Frequently Asked Questions

Category:

Most Common

Do you prescribe biologics and advanced eczema therapies?

Yes, Vanpoint Health includes expertise with newer targeted biologic and advanced therapies for moderate-to-severe eczema.

Do you offer newer nonsteroid eczema medications?

Yes. Vanpoint Health includes experience with newer nonsteroidal therapies, including Opzelura, Zoryve, Vtama, and Anzupgo when appropriate.

Is Vanpoint Health appropriate for baby eczema or infantile eczema?

Yes. Vanpoint Health treats both pediatric and adult eczema, including infantile eczema and chronic relapsing childhood eczema.

Are these medications traditional immunosuppressants?

Many newer eczema therapies are more targeted treatment approaches and differ from traditional broad immunosuppressive medications.

What if I have already tried many treatments?

Many patients seeking care through Vanpoint Health have already tried multiple therapies and are looking for more structured long-term specialist oversight.

Can Vanpoint Health help patients considering biologic therapy?

Yes. Vanpoint Health includes experience with modern biologic and advanced therapies used for moderate-to-severe eczema.

Is this appropriate for mild eczema?

Yes. Many patients with milder but persistent eczema still benefit from structured specialist care designed to reduce flare frequency and improve long-term stability.

How quickly will I hear back?

Treatment plans are sent out via secure email within 3 days of the scheduled submission time.

Are there live visits?

No. Care is delivered through a structured asynchronous specialist review model.

Do you accept insurance?

Vanpoint Health is a self-pay specialist care model. Medication coverage varies by insurance plan.

Are there any soap options or OTC creams you recommend?

Both Dove and Vanicream make a good line of hand soaps for sensitive skin. In general, you want to find a soap that is fragrance-free and dye-free. In terms of moisturizers, we recommend an ointment over a cream- brands such as Vanicream or Cerave are typically recommended. Using Vaseline or Petroleum Jelly is also very effective to keep the hands moist and it also acts as a great barrier to prevent irritation and infection from occurring.

Can atopic dermatitis be totally healed?

Yes, with the correct treatment, healing of one’s skin can be achieved. Typically, most patients may need controller therapy to maintain healing and prevent remission. It is important to remember that atopic dermatitis is a chronic condition for which there is no cure, but there are ways of maintaining and managing this condition to prevent recurrent flares and achieve remission.

Does this online service really work?

Yes! For Dr. Van Wagoner, reviewing digital photos uploaded by online patients mirrors what he has already experienced during his education and training. He is very familiar with analyzing and diagnosing many conditions based on images and a written history, which makes an online eczema practice such a natural extension of his practice.

What are the common root causes of eczema, and how do you treat them?

Most cases of eczema are genetic in origin and result from abnormal skin protein number and/or function; thus, curing eczema is not that simple in these cases. Using topical and/or oral agents that lessen the inflammatory reaction on the skin can counter these genetic factors in many patients. Avoidance of common allergic triggers (food, environment, psychosocial stress, and/or chemical allergens) is also helpful in many patients. Thus, the management of each case is different and requires a thorough knowledge of potential causes and available treatments.

What if the patient is an older family member who needs assistance?

We welcome helping patients who are not able to care for themselves or who are perhaps uncomfortable using technology. We can only provide these services through a guardian or surrogate contact who is legally authorized to act on behalf of a patient. All that is required is the surrogate's relationship to the patient, the surrogate's contact information, the patient's name, and the surrogate's electronic signature to attest that the surrogate is legally authorized to act on the patient's behalf.

What makes your treatment worth seeking compared to other physicians' treatments?

Treating eczema is all we do and focus on. We are experts in diagnosing and treating eczema in both children and adults. Our results speak for themselves. We typically see dramatic improvements in patients with mild, moderate, and even severe forms of eczema. We use a treatment method that is different from what other contemporary providers utilize. Recognizing that most patients with atopic dermatitis have an underlying skin infection that promotes the course of the disease is a critical understanding. Thus, our treatment not only addresses the longstanding inflammation but also the underlying infection of the skin when deciding the treatment medications we use. Plus, our close follow-up model allows for customization of care that other providers cannot easily duplicate given their already busy schedules. Our online model allows us the opportunity to provide you with needed and required follow-ups in a recurrent and timely fashion. Once control is achieved, those follow-ups are spaced out accordingly.

How Our Services Work

Do I need to remain enrolled to receive medication refills or continued care?

Yes. Vanpoint Health provides continued medical care, treatment adjustments, prescription management, refills, renewals, and prior-authorization support only during an active 6-Month Entry or Maintenance Plan. When your Entry Plan ends, you must enroll in the Maintenance Plan if you wish to continue care. Prescriptions and refills are never automatic and remain subject to appropriate follow-up, safety monitoring, and physician judgment.

What happens when my six-month plan ends?

Your active care period ends when your plan expires. Before expiration, you may enroll in the Maintenance Plan or arrange ongoing care with another qualified healthcare provider. If you do not continue enrollment, Vanpoint Health will no longer provide ongoing treatment management, prescription refills, renewals, or prior-authorization services, except for any limited transition assistance required by law or determined appropriate by your physician.

Common Questions About Eczema

Can eczema be treated without topical steroids?

Yes, Vanpoint Health includes expertise with newer targeted biologic and advanced therapies for moderate-to-severe eczema.

Are there any side effects of prolonged use of steroids?

There are many potential side effects of topical steroid use. Most of the well-understood and experienced side effects of steroids occur with oral and/or systemic use of steroids and not from the proper use of topical steroids. Under proper guidance and monitoring, these side effects with topical steroids can be further minimized and/or avoided. Improper use of topical steroids can rarely lead to skin thinning, excessive hair growth, increased blood vessel visibility, decreased bone growth, acne, rosacea, endocrine suppression, or ocular changes.

Will prolonged use of topical steroids cause thinning skin or other problems?

Listed below are some of the potential problems that can occur with the improper use of topical steroids. These issues are much less likely to occur with proper management and close follow-up with your eczema medical provider.

Potential side effects can include some of the following:

- Skin-related: thinning of the skin, bruising, redness, acne, stretch marks, rosacea, infection, increased hair growth, appearance of blood vessels, skin discoloration, etc.

- Body-related: increases in blood sugar, bone abnormalities, growth issues, adrenal suppression, hypertension, diabetes, cataract, glaucoma, weight gain, etc.

Do topical steroids get into the bloodstream? Do topical steroids compromise the immune system?

It is very rare for low and/or medium-dose topical steroids to get into the bloodstream and cause systemic-related issues. Potent and superpotent topical steroids are more likely to be measured in the blood with their use.

Do topical steroids cause long-term toxicity and/or weight gain in children?

No, most properly used topical steroids do not cause long-term toxicity and/or weight gain in children.

Steroid Related

Can eczema be treated without topical steroids?

Yes, Vanpoint Health includes expertise with newer targeted biologic and advanced therapies for moderate-to-severe eczema.

Are there any side effects of prolonged use of steroids?

There are many potential side effects of topical steroid use. Most of the well-understood and experienced side effects of steroids occur with oral and/or systemic use of steroids and not from the proper use of topical steroids. Under proper guidance and monitoring, these side effects with topical steroids can be further minimized and/or avoided. Improper use of topical steroids can rarely lead to skin thinning, excessive hair growth, increased blood vessel visibility, decreased bone growth, acne, rosacea, endocrine suppression, or ocular changes.

Will prolonged use of topical steroids cause thinning skin or other problems?

Listed below are some of the potential problems that can occur with the improper use of topical steroids. These issues are much less likely to occur with proper management and close follow-up with your eczema medical provider.

Potential side effects can include some of the following:

- Skin-related: thinning of the skin, bruising, redness, acne, stretch marks, rosacea, infection, increased hair growth, appearance of blood vessels, skin discoloration, etc.

- Body-related: increases in blood sugar, bone abnormalities, growth issues, adrenal suppression, hypertension, diabetes, cataract, glaucoma, weight gain, etc.

Do topical steroids get into the bloodstream? Do topical steroids compromise the immune system?

It is very rare for low and/or medium-dose topical steroids to get into the bloodstream and cause systemic-related issues. Potent and superpotent topical steroids are more likely to be measured in the blood with their use.

Do topical steroids cause long-term toxicity and/or weight gain in children?

No, most properly used topical steroids do not cause long-term toxicity and/or weight gain in children.

Eczema Relief Compound (ERC) Related

Is the long-term goal of the ERC to stop using steroid creams?

Most cases of atopic dermatitis (AD) are chronic in nature and require chronic treatment. The goal is to achieve control of AD using safe and effective treatments. We always aim to use less frequent applications of topical steroids and/or less potent forms of topical steroids once control is achieved. Once long-standing control and/or remission is achieved, it is much easier to discontinue chronic treatment and/or reduce application frequency over time to maintain that control. This removal and/or reduction in the topical steroid is achieved by applying less frequent applications of the compound and/or by removing and/or lowering the gram amount of the topical steroid.

Will the ERC work to treat dyshidrotic eczema?

Yes, the ERC can be effective for most cases of dyshidrotic eczema. These patients may need a more potent topical steroid for these areas of concern than for the rest of the body.

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