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Systemic Treatment for Eczema

🔑 Keywords: 皮肤 · 湿疹类
1. Antihistamines: e.g., Chlorpheniramine 4mg, three times daily orally; Cyproheptadine 2–4mg, three times daily orally; Loratadine 10mg, once daily orally, etc.
2. Sedative Anti-Itch Agents: For patients with mental disorders or poor sleep, chlorpromazine 12.5–50mg, three times daily orally; Perphenazine 8mg daily, divided into 1–2 doses orally; Meprobamate 0.2–0.6g, three times daily orally; 10% chloral hydrate 5–10ml diluted with water 1–2 times, taken orally half an hour before bedtime. Note: These drugs may rarely cause allergic reactions; thus, medical history must be carefully reviewed prior to use.
3. Calcium Preparations: e.g., 10% calcium gluconate injection 10ml, diluted with equal volume of glucose solution, intravenous slow injection, once daily or every other day.
4. Intravenous Block Therapy: 0.25% procaine 10–20ml mixed with vitamin C 1–2g, intravenous injection, once daily or every other day, 10 sessions constitute one course.
5. Vitamin Supplements: e.g., Vitamin C 0.2g, three times daily orally; Vitamin B12 0.2mg, three times daily orally; Vitamin B6 20mg, three times daily orally.
6. Corticosteroid Hormones: Reserved for extensive skin lesions with acute inflammation unresponsive to previous treatments. Oral prednisone 5–20mg per dose, 3–4 times daily.
7. Histamine Globulin Injection: A preparation made by mixing hydrochloric histamine and gamma globulin. Each 2ml contains 0.15–0.2mg hydrochloric histamine and 12mg gamma globulin. Adults receive subcutaneous injection of 2ml every 3–4 days; children under 5 years old receive 1ml, one course consists of 3–6 injections.
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