Updated by Stuart Millar
Some SmartLotion® users have reported that SmartLotion® is helping a little, but not enough.
This can be caused by the following potential issues:
1) Not enough moisturizing
Dr. Harlan says that the #1 reason his eczema patients aren't successful in their recovery is they do not moisturize enough. He instructs his eczema patients that they must moisturize at a minimum of 2x per day whether a flare-up is present or not.
2) Not enough SmartLotion® applications
In most cases, for facial rashes, Dr. Harlan recommends only 2x per day applications of SmartLotion® for up to 2 weeks. For atopic dermatitis (eczema), Dr. Harlan recommends 2x to 4x daily for up to 4 weeks for the face, and 4x per day for up to 4 weeks for the body.
Sometimes, the patient simply isn't applying SmartLotion® enough.
3) Needs prescription treatment for initial control
If Dr. Harlan has an atopic dermatitis patient with severe, thick eczema, he typically will prescribe something for initial control. Then, after the flare-up is clear, have them switch to SmartLotion® for maintenance and management.
4) Not enough time
Although many see dramatic improvements right away, it can take up to 4 weeks for a rash to show progress.
5) Rash is clear, but redness is still persistent.
This could be a number of issues, see the solution to 5) below.
6) Eczema is clear, but left behind dark spots (known as hyperpigmentation).
2) If a patient is not applying SmartLotion® enough, Dr. Harlan will recommend that they properly follow his instructions.
3) Dr. Harlan recommends that anyone who wants to use SmartLotion® should first see their dermatologist for diagnosis and supervision. A dermatologist will be able to determine if prescription treatment is needed.
4) Give it more time, follow the directions to the best of your ability. SmartLotion® is much softer than a prescription treatment (by design) so it can take much longer to work.
6) Read the article in our knowledgebase on hyperpigmentation.