Hello. Thanks for writing to us at healthcaremagic Your topical treatment seems fine to me and you may continue with it. It includes a potent topical steroid along with a moisturizer. Since your eczema has flared up recently therefore it may require a short course of an oral steroid for better control in addition to the topical steroid + moisturizing cream. I would suggest that you consult your dermatologist again regarding the recent flare. Your treating dermatologist might choose to prescribe you a short course of oral steroids for a week. An OTC antihistamine e.g cetrizine would help in providing symptomatic relief from itching. Pompholyx, which presents as itchy fluid filled blisters/vesicles classically along the sides of the fingers and toes but also on the palms and soles. Those individuals who are allergic/atopic have higher chances of developing pompholyx and it is believed to be a type of allergic reaction. The lesions of pompholyx can develop as an allergy to metal salts such as nickel, cobalt, chromium. Nickel is usually present in ornaments or ingested in food. Exposure to other salts may be occupational. Other possible allergens include certain topical antibiotics e.g neomycin, allergens Or chemicals such as perfumes and irritants such as detergents etc. You may try and avoid if any of these triggering factors are present in your surroundings regards