Individuals with atopic dermatitis or eczema must be cautious when selecting skincare products. Many formulations contain ingredients that can worsen symptoms, leading to irritation, dryness, and flare-ups. The National Eczema Association (NEA) Ecz-clusion List identifies substances known to trigger eczema reactions. It is essential to review product labels carefully and avoid the following ingredients:
Fragrances, whether synthetic or natural, are common triggers for eczema flares. Even products labeled “unscented” may contain masking fragrances that can irritate sensitive skin. Selecting fragrance-free formulations is recommended.
Certain preservatives used in skincare and personal care products release formaldehyde, a known irritant and allergen. Ingredients such as quaternium-15, DMDM hydantoin, imidazolidinyl urea, and diazolidinyl urea should be avoided.
Derived from sheep’s wool; lanolin is often used as a moisturizing agent but can cause allergic reactions in individuals with eczema. Petrolatum-based emollients or ceramide-rich formulations may be preferable alternatives.
Common chemical UV absorbers such as oxybenzone, avobenzone, and octinoxate may irritate eczema-prone skin. Mineral-based sunscreens containing zinc oxide or titanium dioxide are recommended for individuals with sensitive skin.
Frequently used as a humectant in skincare products, propylene glycol can cause irritation, redness, and burning in those with eczema. Glycerin or hyaluronic acid-based alternatives are typically better tolerated.
Ethanol and alcohol-based products can strip moisture from the skin, further compromising the skin barrier. Opting for creams and ointments containing shea butter, ceramides, or petrolatum can help maintain hydration.
Guidelines for Selecting Eczema-Safe Products
• Choose products that have received the National Eczema Association’s Seal of Acceptance™, as they have been tested and approved for eczema-prone skin.
• Carefully review ingredient lists, as some products marketed as “gentle” or “dermatologist-approved” may still contain irritants.
• Conduct a patch test before using new products to assess skin sensitivity.
For a comprehensive list of ingredients to avoid, visit the National Eczema Association’s Ecz-clusion List at: https://nationaleczema.org/eczema-products/the-ecz-clusion-list/
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