BNF for Children 2011-2012

554 13.2.1 Emollients BNFC 2011–201213 SkinE45 c Itch Relief Cream (Reckitt Benckiser)Cream, urea 5%, macrogol lauryl ether 3%, net price50 g = £2.55, 100 g = £3.47, 500-g pump pack = £14.99Excipients include benzyl alcohol, polysorbatesDoseApply twice dailyEucerin c Intensive (Beiersdorf)Cream, urea 10%, net price 100 mL = £7.59Excipients include benzyl alcohol, isopropyl palmitate, wool fatDoseApply thinly and rub into area twice dailyLotion, urea 10%, net price 250 mL = £7.93Excipients include benzyl alcohol, isopropyl palmitateDoseApply sparingly and rub into area twice dailyHydromol c Intensive (Alliance)Cream, urea 10%, net price 30 g = £1.64, 100 g = £4.37Excipients none as listed in section 13.1.3DoseApply thinly twice dailyNutraplus c (Galderma)Cream, urea 10%, net price 100 g = £4.37Excipients include hydroxybenzoates (parabens), propylene glycolDoseApply 2–3 times dailyWith antimicrobialsDermol c (Dermal)Cream, benzalkonium chloride 0.1%, chlorhexidinehydrochloride 0.1%, isopropyl myristate 10%, liquidparaffin 10%, net price 100-g tube = £2.86, 500-gpump pack = £6.63Excipients include cetostearyl alcoholDoseApply to skin or use as soap substituteDermol c 500 Lotion, benzalkonium chloride 0.1%,chlorhexidine hydrochloride 0.1%, liquid paraffin2.5%, isopropyl myristate 2.5%, net price 500-mLpump pack = £6.03Excipients include cetostearyl alcoholDoseApply to skin or use as soap substituteEczmol c (Genus)Cream, chlorhexidine gluconate 1% in emollientbasis, net price 250 mL = £3.70Excipients include cetostearyl alcoholDoseApply to skin or use as soap substitute13.2.1.1 Emollient bath additives andshower preparationsEmollient bath additives should be added to bath water;some can be applied to wet skin undiluted and rinsedoff. Hydration can be improved by soaking in the bathfor 10–20 minutes. In dry skin conditions soap should beavoided (see section 13.2.1 for soap substitutes).The quantities of bath additives recommended for olderchildren are suitable for an adult-size bath. Proportionatelyless should be used for a child-size bath or awashbasin; recommended bath additive quantities foryounger children reflect this.These preparations make skin and surfaces slippery—particularcare is needed when bathing achild.Aveeno c (J&J)Bath oil, colloidal oatmeal, white oat fraction inemollient basis, net price 250 mL = £4.28Excipients include beeswax, fragranceACBS: for endogenous and exogenous eczema, xeroderma, andichthyosisDoseChild 2–18 years add 20–30 mL to bath water or applyto wet skin and rinseColloidal c bath additive, oatmeal, white oat fractionin emollient basis, net price 10 50-g sachets = £7.33;Baby Bath Additive c , 10 15-g sachets = £4.39Excipients none as listed in section 13.1.3ACBS: as for Aveeno c Bath oilDoseChild 1 month–12 years add 15 g to bath waterChild 12–18 years add 50 g to bath waterBalneum c (Almirall)Balneum c bath oil, soya oil 84.75%, net price200 mL = £2.48, 500 mL = £5.38, 1 litre = £10.39Excipients include butylated hydroxytoluene, propylene glycol, fragranceDoseNeonate add 5–15 mL to bath water; do not use undilutedChild 1 month–2 years add 5–15 mL to bath water; donot use undilutedChild 2–18 years add 20–60 mL to bath water; do notuse undilutedBalneum Plus c bath oil, soya oil 82.95%, mixedlauromacrogols 15%, net price 500 mL = £6.66Excipients include butylated hydroxytoluene, propylene glycol, fragranceDoseNeonate add 5 mL to bath water or apply to wet skin andrinseChild 1 month–2 years add 5 mL to bath water or applyto wet skin and rinseChild 2–18 years add 10–20 mL to bath water or applyto wet skin and rinseCetraben c (Genus)Emollient bath additive, light liquid paraffin 82.8%,net price 500 mL = £5.75Excipients none as listed in section 13.1.3DoseNeonate add ½ capful to bath water or apply to wet skinand rinseChild 1 month–12 years add ½–1 capful to bath wateror apply to wet skin and rinseChild 12–18 years add 1–2 capfuls to bath water orapply to wet skin and rinseDermalo c (Dermal)Bath emollient, acetylated wool alcohols 5%, liquidparaffin 65%, net price 500 mL = £3.44Excipients none as listed in section 13.1.3DoseNeonate add 5 mL to bath water or apply to wet skin andrinse