Nappy rash
Treatment with barrier preparations
Dimeticone + Benzalkonium
Conotrane cream
Apply to the affected area(s) several times a day, as necessary.
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
12/03/2025
Metanium nappy rash ointment discontinued
15/12/2021
East Region Formulary content agreed.
Treatment with barrier preparations
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
12/03/2025
Metanium nappy rash ointment discontinued
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.
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
12/03/2025
Metanium nappy rash ointment discontinued
27/10/2020
Content migrated from ‘East Region Formulary: Pharmacy First - supporting minor ailments’ document.