Clinical Edge Journal Scan

Cimetidine shows promise as an adjuvant therapy for acute extrinsic atopic dermatitis


 

Key clinical point: Cimetidine at a dose of 25-40 mg/kg along with standard treatment reduced severity of acute extrinsic atopic dermatitis (AD) without any serious adverse events.

Major finding: The SCORing Atopic Dermatitis (SCORAD) and objective SCORAD scores improved significantly in the cimetidine vs. placebo group at week 2 (both P = .004) and continued to improve further at weeks 4 (both P = .001), 6 (both P < .001), and 8 (both P < .001) after treatment. At week 2, gastric discomfort was reported by 1 patient receiving cimetidine, which improved after treatment discontinuation.

Study details: Findings are from a phase 3 study including 26 patients aged 12-60 years with AD who had acute lesions and were randomly assigned to receive 25-40 mg/kg cimetidine daily or placebo, both in conjunction with standard AD treatment.

Disclosures: This study did not receive any funding. The authors declared no conflict of interests.

Source: Novianto E et al. Effectiveness of cimetidine as adjuvant therapy in the treatment of acute-extrinsic atopic dermatitis: A double-blind randomized controlled trial. Dermatol Ther (Heidelb). 2022 (Feb 17). Doi: 10.1007/s13555-022-00688-z

Recommended Reading

Managing overuse of food IgE panels: Multiple approaches needed
MDedge Dermatology
The Impact of Prenatal Nutrition on the Development of Atopic Dermatitis in Infancy and Childhood
MDedge Dermatology
Upadacitinib shows favorable long-term benefit-risk profile in moderate-to-severe atopic dermatitis
MDedge Dermatology
Moisturizer containing urea and glycerol shows skin barrier-strengthening effects in atopic dermatitis
MDedge Dermatology
Atopic dermatitis and serum lipids: What is the link?
MDedge Dermatology
Disease severity predicts persistent sleep disturbance from atopic dermatitis
MDedge Dermatology
Age and sex determine risk for acne in patients with atopic dermatitis
MDedge Dermatology
Atopic dermatitis: Dupilumab safe and effective in real world
MDedge Dermatology
Atopic dermatitis: Patients treated with dupilumab at higher risk of developing conjunctivitis
MDedge Dermatology
Caprylate and acetate levels in breast milk and infantile atopic dermatitis: Is there a link?
MDedge Dermatology