Online Eczema Treatment in Texas for Adults (Atopic Dermatitis)
MD-only eczema evaluation by secure video visit for adults in Texas, $49 flat-fee, no insurance required.
Eczema (atopic dermatitis) is a chronic inflammatory skin condition that causes dry, itchy, irritated patches of skin. Flares are often triggered by dry weather, sweating, irritants, stress, fragrances, and harsh soaps. TeleDirectMD can help stable adults in Texas manage eczema flares with evidence-based topical therapy and a simple skin-barrier routine.
- $49 flat-fee visit
- MD-only evaluation and prescribing
- Evidence-based topical therapy and moisturizer strategy
- Clear screening for skin infection and severe flare red flags
- Adults only, you must be in Texas at the time of the visit
Last reviewed by Parth Bhavsar, MD on 12/24/25.
Clinician note: TeleDirectMD is MD-only and evidence-based. Most eczema improves with consistent moisturizer use plus short courses of topical anti-inflammatory medication during flares. If you have fever, rapidly spreading redness, pus, or severe facial swelling, urgent in-person evaluation is recommended.
Common Flare Triggers
- Dry skin and frequent hot showers
- Fragrances, harsh soaps, and detergents
- Sweat and friction
- Stress and poor sleep
If you have rapidly spreading redness, pus, fever, facial swelling, or eye involvement, do not rely on telehealth. Seek urgent in-person care.
Quick Answers
- Eczema is a skin barrier problem plus inflammation and itch
- Moisturizer twice daily is the foundation, even when the skin looks better
- Short courses of topical steroids are commonly used for flares
- Honey-colored crust, pus, fever, or rapidly spreading redness can mean infection
- You must be physically located in Texas at the time of the visit
What Is Eczema (Atopic Dermatitis)?
Atopic dermatitis is a chronic relapsing condition where the skin barrier is weaker, causing increased dryness, irritation, and itch. Scratching worsens inflammation and can lead to skin thickening and secondary infection. The best long-term approach is a consistent skin-barrier routine plus flare treatment when needed.
TeleDirectMD evaluates rash distribution, itch severity, triggers, prior response to topical medications, and infection risk. When appropriate, we prescribe topical therapy and provide a practical routine that is easy to follow.
Eczema Symptoms and Red Flags
Telehealth works best for typical eczema flares. This table highlights when video care is appropriate and when urgent in-person evaluation may be safer.
| Finding | What it suggests | Telehealth appropriate? | Red flag requiring urgent in-person care |
|---|---|---|---|
| Dry, itchy patches with redness and scaling | Typical eczema flare | Often yes | Rapidly spreading redness with fever |
| Thickened skin from chronic scratching | Lichenification from eczema | Often yes | Severe pain, purple or black skin discoloration |
| Honey-colored crusting or oozing | Possible bacterial infection | Sometimes for triage | Pus, rapidly worsening swelling, or systemic symptoms |
| Small weeping lesions in a flare area | Inflamed, irritated skin | Often yes | Eye involvement, severe facial swelling, or eyelid swelling |
| Severe itch disturbing sleep | Active inflammation | Often yes | Extensive widespread rash with severe illness |
What Else Can Look Like Eczema?
- Contact dermatitis: rash triggered by a new product, metal, fragrance, or chemical exposure.
- Psoriasis: thicker plaques with scale, often on elbows, knees, scalp.
- Fungal rash: ring-like borders or involvement of groin and feet.
- Scabies: intense itch with household spread, often wrists, finger webs.
- Cellulitis: spreading warmth and tenderness with fever suggests infection.
When a Texas Video Visit Is Appropriate vs. When to Go In-Person
When a Video Visit Is Appropriate
- Adult 18+ located in Texas at the time of the visit
- Typical eczema flare with dryness, redness, and itch
- No fever or rapidly spreading redness
- No severe facial swelling or eye symptoms
- Able to follow a moisturizer routine consistently
Red Flags Requiring In-Person or ER Care
- Fever with rapidly spreading redness or severe pain
- Pus, deep skin infection concern, or worsening swelling
- Eye involvement or severe facial swelling
- Widespread rash with severe illness
- Concern for severe allergic reaction with breathing symptoms
Eczema Treatment Options
Eczema treatment is built on skin-barrier repair plus short courses of anti-inflammatory medication during flares. TeleDirectMD focuses on a simple plan: gentle cleansing, consistent moisturizer use, and topical medication when needed.
Skin-Barrier Routine
- Short lukewarm showers, avoid hot water
- Use fragrance-free cleanser only on necessary areas
- Apply thick moisturizer within 3 minutes of bathing
- Moisturize at least twice daily during flares
Medication Table
| Medication | Dose | Duration | When used |
|---|---|---|---|
| Hydrocortisone 2.5% cream | Apply BID to affected areas | 7 days to 14 days | Mild eczema flares, often suitable for thinner skin areas when appropriate |
| Triamcinolone 0.1% ointment | Apply BID to affected areas | 7 days to 14 days | Moderate flares on trunk and extremities when appropriate |
| Moisturizer ointment or cream | Apply at least BID | Ongoing | Foundation therapy for all eczema |
| Oral cetirizine | 10 mg by mouth once daily | As needed | Itch support when appropriate |
TeleDirectMD does not prescribe controlled substances. If infection is suspected or symptoms are rapidly worsening, we prioritize urgent in-person evaluation.
Home Care and What to Expect
Most eczema flares improve over days to weeks with consistent moisturizer use and appropriate topical therapy. Avoiding triggers reduces recurrence. If your rash becomes painful, starts draining pus, or you develop fever, seek urgent in-person care.
- Use fragrance-free laundry detergent and avoid dryer sheets
- Keep nails short to reduce skin injury from scratching
- Wear breathable fabrics and avoid tight friction areas
- Follow up if you are not improving within 7 days to 14 days
What to Expect From Your TeleDirectMD Eczema Visit in Texas
TeleDirectMD provides adult-only, MD-only virtual care by secure video. Visits are $49 as a flat cash fee with no insurance required. If your eczema flare is appropriate for telehealth, prescriptions can be sent electronically to your preferred pharmacy in Texas.
Adults only. You must be physically located in Texas at the time of your visit.
Texas Eczema Telehealth FAQ
Can TeleDirectMD treat eczema online in Texas?
Yes. TeleDirectMD provides MD-only video visits for adults in Texas with typical eczema flares and can recommend a moisturizer routine and prescribe topical therapy when appropriate.
What is the best moisturizer for eczema?
Thick fragrance-free ointments or creams are usually best. Applying moisturizer within 3 minutes of bathing helps trap water in the skin.
Are topical steroids safe?
When used correctly for short courses, topical steroids are commonly used and effective for eczema flares. Your MD will guide strength, location, and duration.
How do I know if my eczema is infected?
Honey-colored crusting, pus, increasing pain, rapidly spreading redness, or fever can suggest infection and may require in-person evaluation.
Can stress trigger eczema?
Yes. Stress can worsen eczema by increasing inflammation and itch. Sleep and trigger management can reduce flares.
When should I seek urgent care?
Seek urgent care for fever with rapidly spreading redness, severe pain, facial swelling, eye involvement, or feeling severely ill.
Can you provide a work note?
TeleDirectMD can usually provide a brief work note when medically appropriate as part of the $49 visit. We do not complete long-term disability, FMLA, or accommodation paperwork.
Is TeleDirectMD available across Texas?
Yes. As long as you are physically located in Texas at the time of the video visit, you can be evaluated.
Do you prescribe controlled substances for eczema?
No. TeleDirectMD does not prescribe controlled substances.
What if I am not improving?
If you are not improving with consistent treatment, you may need in-person evaluation for an alternative diagnosis, stronger therapy, or evaluation for infection.