A friendly and helpful voice
Call 0800 300 182

Emollients

Emollients have been used for over 5,000 years and they form an Essential part of the therapy for all dry skin conditions, such as atopic and approach eczema.

Emollients are secure and effective and, in the majority of Cases, mild to moderate psoriasis would be successfully treated by using Emollient therapy independently.

Why are emollients so effective?

Dry skin exist 1 of the principal signs of psoriasis. Changes in skin Humidity levels induce a decline in the barrier perform, which in turn increases water losing, so permitting the penetration of irritants and allergens that trigger psoriasis.

Itching exist a different important and most painful symptom of psoriasis and creates an itch-scratch-itch cycle.

Scratching results in the release of histamine, a compound from the body, Making the itching worse and contributes to skin injury. Additionally, this enables entry to irritants, allergens and germs that trigger psoriasis.

Emollients soothe and relieve the itch, making a greasy coating over the skin surface that traps water under it.

The resulting recovery of the skin barrier perform by Emollients prevents penetration of irritants, allergens and germs Thereby preventing or reducing the growth of eczema. A quality skin Care routine with emollients could soothe, moisturise, and shield the Skin, so lending a hand reduce the have for steroid preparations. In gentle To moderate eczema, topical steroids and topical antibiotics have to just Be required for flare-ups of psoriasis.

What are emollients?

Emollient is simply the medical word for moisturiser. However, emollients are different from cosmetic moisturisers in that they tend to be unperfumed and do not have anti-ageing ingredients. Applying emollients can be very time consuming and tedious, but it helps to know what they do for your skin. Emollients help skin to feel more comfortable and less itchy. They keep the skin moist and flexible, helping to prevent cracks. There are many types of emollients and they can be classified according to how they are applied.

  • Lotions, creams and ointments: applied directly to the skin.
  • Bath oils: added to the bath water or directly to the skin in the shower.
  • Soap substitutes: used instead of soap to cleanse the skin.

Lotions

Lotions contain more water and less fat than creams. They spread easily and are cooling, but are not very effective at moisturising very dry skin. They are useful for hairy areas, or for quick absorption if time is short.

Unfortunately emollients are under-used, as people often perceive them to be inactive moisturisers and do not understand why they are so important in controlling eczema. When used correctly as a daily skin care regime, emollients become effective ‘active treatments’. Emollient therapy is not just about products but understanding how and when to use them.

Creams

Creams contain a mixture of fat and water and feel light and cool on the skin. They are easier to spread over sore skin and are not greasy. All creams contain preservatives and people can become sensitised to them, although this is rare.

Creams need to be used liberally and frequently so that the skin is not allowed to dry out.

Ointments

Most ointments do not contain water, therefore they do not need a preservative. This makes them ideal for people who react to preservatives. Ointments are often stiff and greasy and some people may find them cosmetically unacceptable. However, because they are very effective at holding water in the skin, they are useful for very dry and thickened skin, under wet wraps or if a heavier cream is required at night. Ointments should not be used on weeping eczema – use a cream or lotion instead.

Bath oils

Bubble baths are very drying and possible irritating to individuals with eczema. But daily baths remove dirt and skin debris that could cause disease. Bath oils and warm water clean and hydrate skin coating it with a film of oil to trap water from the epidermis.

Some bath oils are fully-dispersing while others are semi-dispersing, leaving more or smaller oil on the skin. Much like emollients it can be a case of trial and error. Hurry to sight which suits you or your child's skin best. Some physicians prescribe emulsifying ointment for bathing. This needs to be dissolved with water top and whisked using a fork. Some people find this helpful, while some find it messy and time-consuming. Discuss with your physician to find an emollient regime that works best for you.

Bath oils could be utilised in the shower, either on a sponge, or applied all over before showering off.

It is also possible to get emollients specially intended for the shower. Your doctor or pharmacist can counsel you.

If you good that entering the water stings the skin, apply a soap replacement or emollient all over earlier entering the water. Be careful not to slip -- a mat or grab rails are useful. Placing a towel in the bath may also be helpful especially when bathing an active baby. Toilet oils do make a wreck of the tub. Wipe around the bath with paper towels or tissues -- this can absorb excess oil and shine the bath. Warn other bath customers that the bath or shower may still be slippery. The tub may be cleaned using a bath cleaner however be alert to wash it thoroughly before make use of.

Soap substitutes

Soap is alkaline and very drying to skin with eczema. The hands are particularly at risk, as they are washed more frequently. Each wash degreases the skin. Detergent base soap-substitutes (liquid soaps/cleansers) and perfumed products should also be avoided as they tend to irritate eczematous skin.

Emollient soap-substitutes do not foam and may take a little while to get used to. It is not essential to have bubbles to clean the skin and emollient washing creams are very effective at cleaning the skin. Soap-substitutes can either be applied before bathing, showering or washing, or scoop up a handful of cream and apply over the skin while in the water.

Choosing the right emollient

The best emollient is one which the patient prefers because then you, or your child, will use it more frequently. Dermatology nurses sometimes give out emollients for people to try. Always try new emollients on a small area of unaffected skin first to test for a reaction.

Once you have chosen your emollients they will need to be used frequently to have maximum benefit.

Ideally this would be every few hours but it should be at least 3 to 4 times a day – getting through a 500g tub per week is not unusual.

When and how to apply emollients

Emollient cream or ointment

  • Use liberally and frequently – every hour if the skin is very dry, but at least 3 times a day.
  • Apply gently in the direction of hair growth. Never rub up and down vigorously as this could trigger itching, block hair follicles or create more heat in the skin.
  • Apply emollients after bathing, while water is still trapped in the skin, for extra hydration.
  • Avoid putting hands into large tubs of emollient cream. Use a spatula to take out the correct amount each time and replace the lid immediately. Alternatively ask your doctor or pharmacist about pump dispensers for emollients.
  • Continue to use the emollient, even when the eczema has improved, this will help prevent flare-ups.
  •  Storage depends on whether you prefer your emollient warm or cold – try either the airing cupboard or fridge.

Bath oil

  • Adding oil to warm, not hot, bath water cleanses and hydrates the skin. Soak for 10-20 minutes, pat (do not rub) the skin dry. Apply emollient.
  • Young infants may require two baths daily.