I use zantac/zyrtec combo that controls histamine release (150mg of zantac twice a day, 20 mg of zyrtec once a day), controls the itch pretty well and I use topical dexamethasone when it gets truly out of hand though I use it as little as possible as it's made with rubbing alcohol.
Here's a pic of what the eczema looks like on my face:
Spots on my head:
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