Biologics for Eczema: Dupixent Treatment in Singapore

Eczema, or atopic dermatitis, is a chronic skin condition that causes inflammation, redness, and itching. Many patients experience frequent flare-ups that are difficult to control, even with the use of creams or steroids. Conventional treatments can offer short-term relief, but they may not be effective for severe cases or suitable for long-term use. Dupixent, a biologic treatment, can help manage moderate-to-severe eczema by targeting the underlying immune response.

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Dr. Wong Soon Tee

Consultant Dermatologist
Care and Professionalism Refined by Over 30 years of Dermatology Experience
  • MBBS, Yong Loo Lin School of Medicine, Singapore
  • MRCP. Member of Royal College of Physicians, United Kingdom
  • FAMS, Fellow of Academy of Medicine, Singapore
  • Adjunct Assistant Professor, National University of Singapore
  • Visiting Consultant, University Dermatology Division, National University Hospital
  • Visiting Consultant, Aesthetic Plastic Surgery Centre, National University Hospital

What is Dupixent?

Dupixent (dupilumab) is a biologic medication that targets the proteins responsible for inflammation, specifically interleukin-4 (IL-4) and interleukin-13 (IL-13). By blocking these proteins, Dupixent reduces the immune response that causes eczema symptoms, leading to fewer flare-ups and improved skin conditions. Unlike topical treatments that only address skin symptoms, Dupixent works within the body to manage the root cause of eczema.

Benefits of Dupixent Treatment

  • Noticeable Symptom Relief

    Dupixent reduces redness, itching, and the frequency of flare-ups that occur due to overactive immune responses.

  • Non-Steroidal

    Dupixent is free of steroids, avoiding side effects such as skin thinning or dependency that can occur with long-term steroid use.

  • Minimal Systemic Side Effects

    Compared to oral immunosuppressants, Dupixent has zero risk with regard to internal organ side effects like kidney or liver toxicity.

  • Convenient Self-Administration

    Patients can administer injections at home using pre-filled syringes or pens, reducing the need for frequent clinic visits.

Ideal Candidates for Dupixent

Below are the key characteristics of patients who may benefit from this medication:

  • Moderate-to-Severe Eczema

    For those whose eczema disrupts daily activities and does not respond to conventional treatments, including prescription creams and ointments.

  • Ineffective Results from Other Treatments

    Includes patients who have not achieved control with topical steroids or calcineurin inhibitors or cannot use them due to side effects or contraindications. This may include systemic immunosuppressive medications like azathioprine or methotrexate.

  • Adults and Adolescents (12 Years and Older)

    Dupixent is approved for individuals aged 12 and older with persistent eczema. Alternative treatments are needed for children under 12.

  • Patients with Coexisting Conditions

    Patients with eczema and coexisting conditions such as asthma may benefit from Dupixent, as it targets shared immune pathways involved in both disorders.

What to Expect During Dupixent Treatment

  • Initial Consultation: Your eczema severity, medical history, and treatment goals will be reviewed. If appropriate, a customised treatment plan will be developed specifically for your needs.
  • Injection Schedule: Dupixent is typically administered every 2 weeks as a subcutaneous injection (under the skin). Your first dose may be given at the clinic, followed by instructions on how to self-administer at home.
  • Training for Self-Administration: You will receive guidance on administering the injections yourself. Dupixent comes in pre-filled syringes or pens for ease of use. Follow-ups may be scheduled to monitor your progress, evaluate any side effects, and adjust the treatment plan if necessary.

If your eczema is not improving with current treatments, Dupixent may be an option. Schedule an appointment to review your symptoms and determine if this treatment is right for you.

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Potential Side Effects

Dupixent is generally well-tolerated, but common side effects include injection site reactions (redness, swelling), mild eye inflammation (conjunctivitis or dry eyes), and mild allergic reactions (rash, itching). Rare side effects may involve severe allergic reactions (swelling, difficulty breathing) or persistent eye inflammation that requires medical attention.

Frequently Asked Questions (FAQ)

How soon can I expect results from Dupixent?

Most patients begin to see improvements in symptoms within 4 to 6 weeks of starting treatment, with continued progress over several months.

Do I need to stop my current eczema medications?

In some cases, you may be recommended to continue your existing skincare routine alongside Dupixent to manage flare-ups effectively.

What should I do if I miss a dose?

If you miss a dose, administer it as soon as possible. Then, resume your regular dosing schedule without doubling the next dose.

Your Journey To Healthier Skin Starts Here

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