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Creams

Creams, ointments and lotions are used to treat many skin conditions. They are known as topical treatments, as they are only to be used externally on the skin.
Topical treatments may also include washes, foams, sprays, gels, shampoos or patches.

While some treatments are available over the counter at the chemist, others require a prescription, and some may require that you are routinely monitored if you are advised to use them.

Some common topical treatments for skin conditions include;
Antibacterial

These are medicines used to treat or prevent bacterial infection.

Antifungals

These are medicines used to treat fungal skin conditions or fungal nail infections.

Corticosteroids

Used to treat skin conditions like eczema and contact dermatitis, corticosteroids come in many different forms, including foams, lotions, ointments, and creams.

Non-steroidal ointment

Used to treat skin conditions like eczema, these medications do not contain steroids.

Retinoids

These medications derived from vitamin A (such as Retin-A and Differin) can be gels, or creams, are used to treat conditions including acne.

Benzoyl peroxide

These treatments for acne can be gels, foams, lotions, washes or creams.

Coal Tar

There are different strengths available over the counter, or it might need to be prescribed in the treatment of psoriasis or seborrheic dermatitis.

Salicylic Acid

These treatments for acne and some types of warts can be gels, foams, lotions, washes, patches, or creams.

What is the Process of Treatment with Creams?

Topical treatments are meant only to be used on the skin, but they should not be used on the face or underarms unless advised by the dermatologist.
Before applying a topical treatment, wash and dry your hands, and ensure the affected area is clean and dry.

If you are using the lotion or foam, shake it well just before using, however if you are using a spray, check the product package to see if it needs to be shaken before each use.

A small amount of medication should be applied to the affected area as directed by the dermatologist, or in the case of over the counter medications, by the product packaging or pharmacist’s advice.

Do not bandage, cover, or wrap the area unless advised to do so by the doctor; and if topical treatment is being used in or near the nappy area on an infant, do not use tight-fitting diapers or plastic pants.

After applying the medication, wash your hands, unless the hands are the area affected by the skin condition.

Take care that you do not apply or transfer any topical treatment to the eyes, nose or mouth. If contact occurs, rinse well with clean water, and if any prolonged irritation occurs, contact the clinic or your GP.

Only use topical medication for the condition it was prescribed for, or, in the case of over the counter treatments, a condition listed on the product package.

Never share topical treatments with others, and make sure you adhere to the advice of your dermatologist or GP on how frequently you should treat the affected area, and when you need to stop treatment.

Creams

Topical treatments will be used by almost everyone during the course of their life, but some treatments are not suitable for people with certain medical conditions. You can consult your GP or your pharmacist to ask if it’s suitable to use a topical treatment for a skin condition.

What is the Recovery Time and Outcome?

The duration and success of topical treatment depends on the condition being treated, and its severity.

The dermatologist will advise you about what you can expect from topical treatment during your consultation.

What are the Risks and Complications?

Because there are so many conditions that respond to topical treatments, it is beneficial to read the drug leaflet (or product packaging, if using over the counter treatments.)

The dermatologist will advise you of any risks or complications with topical treatment during your consultation.

There is a risk of transferring topical treatment to the eyes, nose or mouth, which can cause problems, so it is important to ensure this does not happen.

Common side-effects to topical treatments could include dryness and irritation. Inflammation could be a sign of an allergic reaction, so if this occurs, it is wise to discontinue use, and it may be necessary to report it to your dermatologist or your GP, especially if it is a prescription medication.

Related Specialists at Derma

Dr Charles Archer

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Dr Charles Archer is a registered specialist with the GMC and his NHS Consultant post is split between The Royal Berkshire Hospitals and Oxford University Hospitals.

Dr Sanju Arianayagam

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Dr Sanju Arianayagam is a Consultant Dermatologist and gained her dermatology experience at Cambridge University Hospitals, Oxford University Hospitals and the Royal Berkshire Hospital.

Dr Rima Clayton

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Dr Sabrina Khan

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Dr Antonia Lloyd-Lavery

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Dr Antonia Lloyd-Lavery is a UK trained Consultant Dermatologist and Honorary Senior Lecturer in Oxford since 2017. She is fully trained and on the GMC specialist register. She qualified from Oxford University in 2008.

Dr Rachel Fisher

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Dr Inge Kreuser-Genis

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Dr Kreuser-Genis is a UK trained Consultant Dermatologist who practices in Reading and Oxford. She is fully trained in both paediatric and adult dermatology.

Professor Rubeta Matin

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Professor Rubeta Matin is a UK trained consultant dermatologist and honorary senior lecturer in Oxford since 2015. She is fully trained and on the GMC specialist register.

Dr John Reed

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Dr John Reed has been a UK trained consultant dermatologist and senior lecturer in Oxford since 2007