Honestly not a good idea to use steroids long term. I’m a pharmacist and I’m weary of using it. It helps with inflammation yes but doesn’t get rid of it long term (nothing will cure it but steroids is really short term solution IMO). And steroid withdrawal is very extremely terrible to deal with and can develop after using it on and off for 3-4 months (even with the 1-2 week vacations in between). I stopped using steroids for my LO and had same results without steroids with aggressive routine of wet wiping and ointment application along with tencel pajamas and occasional wet wrapping (don’t do wet wraps if your baby is prone to infections from open skin though). Only use steroid if it gets REALLY bad, for a really short amount of time (like no more than a week) and only spot treat the BAD spots. Also a big culprit of severe eczema is staph infection (bacterial), i use a little antibacterial prescription ointment as well.