Better: In my experience, bar soaps — which contain little or no water and hence need fewer preservatives — are far less likely to irritate hands. I especially like moisturizing products, such as Aveeno, Cetaphil, Dove and Olay.
Also helpful: Gel cleaners are a good alternative. Alcohol-based gels with emollients are less irritating and allergy-provoking than soap, particularly for people who must clean their hands frequently (such as health-care providers and restaurant workers). Although rubbing alcohol can dry out skin when used alone, it is not drying when used in a gel with an emollient, such as aloe.
Moisturizer warning: Water-based liquid moisturizers also may contain preservatives that can dry and damage skin. Instead, use a waterless ointment, such as Vaseline or Aquaphor. Rub one-half teaspoon into hands before bed. Wearing cotton gloves over the ointment while you’re sleeping isn’t necessary if you use it sparingly, though doing so may help the moisturizer to soak in.
Infection control: If you do have eczema, proper cleansing and moisturizing is vital because germs can enter the bloodstream through cracks in the skin. Washing with bar soap or gel and applying ointment four times daily should smooth cracks within a few days. If eczema doesn’t improve, consult a dermatologist — he/she can prescribe a topical steroid ointment, such as triamcinolone.
