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The cause of eczema is not well understood and manifests differently in each affected individual .However, it is known to be linked with genetics and allergic conditions such as hay fever and asthma, and it is made worse by many triggers such as chemical irritants found in household cleaning agents, scented shampoos, certain foods, allergens such as pets and pollen, hot weather, certain bacteria, viruses, fungi, high or low humidity, and stress

Gastrointestinal effects such as nausea, vomiting, and diarrhea may arise, particularly at the start of treatment or after a dose increase

Yara Ratel, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut 1, Lebanon

This controlled environment slows chemical reactions that could otherwise degrade the active ingredient