Yellow Soft Paraffin BP (Petroleum Jelly), 15g, Pack of 2

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Siaw-Sakyi, V. & Mohammed, L. (2012) “ Use of the Proshield system on damaged skin across an acute setting.” Guy’s & St. Thomas NHS Foundation Trust, London, UK. Poster presentation. Apply Clotrimazole 1% three times daily for up to 3 weeks even after symptoms have resolved (Hoegar et al 2010). Blume-Peytavi, U., Cork, M., Faergermann, J., Szczapa, J., Vanaclocha, F. & Gelmetti, C. (2009) “ Bathing and cleansing in newborns from day 1 to first year of life: recommendations from a European round table meeting.” Journal of the European Academy of Dermatology and Venereology, vol. 23, pp. 751-759. There are no known harmful effects when this medicine is used by pregnant or breastfeeding mothers. Gupta, A.K. & Skinner, A.R. (2004) “ Management of diaper dermatitis.” International Journal of Dermatology, vol. 43, pp. 830-834.

At SFH if needed for other uses eg for lips, then use yellow soft paraffin, available from NHS supplies.Coughlin, C., Eichenfield, L. and Frieden, I. (2014) Diaper Dermatitis: Clinical Characteristics and Differential Diagnosis. Pediatric Dermatology. [Online] Vol.31, pp.19-24.

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.

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. Zeroveen is a moisturising cream containing glycerol, liquid paraffin, isopropyl palmitate and Avena sativa kernel flour.

Third line gel for moderately dry skin if Isomol ® and Aproderm ® are not tolerated as per Notts Emollient Formulary. The daily maximum dose should not exceed 15g. The total body surface area treated should not exceed 30%. Aqueous cream may be associated with skin reactions (stinging, burning, itching and redness) when used as a 'leave-on' emollient, often within 20 minutes of application, and especially in children with atopic eczema. See MHRA Drug Safety update March 2013. Barrier preparation: Orabase paste mixed with Yellow soft paraffin (half and half mixture) at each nappy change Itchy plaques - consider alternating tar or calcipotriol/calcitriol with moderately potent topical steroid.If a patient is experiencing any of the below please commence the moderate to severe regime. Whenever possible try to manage the cause of loose stools e.g. alter diet, limit/change antibiotics. Hoegar, P.H., Stark, S. & Jost, G. (2010) “ Efficiacy and safety of two different antifungal pastes in infants with diaper dermatitis: a randomized, controlled study.” Journal of the European Academy of Dermatology and Venereology, vol. 24, pp. 1094-1098. Yellow soft paraffin as a single ingredient is only available generically (ie without a brand name). Further reading In conditions such as eczema, using a moisturiser regularly, even once the skin has improved, can help prevent flare-ups of this condition. Important information about Epaderm