This avoids diluting the effect of the treatment and spreading it to areas of skin that do not need it. When to apply emollients Zerocream contains parahydroxybenzoates, cetyl alcohol and lanolin which may cause local skin reactions or allergic reactions which may not appear immediately. If your skin stings after using an emollient wash product and does not settle after rinsing, ask a pharmacist to recommend a different product. Using emollients with other skin treatments

Note that Oilatum ® Plus is for MRSA treatment at NUH where Octenisan is not appropriate in line with NUH MRSA policy.

How to get emollients

Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC. Children under 1: Seek HCP advice before use. Adults: Add 20ml to a standard bath of warm water (8 inches deep). Infants and Children: Add 5ml to a small bath (25 litres) or washbasin of warm water. Immerse and cover the affected areas and soak for 10-20 minutes. Alternatively, gently sponge over the affected areas repeatedly. Pat dry with a towel. Date of preparation: Bath and shower emollientsshould never be prescribed see NHSE Items which should not be routinely prescribed in primary care.

They can be used to replace lost moisture whenever your skin feels dry or tight. They're very safe and you cannot overuse them. Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Epimax ®ointment - First line option for severe dry skin as per Notts Emollient Formulary. Comparable to Hydromol ®, Zeroderm ®,Cetraben ®, and Epaderm ®. Purified Water, Isopropyl Myristate 15% w/w, Liquid Paraffin 15% w/w, Glycerol, Triethanolamine, Phenoxyethanol, C10-C30 Alkyl Acrylate Cross Copolymer, Sorbitan Laurate. Indications: Not in Nottinghamshire emollient formulary. Use alternative if a leave on emollient is required -see formulary for options.Agreed GREY non formulary for NEW PATIENTS (APC Jan 2020). Other creams available as soap substitutes and leave on emollients. As an emollient: Children under 1: Seek HCP advice before use. Adults and children: Apply to the affected area of skin as required. As a skin cleanser: Apply to the skin using hands or wash cloth, then rinse off. Date of preparation: Purified Water, White Soft Paraffin 14.5% w/w, Liquid Paraffin 12.6% w/w, Cetyl Alcohol, Glyceryl Monostearate, Sodium Cetostearyl Sulfate, Lanolin, Citric Acid Monohydrate, Carbomer, Sodium Hydroxide, Sodium Methyl Hydroxybenzoate, Sodium Propyl Hydroxybenzoate, BHT. Indications: It's especially important to regularly apply an emollient to your hands and face, as they're exposed to the elements more than any other part of your body. A barrier cream that moisturises and protects intact, irritated or inflamed skin for use in the management of incontinence associated dermatitis. It prevents irritation from bodily fluids and acts as a barrier to urine, faeces and exudate. It is suitable for use with incontinence pads. Adverse reactions:

Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation. Everyday soaps, shampoos and shower gels usually dry out the skin and can make skin conditions like eczema worse. an overheating, burning sensation or stinging that does not settle after a few days of treatment – usually caused by a reaction to a certain ingredient in the emollientEmollient bath additive for the management of dry skin conditions such as eczema and dermatitis. This product is suitable for infants and children. Adverse reactions:

Certain activities, such as gardening, can irritate the skin. It may help to apply an emollient before doing these. Other first line options are Epimax ®ointment and Liquid & white soft paraffin ointment (Fifty:50®). Use during pregnancy and breastfeeding is unlikely to have any ill effects when used as directed. If unsure, talk to your doctor or pharmacist. Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market. AproDerm Emollient Cream is slightly richer than AproDerm Colloidal Oat Cream, however, is still light and easily absorbed, whilst being cooling and moisturising. It can also be used as an effective soap substitute, to prevent the skin from drying out further.Eucerin ®UreaRepair Plus lotion can be used if lotion required however it has been registered as ‘cosmetic’ rather than as medicines which means that it is notavailable on prescription. If you experience any of these symptoms, talk to a GP, nurse or pharmacist. Safety advice when using emollients Fire safety Your doctor or pharmacist will talk to you about which type of emollient will work best for your skin condition.