References

British National Formulary. Atopic eczema in under 12s. 2013. https://www.nice.org.uk/guidance/qs44/chapter/Quality-statement-4-Provision-of-emollients

National Insitute for Health and Care Excellence. Atopic eczema in under 12s. 2013. https://www.nice.org.uk/guidance/qs44/chapter/Quality-statement-4-Provision-of-emollients (accessed 2 September 2020)

National Eczema Society. Emollient prescribing for eczema: information for patients. 2018. https://eczema.org/wp-content/uploads/Emollient-prescribing-guidance-for-patients-and-primary-care-prescribers.pdf (accessed 24 August 2020)

NHS Clinical Commissioners. Conditions for which over the counteritems should not routinely be prescribed in primary care: Guidance for CCGs. 2017. https://www.england.nhs.uk/wp-content/uploads/2018/03/otc-guidance-for-ccgs.pdf (accessed 24 August 2020)

Prescribing emollients

02 September 2020
Volume 2 · Issue 9

It is important to encourage self care whenever possible (NHS England, 2018). Self care is recommended for mild dry skin and mild irritant dermatitis, however it is appropriate to prescribe emollients for long term conditions including eczema (National Insitute for Health and Care Excellence (NICE), 2013; National Eczema Society, 2018).

The British National Formulary (BNF) (2020) suggests suitable quantities of dermatological preparations to be prescribed for specific areas of the body (Table 1).


Table 1. Suitable quantities of dermatological preparations to be prescribed for specific areas of the body
Area of body Creams and Ointments Lotions
Face 15–30 g 100 ml
Both hands 25–50 g 200 ml
Scalp 50–100 g 200 ml
Both arms or both legs 100–200 g 200 ml
Trunk 400 g 500 ml
Groins and genitalia 15–25 g 100 ml
Source: NICE, 2020

QUESTION 1

Complete the table (Table 2) with the quantity of emollient to prescribe for eczema for one month


Table 2. Prescribing emollient for eczema for one month
Emollient Pack sizes available Adult or child Body part affected Quantity to prescribe for one month
Exocream 50 g, 500 g Adult Face  
Epimax ExCetra cream 100 g, 500 g Child Whole body  
Epimax Oatmeal cream 500 g Adult Trunk  
Epimax Original cream 100 g, 500 g Adult Both legs  
Zero Double gel 100 g, 500 g Child Whole Body  
Zeroderm ointment 125 g, 500 g Adult Both hands  
Epimax ointment 125 g, 500 g Child Whole body  
Cetraben 125 g, 450 g Child Whole body  
Hydromol ointment 125 g, 500 g Adult Mild dry skin on both legs