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Go see a dermatologist.
A few years ago I would get patches on the back of my hand that would itch and have tiny blisters. They were persistent and over the counter ointments weren't helping. Finally went to a dermatologist when they got unbearable. The first one I went to prescribed an ointment that sorta worked, but not that great. Ended up going to a second dermatologist when I found out the first one was an anti-vaxxer.
The second one was on top of his game. He straight up said the first ointment wasn't a good one to use and prescribed something much better. It knocked out the spots and itchiness after a week or two. I've had a couple of minor flair ups since, but the ointment eliminates it pretty quick. Haven't had any problems for at least a year.
If you can, go see a dermatologist.
So, what was it? I get a steroid cream (triamcinolone acetonide 0.1%) but I’m curious if there’s an alternative. I try to use the steroid as little as possible, only applying it when it gets particularly bad.
Yeah, that was my second prescription. The first one was clobetasol propionate which you are only supposed to use two weeks on, two weeks off. It didn't work very well.
Edit: for over the counter I use Eucerin eczema relief. I also have a jar of CeraVe, but I haven't used that in a while. I only have to use them occasionally.