Wet Wraps for Eczema

Wet wraps are a simple treatment method used in the management of skin inflammation in eczema and other skin disorders. It is useful for both adults and children.

What does it involve?

The three components of wet wraps are

  1. A layer of moisturiser or medicated ointment

  2. A damp, wet layer of bandages or clothing over this

  3. A final layer of dry layer of bandages or clothing

How does it work?

Wet wraps can help skin inflammation in several ways:

  • Improving the absorption of topical medications and moisturiser

  • Providing increased hydration

  • Reducing itch and soothing the skin

  • Protecting the skin from further scratching

What do I need?

  • A thick moisturiser (such as dermeze ointment, QV intensive ointment with ceramides)

  • A topical steroid (such as advantan fatty ointment (also known as Methylprednisolone Aceponate ointment 0.1% or brand name supriad ointment) or diprosone ointment (also called Betamethasone Dipropionate 0.05% ointment or the brand name eleuphrat ointment)

  • Warm water in a bucket/wash basin

  • Two layers of elasticated bandages (such as Tubifast, Threlaco or Comfitfast Multistretch) or cotton garments such as tight-fitting leggings, long-sleeve tops or onesies, or cotton pyjamas.

Step-by-step Instructions

  1. After bathing, pat the skin dry gently

  2. Apply prescribed topical steroid to all active eczema

  3. Apply moisturiser to the whole body, everywhere else

  4. Prepare Wet Layer

    • Ensure you have the appropriate-sized elasticated tubular bandages or clothing garments

    • Soak bandages or garments in warm water (a cap of QV bath oil can be added to the water).

    • Wring out until damp (not dripping).

    • Apply over moisturisers and topical steroids

  5. Add a Dry Layer

    • Place dry clothing layer (such as regular pyjamas) over the top

  6. Leave on overnight, or if using in the day leave on until both layers are dry (aboiut 2-4 hours)

Tips:

  • Use wet wraps up to 1-2 times daily during severe flares, or once or twice a week for maintenance

  • Always wash wraps or garments between uses. Aim to have a number of sets to use to minimise washing

  • Gloves and socks can be used for the hands and feet

Two boys playing, wearing Threlaco wet wraps

Where do I buy everything?

While it seems like a lot, the main components of wet wrap therapy is:

  • An appropriate moisturiser

  • At least two pairs of skin-hugging clothing that can be applied over the affected area (one wet and one dry)

You may have everything you need at home already. If not, there are a number of options to purchase what you need:

  • Moisturisers can be bought at any pharmacist (such as Chemist Warehouse, Terry White, or Priceline, or online stores like Amazon or The Allergy Shop.

  • Topical steroids will require a prescription from your general practitioner or dermatologist and can be acquired at any pharmacist.

  • If you don’t have a bucket or wash basin, you can just use your clean bathroom sink, or you can buy a bucket or wash basin at Bunnings, Kmart, the Reject Shop or anywhere similar.

  • Elasticated bandages can be bought at some pharmacists, or can be bought online. Here are some options for brands that include Tubifast, Threlaco and Comfifast.

  • Tight-fitting clothing (leggings, long-sleeve tops or onesies) can be used instead of elasticated bandages and you may find these easier to use. Look for plain, light colours, and cotton or bamboo fabrics.