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FDA-approvedPrescription only
Eczema & Skin Rash Treatment (topical steroid, with an antibiotic or antiviral as prescribed)
Prescription — topical corticosteroid course; oral antibiotic or antiviral only where a provider judges infection present
A flare of eczema or an itchy rash, treated with a topical steroid matched to the site and severity — and an antibiotic or antiviral only if a provider sees signs of infection. Sent to a local pharmacy if prescribed.
FDA-approved for corticosteroid-responsive dermatoses — hydrocortisone, triamcinolone and betamethasone dipropionate for the inflammation and itching of eczema and similar rashes — with FDA-approved antibiotics for skin and skin-structure infections, or valacyclovir for herpes simplex, where the provider judges the rash infected. Prescribed by a licensed provider only if appropriate for you.
From$99$32 consultation included, not refunded · medication paid at your pharmacy, if prescribed
Choose your plan
One-time
Price
$99for the provider visit — medication paid at your pharmacy, if prescribed
Includes your $32 provider consultation (non-refundable). If your provider decides treatment isn’t appropriate, the rest is refunded automatically.
- Picked up at a local pharmacy you choose. If prescribed, the medication itself is paid for at the pharmacy; the price here covers the provider visit.
- Your provider confirms the dose. If they start you on a lower step, we refund the difference; if they choose a higher one within the same plan, the price you paid stands.
Adding to cart books a provider visit. You pay the shown total; the provider decides; the medication portion comes back automatically if they say no.
Questions
Will I definitely be prescribed this?
No. A consultation does not guarantee a prescription — and with a rash, part of the provider's job is deciding whether an antibiotic belongs in your plan at all: a flare of eczema with no signs of infection gets a steroid and a moisturiser, not an antibiotic. If they prescribe, the prescription is sent to a local pharmacy and you pay for the medication there; what you pay here is the consultation, whether or not a prescription follows.
Isn't hydrocortisone available over the counter?
The low strength is. If that is all your provider recommends, they may simply tell you which to buy rather than write a prescription for it. The prescription-only parts of this package are the stronger steroids and the antibiotics and antiviral — and the provider's judgment about which, if any, your rash needs.
Can I use the strong steroid on my face?
Generally no — facial skin and skin folds absorb more and thin faster, so the provider will usually specify a mild steroid there and keep the potent one for the body. Follow the site instructions on the prescription rather than using one tube everywhere.
How it works
Eczema is a leaky skin barrier plus an over-active immune response in it. Moisture escapes, irritants and microbes get in, immune cells in the skin release inflammatory signals, and the itch-scratch cycle keeps the whole thing going. Topical corticosteroids act on that middle step: absorbed into skin cells, they bind the glucocorticoid receptor, which travels to the nucleus and switches off the genes for the inflammatory messengers, narrows the dilated vessels that make the rash red, and reduces the traffic of immune cells into the area — so itch, redness and weeping settle. They come in potencies, and matching potency to site is the skill: hydrocortisone is mild and suits the face, folds and thin skin; triamcinolone is medium and suits the trunk and limbs; betamethasone dipropionate is potent, for thick, stubborn plaques, hands and feet, in short courses. Eczema-affected skin is colonised by Staphylococcus aureus, and when a flare weeps, crusts yellow or grows pustules the bacteria have moved from passenger to problem — cephalexin, amoxicillin-clavulanate and clindamycin attack the bacterial cell wall or ribosome, and the provider reaches for one only on those signs. Grouped small blisters and punched-out erosions over eczema are herpes simplex, which valacyclovir treats by halting viral DNA synthesis and which needs urgent care. Moisturiser is not an afterthought: restoring the barrier is what keeps the flare from returning.
The full mechanismA provider may consider it if
- A flare of eczema you know, in a familiar place, that moisturiser and over-the-counter hydrocortisone have not settled
- An itchy, red rash without the red flags below, where you want a provider to match the steroid strength to the site
- A weeping or crusted flare where you want a provider to decide whether infection is part of it
It won’t be prescribed if
- A rash that is spreading fast with fever, or is purple, bruise-like, blistering or peeling, or involves the mouth, eyes or genitals, or began after a new medication — call 911 or go to an emergency department; severe drug reactions and deep skin infections start this way
- Swelling of the face, lips or tongue, or any trouble breathing with a rash — an allergic emergency; use an epinephrine auto-injector if you have one and call 911
- A rash with fever and a stiff neck or severe headache — emergency care
- Grouped blisters with punched-out sores over eczema, or a rash near the eye — eczema herpeticum and eye involvement are treated in person, the same day
- A painful, hot, swollen area of skin with red streaks or fever — cellulitis that needs examination, not a video visit
- Pregnancy or breastfeeding — doxycycline is excluded and potent steroids over large areas need a case-by-case decision; tell the provider
- A known allergy to any of the antibiotics named, to valacyclovir, or to the corticosteroid or its cream base — a hard stop for that medication
- Rashes that have needed steroids for months, or skin that has thinned or lightened from previous steroid use — needs a dermatologist's plan
- Under 18 — online treatment here is for adults
These are the same checks your provider runs in the visit. If one applies, they will tell you plainly — and the medication portion of what you paid comes back automatically.
What to expect
After your visit
If prescribed, the prescription — a steroid alone, or with an antibiotic or antiviral, as your provider decides — is sent to a local pharmacy you choose and you pay for the medication at the counter. What you paid here covers the consultation.
Days 1–7
Itch and redness usually ease within days of a steroid at the right potency, applied thinly to affected skin only, once or twice daily. If an antibiotic is included, crusting and weeping should be drying by day three. Moisturise generously between applications.
Weeks 2–4
A steroid course has a stop date your provider sets — potent steroids are not for open-ended use, particularly on the face and folds. A rash that has not responded, or that comes straight back, is the point to be examined in person.
Safety
Side effects, before you decide
Topical steroids: burning or stinging on application, and with prolonged or potent use skin thinning, stretch marks, visible vessels, lightening of the skin and acne-like eruptions — the reasons courses are short and potency is matched to site; enough absorbed over large areas can suppress the body's own cortisol. Cephalexin, amoxicillin-clavulanate and clindamycin: nausea, diarrhoea and rash; clindamycin in particular carries a warning for Clostridioides difficile colitis, and persistent or bloody diarrhoea means stop and contact a provider. Sulfamethoxazole-trimethoprim: rash, sun sensitivity and rare severe skin reactions. Doxycycline: sun sensitivity and oesophageal irritation; not in pregnancy. Valacyclovir: headache and nausea.
- Sidbury R, Alikhan A, Bercovitch L, et al. Guidelines of care for the management of atopic dermatitis in adults with topical therapies. J Am Acad Dermatol. 2023;89(1):e1–e20 — strong recommendations for moisturisers and topical corticosteroids; potency matched to site and severity
- Stevens DL, Bisno AL, Chambers HF, et al. Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2014;59(2):e10–e52
- FDA prescribing information (DailyMed): triamcinolone acetonide; betamethasone dipropionate; hydrocortisone; cephalexin; Augmentin; clindamycin; Bactrim; doxycycline hyclate; Valtrex — indications, warnings, adverse reactions; current labels as of 2026
Complete safety information is provided during your visit and with every prescription. This page is a summary, not a substitute for your provider's advice.
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See whether eczema & skin rash treatment (topical steroid, with an antibiotic or antiviral as prescribed) is right for you.
A licensed provider reviews your visit and decides. You receive medication only if prescribed, and that portion of your payment is refunded automatically if they say no.