Episode 192

Managing Eczema Effectively: Non-Pharmacological and Pharmacological Treatments with Dr Ian Coulson

Join your host Dr Krystyna de Lange for this episode of The Good GP Podcast, featuring Dr Ian Coulson, a consultant dermatologist from the United Kingdom and editor-in-chief of DermNet. This is part two of a two-part series on eczema, produced in collaboration with DermNet.

Dr Coulson outlines essential non-pharmacological management techniques for eczema, emphasising the importance of using emollients correctly. He introduces the concept of GTBR (Get the Basics Right) to ensure that these steps are followed closely. Providing insights into selecting the correct type of emollient based on individual patient needs and preferences. 

Moving to the pharmacological management of eczema, Dr Coulson explains the appropriate use of topical corticosteroids. He offers practical advice on choosing the right potency and type of corticosteroid, and the concept of weekend treatment to maintain control. He also touches on the importance of avoiding steroid overuse and educates on steroid withdrawal syndrome.


For cases where eczema is more severe or unmanageable, Dr Coulson discusses advanced treatment options like phototherapy and systemic agents like cyclosporine, azathioprine, and methotrexate. 


Dr Coulson's emphasis on a holistic approach—combining both baselines with advanced treatments—could help GPs with practical strategies to manage eczema more effectively in their practice.


Check put this reel from this episode here: https://drive.google.com/file/d/1E-8nUEpaPxvFgOKFG_5HYxZAsLg1K9LH/view?usp=drive_link


The Good GP is proud to collaborate with DermNet on this podcast. In early 2025 DermNet is launching a new platform designed specifically for healthcare professionals called DermNet PRO. It features a new search tool, the ability to save pages, and access a host of volunteer opportunities. It’s 100% free and coming in early 2025. Join the waitlist now: (https://pro.dermnetnz.org/).


The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network


If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

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About the Podcast

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The Good GP
The Good GP, the education podcast for busy GPs

About your hosts

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Tim Koh

Dr Tim Koh is a Perth-based GP with over 20 years of experience and a strong focus on GP education and evidence-based practice. He provides practical insights and advice on key topics in primary care.
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Krystyna de Lange

Dr Krystyna de Lange is a GP with nine years of experience, specialising in Aboriginal and Torres Strait Islander health, women’s health, and chronic disease management. She delivers practical insights and fosters engaging discussions on essential health topics.
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Sean Stevens

Dr Sean Stevens is a GP with 27 years of experience, recognised for his expertise in medical education and innovation. He has contributed to over 60 episodes, sharing valuable insights to promote quality care in general practice.