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Cold Weather and Eczema: How to Manage Flare-Ups

For those living with eczema, the arrival of colder weather can often signal the start of uncomfortable flare-ups. Low humidity, chilly winds, and indoor heating can all exacerbate dryness and irritation, making eczema symptoms more difficult to manage during the winter months. However, with a tailored approach to skin care and lifestyle, it’s possible to minimize discomfort and keep your skin healthy.

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By Dr. Daniel, MD

Why Does Cold Weather Worsen Eczema?

Eczema, or atopic dermatitis, is a chronic skin condition characterized by dryness, inflammation, and itching. Winter weather can worsen these symptoms due to:

  • Low Humidity: Cold air holds less moisture, drying out the skin.
  • Indoor Heating: Central heating further reduces indoor humidity, creating a dry environment for your skin.
  • Frequent Hot Showers: While comforting in winter, hot water strips the skin of natural oils, worsening dryness.
  • Thicker Fabrics: Wool and synthetic fabrics, often worn for warmth, can irritate sensitive skin.

Managing Eczema Flare-Ups in Winter

1. Moisturize More Often and with the Right Products

Keeping your skin hydrated is the cornerstone of eczema management in winter.

  • Use a thick, fragrance-free moisturizer or ointment immediately after showering to lock in moisture.
  • Look for products containing ceramides, hyaluronic acid, or glycerin to help restore the skin barrier.
  • Reapply moisturizer several times a day, especially to areas prone to dryness.

2. Avoid Triggers Specific to Winter

  • Clothing: Wear soft, breathable fabrics like cotton and avoid wool or rough materials that can irritate the skin.
  • Soaps and Detergents: Switch to mild, fragrance-free soaps and detergents to minimize irritation.
  • Allergens: Dust mites and indoor allergens can exacerbate eczema; regular cleaning can help reduce exposure.

3. Invest in a Humidifier

Low humidity is a significant factor in winter eczema flare-ups.

  • Use a humidifier in your bedroom or main living areas to maintain a humidity level of 40–60%.
  • Be sure to clean the humidifier regularly to prevent mold or bacteria growth.

4. Limit Hot Showers and Baths

While it’s tempting to warm up with a long, hot shower, this can worsen eczema symptoms.

  • Opt for lukewarm water and keep showers under 10 minutes.
  • Use a gentle, soap-free cleanser, and pat your skin dry with a soft towel—don’t rub.

5. Protect Your Skin from the Elements

Cold wind and dry air can irritate exposed skin.

  • Wear gloves to protect your hands and a scarf to shield your face.
  • Apply a thick, protective ointment to areas exposed to the elements, such as cheeks and lips.

6. Manage Stress Levels

Stress is a known trigger for eczema flare-ups.

  • Practice stress management techniques such as yoga, meditation, or deep breathing exercises.
  • Make time for hobbies or activities that help you relax.

7. Stay Hydrated from the Inside Out

While moisturizers help externally, drinking plenty of water supports skin hydration from within.

  • Aim for 8 glasses of water daily, and include hydrating foods like cucumbers, oranges, and leafy greens in your diet.

8. Follow a Gentle Skincare Routine

  • Avoid over-exfoliating, which can damage the skin barrier and worsen dryness.
  • Use products specifically designed for sensitive skin, and avoid those with alcohol, fragrance, or harsh chemicals.

Treatment Options for Eczema in Winter

1. Over-the-Counter Products

  • Hydrocortisone Creams: Can help reduce mild inflammation and itching during flare-ups.
  • Antihistamines: Oral antihistamines can relieve severe itching, especially at night.

2. Prescription Treatments

  • Topical Steroids: For more severe cases, a doctor may prescribe stronger steroid creams to reduce inflammation.
  • Calcineurin Inhibitors: Non-steroid creams like tacrolimus or pimecrolimus are effective for sensitive areas like the face or eyelids.
  • Phototherapy: For persistent or severe eczema, light therapy under medical supervision can help manage symptoms.

3. Emerging Treatments

  • Biologic Medications: Drugs like dupilumab (Dupixent) are a new class of targeted therapies for moderate to severe eczema that don’t respond to other treatments.

When to See a Doctor

If your eczema symptoms worsen significantly or don’t respond to your usual treatments, it’s time to consult a healthcare provider. Seek medical advice if you experience:

  • Severe itching or discomfort that disrupts sleep or daily activities
  • Signs of infection, such as redness, swelling, or oozing
  • Persistent or widespread flare-ups despite following a skincare routine

Final Thoughts

Managing eczema during winter can be challenging, but with proactive care and attention to your skin’s needs, you can minimize flare-ups and discomfort. Focus on maintaining a consistent skincare routine, avoiding common triggers, and seeking professional help when necessary.

Remember, eczema management is highly individualized—what works for one person may not work for another. If you’re struggling to find relief, don’t hesitate to reach out to a dermatologist for tailored advice and treatment options.

Stay warm and take care of your skin this winter!