Oxfordshire Clinical Commissioning Group
Formulary
 
back
13 Skin
13-02-01 Emollients

Epimax® cream
First Choice

See Emollient Prescribing Guidelines.

Available as a squeeze bottle (flexi-dispenser), which may be difficult for patient with dexterity problems. Suitable as a soap substitute.

APCO January 2017.


Green View adult BNF  View SPC online  View childrens BNF
Zerocream®
Second Choice

See Emollient Prescribing Guidelines.

Could be considered if the Epimax® flexi-dispenser cannot be managed. Mimics E45.

APCO January 2017.


Green View adult BNF  View SPC online  View childrens BNF
Emollient preparation containing Urea Balneum® cream
Formulary

See Emollient Prescribing Guidelines.

For severe dry skin (e.g. ichthyosis). Contains ceramide which is a lipid lamella mimicking agent resulting in transepidermal water loss of 24hrs.

APCO January 2017.


Green View adult BNF  View SPC online  View childrens BNF
Fifty:50® ointment
Formulary

See Emollient Prescribing Guidelines.

Prescribe by brand. Price will vary if prescribed as 50:50 or generically.

APCO January 2017.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 

Green View adult BNF  View SPC online  View childrens BNF
imuDERM® emollient
Formulary

See Emollient Prescribing Guidelines.

Urea 5% + glycerine 5%. Very competitively priced, effective moisture-preserving emollient.

Natural moisturising factor – constituents of product improve hydration of the stratum corneum.

APCO January 2017.


Green View adult BNF  View SPC online  View childrens BNF
Isomol® gel
Formulary

See Emollient Prescribing Guidelines.

Cost effective alternative to Doublebase® & Zerodouble®.

Available as a squeeze bottle (flexi-dispenser) which may be difficult for patients with dexterity problems.

APCO January 2017.


Green View adult BNF  View SPC online  View childrens BNF
Oilatum® cream
Formulary

See Emollient Prescribing Guidelines. Transepidermal water loss around 12 hours.

Please see OCCG Wound Management Formulary.

APCO January 2017.


Green View adult BNF  View SPC online  View childrens BNF
Zeroderm® ointment
Formulary

See Emollient Prescribing Guidelines.

Alternative to Epaderm® (manufacturing process produces a creamier texture) and Hydromol® but with WSP not YSP.

Suitable as a soap substitute or can be dissolved to add to bath water.

APCO January 2017.


Green View adult BNF  View SPC online  View childrens BNF
Dermol® cream
Restricted

See Emollient Prescribing Guidelines.

  • Reserve for where there is a concern about Staph colonisation.
  • Intermittent use can reduce frequency of infection related flares of atopic eczema.
  • This should be targeted and short term use only.


APCO January 2017.


Restricted Drug Brown View adult BNF  View SPC online  View childrens BNF
Emollin® spray
Restricted

See Emollient Prescribing Guidelines.

Only for difficult to reach areas or patients unable to use alternative preparations as this is not the most cost effective preparation.

Covers three times the skin area as equivalent volume of cream/ointment. 

APCO January 2017.


Restricted Drug Brown View adult BNF  View SPC online  View childrens BNF
Hydromol® Intensive Cream
Formulary

In line with OCCG Wound Management Formulary 

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO May 2015.


Green View adult BNF  View SPC online  View childrens BNF
Zeroveen® Cream
Restricted

See Emollient Prescribing Guidelines.

NB. More cost effective than Aveeno.

They may be considered for children who are sensitive to other emollients but should not be used routinely.

APCO September 2017.


Restricted Drug Brown View adult BNF  View SPC online  View childrens BNF
AproDerm® colloidal cream
Restricted

See Emollient Prescribing Guidelines.

NB. More cost effective than Aveeno.

They may be considered for children who are sensitive to other emollients but should not be used routinely.

Contains a small percentage of olive oil which may cause irritation in a small number of patients.


Restricted Drug Brown View adult BNF  View SPC online  View childrens BNF
Aveeno® Cream
Restricted

See Emollient Prescribing Guidelines.

Colloidal oatmeal containing emollients are borderline substances & may only be prescribed in accordance with the advice of the Advisory Committee on Borderline Substances (ACBS) for the clinical conditions listed (see current BNF).

They may be considered for children who are sensitive to other emollients but should not be used routinely.


Restricted Drug Brown View adult BNF  View SPC online  View childrens BNF
Allpresan® foam cream
Non Formulary

Not recommended due to lack of evidence. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2017.


Black View adult BNF  View SPC online  View childrens BNF
Aquadrate® cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Aquamax® cream
Non Formulary

Cream is in a tub therefore prone to contamination.


View adult BNF  View SPC online  View childrens BNF
Aqueous Cream BP
Non Formulary

See Emollient Prescribing Guidelines.

No longer recommended for prescribing as an emollient or soap substitute as it contains 'SLS' which is skin irritant.

APCO January 2017.

Link  UKMI Q&A: Why is aqueous cream no longer recommended as a leave on moisturiser?
 

Black View adult BNF  View SPC online  View childrens BNF
Balneum® Plus cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Cetraben® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Dermatonics® Heel Balm
Non Formulary

Due to lack of good quality evidence comparing emollients. Can be purchased over the counter supported by Clinical Commissioning Policy 88d.

APCO September 2011.


Black View adult BNF  View SPC online  View childrens BNF
Diprobase® Cream
Non Formulary

Consider Epimax® which has the same ingredients and is a more cost effective alternative.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Diprobase® Ointment
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
DoubleBase Dayleve® Gel
Non Formulary

Formulation designed to offer the convenience of as little as twice daily application.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
DoubleBase® Gel
Non Formulary

Consider Isomol® which has similar ingredients and is a more cost effective alternative. 

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
E45® Cream
Non Formulary

Relatively short barrier protection effect. Contains parabens (skin sensitiser).

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Decubal® Clinic
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Dermamist® 10% spray
Non Formulary

Consider Emollin spray but only for difficult to reach areas or patients unable to use alternative preparations.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Drapolene® Cream
Non Formulary

Not suitable for prescribing as not in the Drug Tariff. 

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Epaderm® Cream
Non Formulary

Not recommended as more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Epaderm® Ointment
Non Formulary

Consider Zeroderm ointment® as a more cost effective alternative.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Hewletts® Cream
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Kamillosan®
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Keri®
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Linola® Gamma
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Lipobase® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Neutogena® Dermatological Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Ultrabase® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Vaseline Dermacare®
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation ZeroAQS® Cream
Non Formulary

Claims to mimic Aqueous cream (no SLS). Not recommended as the cream is in a tub therefore prone to contamination.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation Zeroguent® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation containing Urea Calmurid® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation containing Urea E45® Itch Relief Cream
Non Formulary

Consider imuDERM® as a more cost effective alternative.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation containing Urea Nutraplus® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Emollient preparation with antimicrobials  Eczmol® Cream
Non Formulary

Consider Dermol as a more cost effective alternative only under these conditions:

  • Reserve for where there is a concern about Staph colonisation.
  • Intermittent use can reduce frequency of infection related flares of atopic eczema.
  • This should be targeted and short term use only.


View adult BNF  View SPC online  View childrens BNF
Emulsifying Ointment BP
Non Formulary

Not recommended as contains 3% sodium lauryl sulphate which can be irritant to normal skin.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 

View adult BNF  View SPC online  View childrens BNF
Enopen® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Eucerin® Intensive Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Eumocream®
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Flexitol® Heel Balm
Non Formulary

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO September 2011.


View adult BNF  View SPC online  View childrens BNF
Hydromol® Cream
Non Formulary

Contains sodium pyrollidine carboxylate that is a natural moisturising factor and parabens (skin sensitiser). More cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Hydromol® Ointment
Non Formulary

Consider Zeroderm® as a more cost effective alternative.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Lanolin emollient spray
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Liquid and White Soft Paraffin Ointment (50:50)
Non Formulary

Prescribe as Fifty:50® ointment as a more cost effective brand.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 

View adult BNF  View SPC online  View childrens BNF
QV® cream
Non Formulary

Not recommended as there are more cost effective alternatives available.  Contains parabens (skin senitiser).

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Skin Salvation Cream®
Non Formulary

Not recommended as there are more cost effective alternatives available.


View adult BNF  View SPC online  View childrens BNF
Unguentum M® Cream
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
White Soft Paraffin BP
Non Formulary

White petroleum jelly unlikely to be tolerated as a leave on emollient.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 

View adult BNF  View SPC online  View childrens BNF
Yellow Soft Parafin BP
Non Formulary

Yellow petroleum jelly unlikely to tolerated as a leave on emollient.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 

View adult BNF  View SPC online  View childrens BNF
Zerobase® Cream
Non Formulary

Consider Epimax® which has similar ingredients and is a more cost effective alternative.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF
Zerodouble® Gel
Non Formulary

Consider Isomol® which has similar ingredients and is a more cost effective alternative.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.


View adult BNF  View SPC online  View childrens BNF