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

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Lavender, T., Furber, C., Campbell, M., Victor, S., Roberts, I., Bedwell, C. & Cork, M.J. (2012) “ Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence BMC Pediatrics, 2012. Gupta, A.K. & Skinner, A.R. (2004) “ Management of diaper dermatitis.” International Journal of Dermatology, vol. 43, pp. 830-834. Potent to very potent topical corticosteroids are not recommended for regular use over prolonged periods because of concern over long-term adverse effects. 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.

Coughlin, C., Eichenfield, L. and Frieden, I. (2014) Diaper Dermatitis: Clinical Characteristics and Differential Diagnosis. Pediatric Dermatology. [Online] Vol.31, pp.19-24. At SFH if needed for other uses eg for lips, then use yellow soft paraffin, available from NHS supplies. Refer patients to secondary care if psoriasis fails to respond adequately to above topical treatment strategies. Barrier preparation: Orabase paste mixed with Yellow soft paraffin (half and half mixture) at each nappy change

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Epaderm cream and ointment are moisturisers that contain a mixture of yellow soft paraffin, liquid paraffin and emulsifying wax. They work by providing a layer of oil on the surface of the skin to prevent water evaporating from the skin surface.

First line - Balneum ® Plus Cream (100g tube) - also contains lauromacrogols. Use only if emollient alone has not helped itching. Rowe, J., McCall, E. & Kent, B. (2008) “ Clinical effectiveness of barrier preparations in the prevention and treatment of nappy dermatitis in infants and preschool children of nappy age.” International Journal of Evidence Based Healthcare, vol. 6, pp. 3-23. Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine. Topical steroids should not be stopped abruptly, they can be reduced by reducing the frequency of application or by reducing the potency of preparation prescribed. See September 2021, MHRA Drug Safety Update on-the-risk-of-topical-steroid-withdrawal-reactionsfor further information. 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.Offer people with psoriasis topical therapy as first-line treatment.Refer to secondary care forsecond-line treatment or third-line treatment options (including phototherapy or systemic therapy) when topical therapy alone is unlikely to adequately control psoriasis, such as: 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. Yellow soft paraffin is also known as yellow petroleum jelly. This is not an active ingredient as such, but works as a moisturiser by providing a layer of oil on the surface of the skin to prevent water evaporating from the skin surface. It is a very greasy moisturiser. Veil Cover Cream Registered office Thomas Blake Cosmetic Creams Ltd, Comma House, Napier Road, Swalwell, Newcastle upon Tyne, United Kingdom, NE16 3BS Nield, L.S. & Kamat, D. (2007) “ Prevention, diagnosis and management of diaper dermatitis.” Clinical Pediatrics, vol. 46(6), pp. 480-486.

AproDerm Colloidal Oat Cream, a light, paraffin-free emollient which has all the benefits of colloidal oat including protecting and restoring the skin barrier, soothing the itch, irritation and redness associated with dry skin conditions like eczema and psoriasis, as well as having humectant properties and maintaining the skin’s normal pH. As well as being a moisturiser it can also be used as an effective soap substitute, to prevent the skin from drying out further. Epimax ® oatmeal cream and Zeroveen ® cream are additionally recommended for use as a soap substitute. Ichthammol ointment contains three main ingredients, ichthammol, yellow soft paraffin and wool fat. Heimall, L.M., Storey, B., Stellar, J.J. & Davis, K.F. (2012) “ Beginning at the bottom: Evidence-based care of diaper dermatitis.” American Journal of Maternal Child Nursing, vol. 37(1), pp. 10-16.Multi-hydrocarbon, Paraffinum album, Paraffinum flavum, Petrolatum, Petrolatum base, Petrolatum, white, Petrolatum,amber, Petrolatum,white, Petroleum jelly, Soft paraffin, White petrolatum, White, soft paraffin, Yellow soft paraffin