For ingredient comparison and product equivalents use Emollients Quick Reference Guide

Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
Creams Aqueous cream is non-formulary: may cause skin irritation, particularly in children with eczema, possibly due to sodium lauryl sulfate content. (MHRA DSU Mar-13)
If the most cost effective choice emollients are not satisfactory for a patient, after a trial, then all other emollients remain on formulary as patient choice is an important factor in the management of eczema and other skin conditions.
First line

1st option
Green crossEpimax® - suitable for self-care£2.49 (500g flexi dispenser tube)
Most cost-effective preparation currently available but not available in pump packs. The 500g flexi-dispenser container consists of an airless pump mechanism which prevents contamination.
21% Paraffin
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, and phenoxyethanol
2nd optionsGreen crossAquamax® - suitable for self-care£3.99 (500g jar)
SLS, Parabens & lanolin free. Not available in pump packs.
28% Paraffin (light liquid paraffin 8% / WSP 20%)
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, and phenoxyethanol
Green crossExocream® - suitable for self-care£3.99 (500g pump)
27.1% paraffin (Light Liquid paraffin 12.6% and White Soft Paraffin 14.5%), Anhydrous Lanolin 1.0%
Most cost-effective emollient in a pump dispenser container; can be considered for patients with poor grip strength and who are unable to use other preferred cost-effective options.
ExoCream compares to E45 cream
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, lanolin/derivatives and hydroxybenzoates (parabens)
Green crossZeroAQS® suitable for self-care£3.29 (500g jar)21% paraffin (liquid paraffin 6%/ WSP 15%)
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol and chlorocresol


Second-lineGreen crossOilatum® - suitable for self-care£4.99 (500ml pump)
£9.98 (1.05l pump)
21% Paraffin (Light liquid paraffin 6%/ WSP 15%)
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, propylene glycol , benzyl alcohol and sorbic acid/sorbates
Green crossOilatum Junior® - suitable for self-care£4.99 (500ml pump)
£9.98 (1.05l pump)
21% Paraffin (Light liquid paraffin 6%/ WSP 15%)
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, benzyl alcohol and sorbic acid/sorbates
Green crossZerobase® - suitable for self-care£5.26 (500g pump)

21% paraffin
Zerobase compares to Diprobase cream
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol and chlorocresol
Green crossZerocream® - suitable for self-care£4.08 (500g pump)

27.1% paraffin (liquid paraffin 12.6%/ WSP 14.5%)
Zerocream compares to Oilatum cream/Epaderm cream/E45 cream
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, lanolin/derivatives and phenoxyethanol
Green crossUltrabase® - suitable for self-care£4.80: 500g pump

10% white soft paraffin

Potential sensitisers: fragrances, cetyl/cetostesaryl/stearyl alcohol, hydroxybenzoates (parabens) and disodium edetate
Creams containing ureaUrea is a keratin softener and hydrating agent used in the treatment of dry, scaling conditions (including itchyoisis). Urea can cause stinging and irritation.
First-lineGreen crossimuDERM emollient® - suitable for self-care£6.50 (500g pump)
Usually twice daily as required; add to bath or as soap substitute
Contains both Urea 5% and Glycerine 5%; contains liquid paraffin..
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, benzalkonium chloride, phenethyl alcohol and cetrimonium bromide
Second-line
1st option

Green crossClearZal® Hard Skin Remover - suitable for self-care£4.30 (100g tube)

Once daily
Urea 7%, salicylic acid 4%, trichloroacetic acid 2%
Other ingredients: aloe barbadensis (organic aloe), mineral oil, petrolatum, stearyl alcohol, cetyl alcohol, propylene glycol, hydroxypropyl starch phosphate, glyceryl stearate, PEG-100 stearate, ceteth-20, hydroxyethylcellulose, disodium EDTA, methylisothiazolinone, phenoxyethanol
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, propylene glycol, phenoxyethanol

2nd optionsGreen crossDermatonics® Once Heel Balm - suitable for self-care£8.50 (200ml tube)Once daily
Contains 25% urea
Ingredients: Aqua, Urea, lanolin, Petrolatum, C12-15 Alkyl Benzoate, Acrylates, Copolymer, Cera Alba, Dimethicone, Glycerin, Phenoxyethanol, Ethyhexylglycerin, Triethanolamine, Parfum
Potential sensitisers: beeswax, lanolin/derivatives and phenoxyethanol
Green crossFlexitol® 10% Urea Cream - suitable for self-care£11.77 (500g pump)Two or three times daily.
Contains 10% urea.
Ingredients: Purified Water, urea, Lanolin, Cetostearyl, Alcohol, Glycerine, Dimeticone, Paraffin Oil Light, Glyceryl Monostearate, Decyl Oleate, PEG-20 Stearate, Phenoxyethanol, Sodium PCA, Shea Butter, Panthenol, Tocopheryl Acetate, Benzyl Alcohol, Butylated Hydroxytoluene, Perfume.
Potential sensitisers: fragrances, cetyl/cetostesaryl/stearyl alcohol, lanolin/derivatives, benzyl alcohol and phenoxyethanol
Gels
First-lineGreen crossIsomol Gel® - suitable for self-care£3.99 (500g flexi-dispenser tube)
Liquid paraffin 15%, isopropyl myristate 15%. Potential sensitiser: triethanolamine

Not available in pump packs - the 500g flexi-dispenser container consists of an airless pump mechanism which prevents contamination.
Second-lineGreen crossMyribase Gel® - suitable for self-care£4.66 (500g pump)Isopropyl myristate 15% / Liquid paraffin 15% equivalent to Doublebase Gel. Potential sensitisers: triethanolamine and phenoxyethanol
LotionsLotions have a higher water content than creams, which makes them easier to spread but less effective as emollients.
First-lineGreen crossE45® Lotion - suitable for self-care£4.50 (500ml pump)14% Paraffin (Light Liquid Paraffin 4%/ WSP 10%)
Potential sensitisers: lanolin/derivatives, benzyl alcohol and hydroxybenzoates (parabens)
Second-line:Green crossQV® skin lotion - suitable for self-care£5.24(500ml pump)White soft paraffin 5%, glycerin 5%
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol and hydroxybenzoates (parabens)
Ointments
First-line

1st option
Green crossEmulsifying ointment BP - suitable for self-care£2.47 (500g jar)50% paraffin WSP 30 % Emulsifying wax 20% Liquid paraffin
2nd optionGreen crossWhite soft paraffin BP - suitable for self-care£3.23 (500g jar)100% WSP
Second line

1st option
Green crossFifty:50 - suitable for self-care£3.66 (500g jar)White soft paraffin 50%, liquid paraffin 50%
2nd optionGreen crossPure Health Liquid Paraffin 50% in White Soft Paraffin Ointment® - suitable for self-care£3.66 (500g)Liquid paraffin 50%, White soft paraffin 50%
Green crossZeroderm® - suitable for self-care£4.10 (500g jar)Liquid paraffin 40%w/w, white soft paraffin 30%w/w
Zeroderm compares to Epaderm or Hydromol ointment.
Potential sensitiser: cetyl/cetostesaryl/stearyl alcohol
Aerosols: Sprays and mousseShould only be used where application without touching the skin is necessary.
Green crossDermamist® - suitable for self-care£5.97 (250ml spray)white soft paraffin 10%
Potential sensitisers: none listed
Emollients containing antimicrobialsUse preparations with antimicrobials only if infection present or strongly suspected. Routine use should be avoided.
Dermol 500 lotion®£6.04 (500ml pump)benzalkonium chloride 0.1%, chlorhexidine hydrochloride 0.1%, liquid paraffin 2.5%
Potential sensitisers: cetyl/cetostesaryl/stearyl alcohol, benzalkonium chloride, and phenoxyethanol