From the Guidelines
Atopic dermatitis can be managed with herbs such as evening primrose oil, chamomile, aloe vera gel, coconut oil, calendula cream, and oatmeal, which reduce inflammation, provide moisture, and create a protective barrier on the skin. These herbs can be used in conjunction with conventional treatments, but it is essential to patch test any new remedy first to avoid allergic reactions in sensitive individuals 1. The use of these herbs is supported by various studies, including a 2014 guideline that discusses the effectiveness of dietary interventions such as evening primrose oil and other supplements for the treatment of atopic dermatitis 1. However, it is crucial to note that severe cases of atopic dermatitis should always be managed under medical supervision, and these natural remedies should complement, not replace, conventional treatments.
Some of the key herbs that can be used to manage atopic dermatitis symptoms include:
- Evening primrose oil, which contains gamma-linolenic acid and can reduce inflammation when applied topically or taken orally (500-1300mg daily)
- Chamomile, which has anti-inflammatory properties and can be used as a cream or in bath water
- Aloe vera gel, which provides cooling relief and moisturization when applied directly to affected areas 2-3 times daily
- Coconut oil, which offers antimicrobial and moisturizing benefits when used as a natural moisturizer
- Calendula cream, which can soothe irritation and promote healing
- Oatmeal, which can be used in bath form or as colloidal oatmeal cream to relieve itching and inflammation
It is essential to consult with a healthcare professional before using any new remedies, especially if you have a severe case of atopic dermatitis or are taking other medications. The 2024 guidelines for the management of atopic dermatitis in adults with phototherapy and systemic therapies emphasize the importance of shared decision-making between patients and clinicians, taking into account the severity of the disease, its impact on the patient, and the efficacy, safety, and accessibility of available interventions 1.
From the Research
Useful Herbs for Atopic Dermatitis
- Aloe vera is widely used in the treatment of skin disorders, including atopic dermatitis, due to its moisturizing and anti-inflammatory effects 2
- Aloe ferox has been shown to be superior to Aloe vera in reducing IgE levels in a mouse model of atopic dermatitis 2
- Oral administration of Aloe polysaccharide has been found to ameliorate ovalbumin-induced atopic dermatitis by restoring tight junctions in skin 3
Other Alternative Treatments
- Vitamin E, East Indian Sandalwood Oil (EISO), melatonin, L-histidine, and Manuka honey have shown positive clinical effects in preliminary studies, but more research is needed to recommend their use in AD therapy 4
- Topical noncorticosteroid immunomodulators, such as tacrolimus and pimecrolimus, have been found to be effective in treating atopic dermatitis, with fewer suppressive effects on connective tissue cells compared to corticosteroids 5, 6
Treatment Options
- Topical corticosteroids are the first-line treatment for atopic dermatitis flare-ups, but long-term use can have suppressive effects on connective tissue cells 5, 6
- Ultraviolet phototherapy is a safe and effective treatment for moderate to severe atopic dermatitis when first-line treatments are not adequate 5
- Antistaphylococcal antibiotics are effective in treating secondary skin infections 5