Eczema

Custom dermatological compounds that are efficacious and economical.

Safe + Effective Compounding for Eczema

Safe + Effective Compounding for Eczema

Compounding allows you to meticulously personalize treatment solutions for your patients. From choosing the appropriate base, creating an all-in-one product, or removing allergens or toxic additives, we can provide a solution, even when all else has failed.

If you are a prescriber, and would like to request a catalog, please fill out the form below.

Eczema is a non-infectious cluster of conditions that causes inflamed, irritated, and often itchy skin. There are several types of eczema, including atopic dermatitis (AD), contact dermatitis, nummular eczema, and dyshidrotic eczema.

Childhood eczema is usually AD, typically presenting within the first five years and often going into remission. While it's possible to have it as an adult, few people develop it after their younger years. Symptoms range from excessively dry, itchy skin to painful, itchy rashes that interfere with everyday life. AD is very common, with 1 in 10 Americans suffering. There are many misconceptions surrounding AD. For instance, people often believe that you can cure it by finding the singular cause, such as a food or allergen, and eliminating it. However, years of research have proven that no one factor causes AD.

Contact dermatitis occurs when a substance irritates the skin or causes an allergic reaction. Symptoms include itchy skin, rash, and even blisters. To treat contact dermatitis, it is beneficial to identify the cause – which is a non-trivial challenge. More than 15,000 substances cause allergic reactions in the skin. Common examples are fragrance and nickel, which are both found in hundreds of products and everyday items. Additionally, some people develop a rash after sunlight hits their skin after prior exposure, making it particularly difficult to identify the true cause.

Dyshidrotic eczema, also known as pompholyx, causes tiny, itchy blisters on the hands and feet that may last three to four weeks. Some people never develop blisters again, while others suffer throughout their lifetime. Identifying what triggers the blisters (i.e., nickel, cobalt, stress, sweat, or rising temperatures) can help reduce flare-ups. There is currently no effective therapy.

Nummular eczema, also called nummular dermatitis or discoid eczema, is a chronic condition that causes itchy, coin-shaped spots to develop on the skin, varying in appearance from oozing clear fluid to dry and crusty. This condition often presents after a skin injury or insect bite and may be limited to one patch or extend to multiple patches lasting for several months. While there is no known cause of nummular eczema, it is common in people who have a tendency to develop allergies, asthma, atopic dermatitis, or generally have sensitive skin.

Neurodermatitis is a skin condition that presents with an itchy patch of skin. Scratching makes it even itchier, and the itch-scratch cycle causes the skin to become thick and leathery. Typically occurring on the neck, wrists, forearms, legs, and anal region, neurodermatitis is usually a lifelong condition and often occurs in tandem with chronic skin conditions, such as psoriasis.

Hand eczema is common. Patients may mistake hand eczema for dry skin, but unlike dry skin, at minimum, a good moisturizer is required to resolve it. For effective treatment, it is advised to identify the cause, which may be something as pedestrian as frequent hand washing. Hand eczema can cause:

  • Dry and chapped skin, patchy pigmentation (often red or dark brown)
  • Scaly and/or inflamed skin (including blisters that may itch)
  • Burning skin
  • Deep, painful cracks
  • Bleeding or weeping skin
  • Crust, pus, and pain

Stasis dermatitis is caused by poor blood flow back to the heart and develops when blood pools in the lower legs. Symptoms include:

  • Itching and redness on the inner ankles (often the first sign)
  • Swelling in lower legs or ankles
  • Blue or brown spots on the skin
  • Hard and swollen leg veins
  • Skin that feels rough, bumpy, thick, or scaly

In order to manage symptoms, patients can wear pressure stockings, elevate their legs, exercise regularly, maintain a healthy weight and diet, and work with their prescribers to find solutions. 1

Treatment plans for eczema often include skincare, trigger management, and medication or light therapy as needed. A topical cream can offer instant relief at the site of discomfort, allowing patients to apply a soothing therapy directly.

Identifying the trigger is just one component of eczema therapy. Regular bathing, moisturizing, and treatment of flare-ups are vital. The patient must be trained to both identify and avoid triggers. 2

The various types of eczema are typically caused by triggers such as: 3

  • Bacteria in the nose
  • Clothes: consider the material, tags, laundry detergent, and/or fabric softener
  • Dry skin
  • Food; consumption or contact
  • Saliva
  • Scratching
  • Sweating
  • Dust mites or pet dander (animal dandruff)
  • Humidity, dry air, or a sudden temperature change
  • Tobacco smoke
  • Pollen, mold, or pollution
  • Sunburn
  • Stress
Eczema Before and After
Eczema Before and After

Most people are able to control eczema with one or more topical medications. 4

  • Corticosteroids: The most common medication used for treating eczema, it can reduce inflammation, itch, and bacteria (S. aureus). Available in many strengths, ranging from low to potent, some corticosteroids have been approved to treat eczema in infants. For best results, advise the patient to take lukewarm baths and use eczema-friendly moisturizer.

  • Pimecrolimus Cream or Tacrolimus Ointment: Both pimecrolimus cream and tacrolimus ointment are Topical Calcineurin Inhibitors (TCIs) and may be prescribed if corticosteroids stop working or are not a good option. TCIs may be used in more sensitive areas (i.e., around the eyes) with corticosteroids used elsewhere. TCIs are “steroid-sparing,” as they avoid the possible side effects of corticosteroids, such as thinning skin. Results are best when they are used along with bathing, an eczema-friendly moisturizer, and trigger management.

  • Coal tar: Coal tar comes in many forms, including creams, gels, ointments, and bath solutions. A coal tar preparation can reduce inflammation (redness, swelling, heat), itch, and thickened skin.

Treatment Options Mild Atopic Dermatitis (AD) Moderate to Severe AD
Basic Treatment
  • Moisturizer

  • Trigger management

  • Education

  • Moisturizer

  • Trigger management

  • Education

Active Treatment & Compounded Solutions
  • Topical Calcineurin Inhibitors; including Cyclosporine oil and Amlodipine topical cream

  • Ketotifen/Cyanacobalamin topical cream

  • Anthralin/Coal Tar

  • Monteleukast/Ketotifen/Naltrexone

  • Sodium Pyrrolidone/Emu oil

  • Fluocinolone, specific to eczema that impacts the thickness and fullness of hair

Follow active treatment for mild AD along with wet dressing and infection control as needed. Systemic treatment includes:

  • Short-term steroids

  • Immunomodulatory drugs

  • Phototherapy

  • Allergen-specific immunotherapy

  • Biologics

Proactive Treatment
  • Intermittent Topical Calcineurin Inhibitors

  • Steroiods

  • Psychological support

Same treatment as for Mild AD.

Adjunctive Treatment
  • Evening primrose oil

  • Probiotics/Prebiotics

  • Vitamin D

Same treatment as for Mild AD.


VLS Pharmacy & New Drug Loft customize formulas tailored to clinical treatment plans. Our pharmacists work with prescribers to choose safe, well-studied and efficacious compounded solutions for patients struggling with a wide variety of eczema presentations. More often than not, a topical formula is utilized as an essential part of care and to provide instant relief from discomfort.

Please note: information on this site is not intended as medical advice and the medications listed are not specific to any individual. The content is intended to inform as to what may be possible. Listed medications and/or compounded formulas are not necessarily those compounded at VLS Pharmacy & New Drug Loft . Please speak with your prescribing clinician about your specific needs.

NDL NDL

LICENSES, AFFILIATIONS & ACCREDITATIONS

We commit to an extremely high level of accreditation and licensing in the industry.

NDL
NDL
NDL
NDL
NDL
NDL
NDL
NDL*Only VLS Pharmacy holds this credential.
NDL
NDL
NDL
NDL
BBB

As a 503A pharmacy, VLS Pharmacy* is committed to providing high-quality formulations of sterile and non-sterile compounded medications to you and your patients. Thanks to rigorous testing measures, we guarantee the safety, stability, purity, sterility, and quality of each formulation from preparation to administration. We use high-quality, active pharmaceutical ingredients sourced directly from PCCA, the leader of superior-quality APIs. Additionally, our pharmacy network meets USP <795> non-sterile standards and USP <797> sterile compounding guidelines. We’re also proud to host one of the first pharmaceutical labs built to USP <800> standards for handling hazardous drugs.

All of our medications undergo third-party potency and stability testing, and we complete high-sensitivity rapid endotoxin detection on-site. These measures allow for shorter delivery times to the patient without compromising our product quality. Because we source all of our active ingredients from PCCA, we also promise an additional level of pre-formulation testing, as PCCA ingredients undergo 14 high-level checks and reviews in order to pass inspection.

*New Drug Loft is also a 503A compounding pharmacy but specializes in strictly non-sterile compounding and therefore abides by USP <795> only.

For almost three decades, our team has been committed to serving our network of physicians and patients. We appreciate the opportunity to share our expertise as we develop advanced compounded formulations for those who need and want more than what is commercially available. We work hard to achieve excellence in all areas of our business -- from investment and advancement to personalized customer service and rigorous in-house and third-party safety testing and quality assurance. We are proud to prove the best, individualized medical solutions, compounded as needed.

Our 503A pharmacy network specializes in providing custom-made sterile and non-sterile compounded medications to physicians and patients across the country. Each prescription is crafted and delivered with a commitment to the highest level of quality, safety and service.

For more information about VLS Pharmacy, click here.

Please note: information on this site is not intended as medical advice and the medications listed are not specific to any individual. The content is intended to inform as to what may be possible. Listed medications and/or compounded formulas are not necessarily those compounded at VLS Pharmacy & New Drug Loft . Please speak with your prescribing clinician about your specific needs.

NDL NDL

LICENSES, AFFILIATIONS & ACCREDITATIONS

We commit to an extremely high level of accreditation and licensing in the industry.

NDL
NDL
NDL
NDL
NDL
NDL
NDL
NDL*Only VLS Pharmacy holds this credential.
NDL
NDL
NDL
NDL
BBB

As a 503A pharmacy, VLS Pharmacy* is committed to providing high-quality formulations of sterile and non-sterile compounded medications to you and your patients. Thanks to rigorous testing measures, we guarantee the safety, stability, purity, sterility, and quality of each formulation from preparation to administration. We use high-quality, active pharmaceutical ingredients sourced directly from PCCA, the leader of superior-quality APIs. Additionally, our pharmacy network meets USP <795> non-sterile standards and USP <797> sterile compounding guidelines. We’re also proud to host one of the first pharmaceutical labs built to USP <800> standards for handling hazardous drugs.

All of our medications undergo third-party potency and stability testing, and we complete high-sensitivity rapid endotoxin detection on-site. These measures allow for shorter delivery times to the patient without compromising our product quality. Because we source all of our active ingredients from PCCA, we also promise an additional level of pre-formulation testing, as PCCA ingredients undergo 14 high-level checks and reviews in order to pass inspection.

*New Drug Loft is also a 503A compounding pharmacy but specializes in strictly non-sterile compounding and therefore abides by USP <795> only.

For almost three decades, our team has been committed to serving our network of physicians and patients. We appreciate the opportunity to share our expertise as we develop advanced compounded formulations for those who need and want more than what is commercially available. We work hard to achieve excellence in all areas of our business -- from investment and advancement to personalized customer service and rigorous in-house and third-party safety testing and quality assurance. We are proud to prove the best, individualized medical solutions, compounded as needed.

Our 503A pharmacy network specializes in providing custom-made sterile and non-sterile compounded medications to physicians and patients across the country. Each prescription is crafted and delivered with a commitment to the highest level of quality, safety and service.

For more information about VLS Pharmacy, click here.