Nappy rash

Treatment with barrier preparations
Dimeticone + Benzalkonium
Conotrane cream

Apply to the affected area(s) several times a day, as necessary.

Metanium
Metanium Nappy Rash ointment

Apply several times daily as necessary, spread the ointment thinly so the skin texture can be clearly seen through the ointment.

Sudocrem
Sudocrem antiseptic healing cream

Apply a thin layer to the skin as required.

Prescribing Notes:

  • Urinary (nappy) rash may clear if skin is left exposed to air; if associated with yeast (candida) infection, an antifungal cream such as clotrimazole cream is useful.
  • See Wound section of the formulary for further advice in relation to urinary incontinence barrier preparations.

History Notes

15/12/2021

East Region Formulary content agreed.

Treatment with barrier preparations
Metanium
Metanium Nappy Rash ointment

For dose, refer to BNF for Children.

Dimeticone + Benzalkonium
Conotrane cream

For dose, refer to BNF for Children.

Sudocrem
Sudocrem antiseptic healing cream

For dose, refer to BNF for Children.

Prescribing Notes:

  • Urinary (nappy) rash may clear if skin is left exposed to air; if associated with yeast (candida) infection, an antifungal cream such as clotrimazole cream is useful. See Fungal skin infections recommendations.
  • See Wound care section of the formulary for further advice in relation to urinary incontinence barrier preparations.

History Notes

31/05/2024

East Region Formulary content agreed.

Pharmacy First - Nappy rash
Dimeticone + Benzalkonium
Conotrane cream

Dose according to age and product licence.

Sudocrem
Sudocrem antiseptic healing cream

Dose according to age and product licence.

Metanium
Metanium Nappy Rash ointment

Dose according to age and product licence.

Prescribing Notes:

  • Do not apply too liberally as may prevent moisture absorption by the nappy.
  • Urinary (nappy) rash may clear if skin is left exposed to air.
  • If associated with yeast (candida) infection an antifungal such as clotrimazole is useful, should be applied two or three times daily and used for 7-10 days after rash has cleared.
  • For nappy rash, advice should be given to parents/carers to ensure that nappies are changed frequently.

When to advise patient to contact GP
If standard treatments fail or nappy rash persists.
If sign of infection or eczema.

History Notes

27/10/2020

Content migrated from ‘East Region Formulary: Pharmacy First - supporting minor ailments’ document.