Nursing in Practice Autumn 2022 issue | Page 32

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Name Price Comments
• EmulsifEss £ 3.97 Contains 3 % SLS , which is an irritant , even to normal skin
• Epaderm £ 6.58 Identical constituents to Hydromol , but slightly softer and more expensive . Water miscible
• Epimax £ 2.99 Ongoing supply issues
• Fifty : 50 £ 3.66 Price varies frequently – often a lot more expensive
• Hydromol £ 4.96 Identical constituents to Epaderm but less expensive . Water miscible
• KreaMoint 50:50 £ 3.17 Same as Fifty : 50
• QV intensive £ 5.75
• Thirty : 30 £ 6.47
• Zeroderm £ 4.29 Similar to Hydromol / Epaderm ( white , not yellow , soft paraffin ). Water miscible
Caution
• All these products contain paraffin and are therefore naturally flammable . Avoid naked flames
• Patients should be advised not to extract with fingers as this will rapidly contaminate ointment ( ideally use a clean spoon or disposable spatula )
Sophisticated emollients
5 % urea-containing emollients
Name Price / 500g Delivery Other significant ingredients Comments
• Balneum £ 9.97 Pump 5 % urea & ceramide 0.1 % Prevents TEWL for 24 hours
• Imuderm
£ 6.62
Pump
5 % glycerine
Pump has weak spring – refills slowly . Not
a substitute for Balneum as no ceramide
10 % urea-containing emollients
• Aquadrate
£ 22.25
Tube
Expensive . Only available as 100g tubes (£ 4.45 / 100g )
• Eucerin Intensive cream
£ 37.95
Tube
Very expensive . Only available as 100ml tubes (£ 7.59 / 100ml )
• Eucerin Intensive lotion
£ 37.95
Tube
Very expensive . Only available as 100ml tubes (£ 7.59 / 100ml )
• Flexitol 10 %
£ 11.77
Pump
• Flexitol 25 % £ 14.75 Pump
• Hydromol Intensive
£ 22.25
Tube
Expensive . Only available as 30g and 100g tubes (£ 4.45 / 100g )
• Nutraplus
£ 21.85
Tube
Expensive . Only available as 100g tubes (£ 4.37 / 100g )
Emollients with additional properties ( eg natural moisturising factors , ceramides , colloidal oatmeal or povidone )
• Adex gel £ 5.99 Pump Nicotinamide and glycerol Anti-itch and anti-inflammatory properties
• AproDerm colloidal ( 500ml )
£ 5.80
Pump
Colloidal oatmeal
Competitively priced colloidal emollient . 100 % recyclable container using 25 % less plastic than before . The only totally paraffin-free emollient
• Aveeno ( 500ml )
£ 6.47
Pump
Colloidal oatmeal
Very nice emollient with evidence for antiinflammatory properties , but not recommended as pump leaves over 25 % wastage
• CeraVe
Not on NHS tariff yet
Tub , pump and tube
Three essential ceramides . Hyaluronic acid
Effective combination of three ceramides . Long TEWL action . Hyaluronic acid is most powerful humectant available . £ 16 / 454g
• Doublebase Dayleve
£ 6.29
Pump
Povidone & glycerol
Prevents TEWL for around 12 hours and contains significantly higher concentration of glycerol than ordinary Doublebase gel . Minimal wastage
• Epimax colloidal
£ 2.99
Tube
Alcohol preservative
High alcohol content , which stings . Long-term supply issues .
• Hydromol
£ 12.41
Pump
Sodium pyrrolidore carboxylate 2.5 % – a natural
Expensive
moisturising factor
• Lipikar AP + M Baume cream
Not on NHS tariff yet
Tube , pump
Niacinamide , shea butter , glycerine , Aqua Posea Filiformis
Supports skin microbiome balance . Suitable from birth . £ 21 / 400ml
• Oilatum
£ 5.28
Pump
Povidone
Prevents TEWL for around 12 hours
• Ultraveen ( 125ml )
£ 13.56
Tube
Colloidal oatmeal
Not recommended as there are significantly less expensive similar alternatives
• Zeroveen
£ 6.13
Pump
Colloidal oatmeal
Long-term supply issues
Local prescribing guidance should be respected , but this table may be used to develop an informed local formulary SLS Sodium lauryl sulphate . Damaging to skin barrier Humectant Substance that helps retain moisture in the skin barrier TEWL Trans-epidermal water loss