Dermatology/Emollient

Emollients

also: moisturiser · barrier cream · leave-on

Overview

The mainstay of eczema and dry-skin management — restore the skin barrier and reduce the need for steroid.

Mechanism

Occlusive and humectant agents reduce trans-epidermal water loss and restore the lipid barrier → less itch, fewer flares, steroid-sparing. Use liberally and frequently, even when skin is clear.

Indications

Atopic eczema (continuous use)
Psoriasis adjunct
Any dry/scaly dermatosis
Soap substitute

The agents

Light (lotions/creams)higher water

cosmetically acceptable

Day use, weepy/mild skin.

Greasy (ointments)higher lipid

occlusive

Very dry skin / night; no preservatives.

Adverse effects

Stinging / folliculitiscommon

Fire hazard with paraffin-based productsserious

Soak into fabric/dressings/bedding — keep away from naked flames + smoking.

Cautions & contraindications

—all

Very safe; choose by greasiness + patient preference.

Interactions

Apply ~15–30 min apart from a topical steroid (don't dilute it)

Monitoring & kinetics

Adherence / quantity used (eczema needs large amounts)

Topical, apply in the direction of hair growth.

Source: NICE NG57 — Atopic eczema · BNF — Emollients