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Topical formulations
Published in Karen Anne Gunnell, Rebecca Hayley Venables, A Practical Guide to Medicines Administration, 2018
Karen Anne Gunnell, Rebecca Hayley Venables
Some topical emollient preparations may also be used as soap substitutes. They do not have a foaming action; however, this is not necessary for cleansing the skin. They can be applied either before or during washing, showering or bathing, and then rinsed away. If patients are using emollients whilst washing, showering or bathing, they need to be aware that these may cause surfaces to become slippery. Extra care should be taken.1
Benign vulval problems
Published in David M. Luesley, Mark D. Kilby, Obstetrics & Gynaecology, 2016
Lubna Haque, Margaret Cruickshank
General measures are a key component of the management of vulval dermatoses in addition to condition-specific management. Emollients protect the skin and restore skin barrier function. General vulval care includes avoiding potential irritants that may worsen vulval symptoms, reducing symptoms and resolving contact dermatitis and lichen simplex. Avoiding soap and detergents and using soap substitutes instead can be soothing and protective to the skin. The combined use of emollients and soap substitutes helps maintain symptom relief3 and reduce use of topical steroids making this approach safe and inexpensive [C]. (See Box 104.1 on general measures.)
Dermatology
Published in Timothy G Barrett, Anthony D Lander, Vin Diwakar, A Paediatric Vade-Mecum, 2002
Timothy G Barrett, Anthony D Lander, Vin Diwakar
Skin treatment includes avoiding direct contact of any soap or detergent with the skin. Use a moisturizer as a soap substitute. Advise a daily bath with an emollient added to the bath water. Moisturize the whole skin after gently patting the child dry. Reapply emollients frequently during the day and if the child wakes feeling itchy at night. In general, the greasier the moisturizer the better it will be for the skin. However, there may be times when both child and parent prefer to apply a less greasy emollient.
The role of female intimate hygiene practices in the management of vulvovaginal candidiasis: A randomized, controlled open-label trial
Published in Health Care for Women International, 2023
Filippo Murina, Chiara Lubrano, Elisa Cappelli, Maria Campo, Stefania Taraborrelli
The effects of intimate hygiene practices on the symptoms of VVC infection are not well known. Daily washing of the vulva prevents accumulation of vaginal discharge, urine, and fecal contamination (Chen et al., 2017). Evidence suggests certain products that contain spermicides, β-lactam or other antimicrobials, or practices such as vaginal douching, can upset the vaginal microbiota and may increase risk of infection or serious gynecologic outcomes (Cottrell, 2010; Huang et al., 2014; Yıldırım et al., 2020). However, few evidence-based medical guidelines offer advice regarding female intimate hygiene (Arab et al., 2011). The Middle East and Central Asia Guidelines on Female Genital Hygiene, that were developed by a specialist advisory committee, recommend that in order to maintain a protective layer of lactobacilli to guard against vaginal infection, the genital region should be kept clean, dry and be washed using a mild, hypoallergenic liquid cleansing agent with pH 4.2–5.6 (Arab et al., 2011; Aroutcheva et al., 2001). Similarly, a United Kingdom National Guideline on the Management of Vulval Conditions (British Association for Sexual Health and Human Immunodeficiency Virus [HIV]) suggests that in order to manage vulval conditions, contact with soap, shampoo or bubble bath should be avoided and an emollient soap substitute used instead (British Association for Sexual Health and HIV, 2014).
Ruxolitinib cream for the short-term treatment of mild-moderate atopic dermatitis
Published in Expert Review of Clinical Immunology, 2023
Piotr K Krajewski, Jacek C Szepietowski
AD treatment varies greatly depending on the severity of the disease, as well as associated symptoms and the patient’s preferences. Both patients and their caregivers should be aware that general measures and avoidance strategies are crucial for the management of AD [1–3,5]. Moreover, patients should be educated on the chronic nature of the disease and the necessity of treatment between flare-ups. Basic, non-pharmacological management of AD should be based on the restoration of the impaired skin barrier with emollient therapy, avoidance of individual, external exacerbating factors, and dietary recommendations in case of food allergy coexistence [1–3,5,30]. It is essential to understand that frequent and continuous use of emollients in adequate amounts is the basis for managing the disease. Moreover, patients should take short baths or showers in warm water using a nonirritant non-allergen soap substitute, with a subsequent emollient application. This approach leads to more extended periods between flare-ups and faster healing of exacerbations [1–3,5]. Moreover, the short and long-term steroid-sparing effect of emollients was reported [1–3].
Effect of pine-tar bath on disease severity in moderate-to-severe childhood eczema: an investigator-blinded, crossover, randomized clinical trial
Published in Journal of Dermatological Treatment, 2022
Wing Gi Gigi Ng, Kam Lun Hon, Jeng Sum Charmaine Kung, Nam Sze Cheng, Mark Jean-Aan Koh, Huaiqiu Huang, Vivian W. Y. Lee, Ting Fan Leung
Our study is limited by being investigator-blinded, as the pine-tar smell is difficult to mask with placebo. However, the patients were not prejudiced as to the efficacy of the trial products. Another limitation the intervention was solely dependent on the subject participation and report. It is true that a sample size of 39 is comparatively small with regard to large scales multi-center studies. Nevertheless, it is a reasonable size for a local RCT study. On top of that, a cross-over approach was adopted with the aim of increasing the power of study. The study can be improved in the future by testing other preparations of pine-tar. There has been no RCT on other pine-tar soap or lotion products, soap substitutes or soap-less cleansers to date.