Treatment Nappy Rash

This section is about what over the counter treatments are available (not all treatments may be available in that country) and how they help.

 

  • Please check all ingredients and check one is not allergic or sensitive to them
  • For external use only
  • Not to apply liberally as products can affect absorption of moisture by nappies

Aim:

  • To clear the nappy rash, repair the skin and soothe the skin to its normal state.

These products provide every day barrier protection to minimise contact with rubbing and reduce urine and faeces contact with the skin as well as moisturising the skin allowing it to be soft and smooth and provide the best condition for the skin to heal.

Anti-astringent

(zinc oxide, titanium oxide,calamine)

  • These ingredients help to absorb moisture and hence reduce the rash.

Imidazoles cream

(Anti fungal agents)

  • These work by disrupting the fungal cells (they break down the wall of the yeast cell, the cell membrane by stop producing a product called ergosterol).
  • They also have antibacterial properties and are useful if a bacterial infection has occurred in a yeast infection and can be used on large areas.
  • To be effective use it according to the length the manufacturer states.
  • Please note miconazole containing products can interact with warfarin.

Antiseptic Agents

(Cetrimide, Benzalkonium)

  • These help to keep the skin clean and prevent secondary bacterial infection.

Vitamin B5

  • Vitamin B5 helps to repair damaged skin.

Salicylates

  • It increases moisture to the top layer of skin making it softer and easier to remove and allows other antifungal and antibacterial agents drugs to penetrate more into the skin and improves their effectiveness. (Hence it is normally found with other ingredients).
  • Salicylic acid itself has no or little antifungal activity.
  • Salicylic acid should not be used by anyone who is sensitive to salicylates.

Barrier creams (dimethicone)

  • These protect the skin by forming a water repellent layer.

Witch Hazel

It contains tannins which has:

  • Antioxidant properties
  • Anti-inflammatory activity
  • non anti-inflammatory activity that  fights against bacteria
  • Can act as an astringent by drying out the skin
  • Always use a high quality forms (many cosmetics contain perfumed products and other additives which may not agree with your skin)- preferably non alcohol and/or contain aloe vera (has antiseptic properties and good for sunburns as well as moisturising properties) and/or hyaluronic acid (act as a good moisturiser)
  • It does not help to get rid of itchiness
  • It is not be advisable for certain skin conditions, such as rosacea and/or extreme dryness as it can be very drying, which could cause your skin to overproduce oil and worsen blemishes.
  • If one have any open skin areas, the product  also cause the skin to burn when applied and/or one may want to use with caution if you have sensitive skin. If one finds condition is getting worst after using witch hazel then stop using it.
  • If you’re trying out witch hazel for the first time, it’s a good idea to test it out in a small area of skin away from your face, such as the inside of your arm. If you don’t see any redness, rash, or dryness after a couple of days, then you can try it out on your face.
  • Do not apply under the skin directly to help bags under the eye (mix with other creams and/or lotions).
  • If using this product and have signs of an allergic/anaphylaxis  reaction, such as problems breathing, hives, facial swelling, or swelling of your lips, tongue, or throat, call for an ambulance and seek emergency medical attention.

Rubbing alcohol/Surgical spirit

  • Kills bacteria but doesn’t necessarily prevent their growth (if rubbing alcohol is mixed in with another solution, it must be more of more than half to be effective)
  • It can also kill fungus and viruses.
  • Never drink rubbing alcohol it can be fatal.
  • One should only use it on your skin and never let children use it without supervision.
  • Never use rubbing alcohol topically to reduce fever and in hot baths — it’s ineffective as well as alcohol can absorb in the skin and become toxic
  • Rubbing alcohol is also highly flammable, so never use it near an open flame or high heat.
  • Rubbing alcohol can cause the skin to get very dry as it has anti-stringent properties, it can be very drying to skin so don’t use on any dry areas i.e acne and dry skin eczema , which could cause your skin to overproduce oil and worsen blemishes.
  • Applying it after shaving or to open acne areas can cause a burning sensation. Best to avoid as it can cause a chemical burn.
  • Best to avoid if one has neurological conditions and/or heart conditions.
  • If one finds condition is getting worst after using witch hazel then stop using it.
  • If using this product and have signs of an anaphylaxis/allergic reaction, such as problems breathing, hives, facial swelling, or swelling of your lips, tongue, or throat, call for an ambulance and seek emergency medical attention.

Herbal