At SFH if needed for other uses eg for lips, then use yellow soft paraffin, available from NHS supplies. 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.

Zerocream Emollient is used for the relief of symptoms of flaking, dry skin, ichthyosis, dermatitis, the dry stage of eczema and dry cases of psoriasis. It can be used as an alternative to soap. Adverse reactions: Paraffin free / low paraffin products should be reserved for patients who are intolerant/unsuitable for paraffin containing products. As per Nottinghamshire Emollient Formulary.Emollients can be applied as often as you like to keep the skin well moisturised and in good condition. Ideally, this should be done at least 3 or 4 times a day. AproDerm Gel is a highly moisturising gel, without the greasiness of an ointment, which actively draws and retains moisture within the skin and provides a protective barrier to help reduce dryness and irritation. It is also an effective pre-bathing emollient so can be applied to skin prior to bathing to prevent it from drying out even further, whilst protecting it from the irritant effects that can be caused by washing and bathing products such as soaps, shower gels and shampoos. First choice - Dermol ® 500 Lotion (less greasy than Dermol ® cream). Recommended for aditional use as soap substitute. Everyday soaps, shampoos and shower gels usually dry out the skin and can make skin conditions like eczema worse. Epimax ®ointment - First line option for severe dry skin as per Notts Emollient Formulary. Comparable to Hydromol ®, Zeroderm ®,Cetraben ®, and Epaderm ®.

Certain activities, such as gardening, can irritate the skin. It may help to apply an emollient before doing these. Purified Water, Glycerol 12.6% w/w, Liquid Paraffin 5% w/w, Isopropyl Palmitate, Distearyldimonium Chloride, Avena Sativa Kernal Flour, Cetyl Alcohol, Dimeticone, White Soft Paraffin, Benzyl Alcohol, Allantoin, Stearyl Alcohol, Microcrystalline Wax, Myristyl Alcohol, Sodium Chloride. Indications:Rarely, mild reactions such as skin rash may occur, or allergic skin reactions on extremely sensitive skin. These effects tend to occur during the first few uses. If you notice any side effects, stop use and tell your doctor or pharmacist, they will tell you what to do. Precautions: Emollients are often used to help manage dry, itchy or scaly skin conditions such as eczema, psoriasis and ichthyosis. If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard Also contains: Lanolin Anhydrous, Glyceryl Monostearate, Cetyl Alcohol, Sodium Cetostearyl Sulphate, Citric Acid (Monohydrate), Carbomer (Carbopol 974P), Purified Water, Sodium Hydroxide (10% w/vSolution); 2-Phenoxyethanol containing NIPA Esters (Phenonip); Phenonip is comprised of: MethylHydroxybenzoate (E218), Ethyl Hydroxybenzoate (E214), Propyl Hydroxybenzoate (E216), Butyl andIsobutyl Hydroxybenzoate.

Only for patients unable to use ointment/creams/lotions, or where application without touching skin is required, as per Notts Emollient Formulary. Emollients are best applied after washing your hands, taking a bath or showering because this is when the skin most needs moisture. Do not store this cream above 25°C. Keep out of the sight and reach of children. For external use only Zerocream emollient is a treatment for dry skin conditions. Zerocream is an emollient used to treat the symptoms of flaking, dry or chapped skin. Zerocream contains liquid paraffin and soft white paraffin, whose emollient properties have a moisturising action on dry or chapped skin, the emollient can also be used as a soap substitute. Zerocream Emollient moisturises the skin to relieve dry skin conditions:Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation. Lotions are good for hairy or damaged areas of skin (such as weeping eczema – where pus is seeping out of damaged areas of skin). This is because lotions are thin and spread easily, but they're not very moisturising. Sprays By reporting side effects you can help provide more information on the safety of this medicine. Storing the medicine Also contains: lanolin anhydrous, glyceryl monostearate, cetyl alcohol, sodium cetostearyl sulphate, citric acid monohydrate, carbomer, sodium hydroxide, phenoxyethanol, methyl hydroxybenzoate (E218), ethylhydroxybenzoate (E214), propyl hydroxybenzoate, butyl and isobutyl hydroxybenzoate and purified water. First line - ImuDERM ® emollient. 5% urea (500g pump dispenser, CliniSupplies Ltd). Recommended for additional use as soap substitute.

If you're using a steroid cream or another treatment for your skin condition, wait 20 to 30 minutes between using an emollient and using the other treatment. Ask a doctor which one to use first. 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.

Gel

Soya Bean Oil 83% w/w, Comperlan (Oleic Acid Diethanolamide), Macrogol Lauryl Ether (Laureth-4), Perfume, Propylene Glycol, Butylated Hydroxytoluene. Indications: Use a clean spoon or spatula to remove emollients from a pot or tub. This reduces the risk of infections from contaminated pots. Risk of slipping They can be used to replace lost moisture whenever your skin feels dry or tight. They're very safe and you cannot overuse them.