Excipients with known effect:
For the full list of excipients, see Section 6.1
White non-greasy topical emulsion
An antimicrobial emollient cream for the management of dry and pruritic skin conditions, especially eczema and dermatitis. The cream is suitable for direct application, and for use as a soap substitute.
For external use only.
Before using the 500g pump bottle, turn the top of the pump dispenser anti-clockwise to unlock it.
For adults, the elderly, infants and children.
For application to the skin
Apply Dermol Cream to the affected areas as often as necessary.
For use as a soap substitute
Dermol Cream may also be used as a cleanser in the bath or shower, or for other toiletry purposes, instead of ordinary soap or shower gel.
Do not use in cases of known sensitivity (especially generalised allergic reaction) to any of the ingredients (see sections 4.4 and 4.8).
Avoid contact with the eyes.
Take care to avoid slipping in the shower or bath, when using as a soap substitute.
Local skin reactions (e.g. contact dermatitis) to any of the ingredients are rare but possible in sensitive people.
There are literature reports of chlorhexidine compounds inducing hypersensitivity, including anaphylactic shock. The prevalence of this is not known, but is likely to be very rare. Dermol Cream should not be administered to anyone with a possible history of allergic reaction to a chlorhexidine compound (see sections 4.3 and 4.8).
Dermol Cream contains cetostearyl alcohol which may cause local skin reactions (e.g. contact dermatitis).
Instruct patients not to smoke or go near naked flames - risk of severe burns. Fabric (clothing, bedding, dressings etc) that has been in contact with this product burns more easily and is a serious fire hazard. Washing clothing and bedding may reduce product build-up but not totally remove it.
Use during pregnancy and lactation is not expected to be associated with harmful effects to the mother as cutaneous absorption of benzalkonium chloride is minimal. When breast-feeding, if use on the nipples is necessary, apply sparingly and after feeds. Gently wipe away any remaining product before feeding your baby
Although the cream has been specially formulated for use on dry or problem skin, in the unlikely event of a reaction discontinue treatment.
Local skin reactions
These reactions are very rare (<1/10,000, based on spontaneous reporting) and may be irritant or allergic in nature. Reactions have been observed occasionally when used excessively as a leave-on application in areas of folded skin such as the anogenital area.
Serious generalised allergic reactions
Very rarely, hypersensitivity including anaphylactic reaction (see sections 4.3 and 4.4) is possible (based on literature for chlorhexidine-containing products).
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
Excessive topical use is very unlikely to cause any untoward effects other than making the skin feel greasy.
In the event of a significant quantity being accidentally swallowed, nausea and vomiting may occur but serious effects are unlikely. Unless there are signs that give cause for concern, treatment should be conservative.
ATC Code: D02AX - Dermatologicals, other emollients and protectives.
Bacteria (especially Staphylococcus aureus) are implicated in the pathogenesis of inflammatory dry skin conditions such as atopic eczema or dermatitis.
Dermol Cream contains 20% of emollient oils in a non-greasy aqueous cream which also contains the well-known and effective antiseptics benzalkonium chloride and chlorhexidine dihydrochloride. Its antimicrobial properties assist in overcoming infection, whether from Staph aureus, the pathogen which often complicates eczema and associated pruritus, or secondary infection caused by scratching.
Massaged into the skin, the emollients, liquid paraffin and isopropyl myristate, permit rehydration of dry skin by forming an occlusive barrier within the skin surface, thus reducing drying from evaporation of water that diffuses from the underlying layers.
The active ingredients are presented in an aqueous cream and so are readily absorbed into the stratum corneum when the product is gently massaged over the areas of dry skin. The antiseptic ingredients are in intimate contact with the skin, and as they are in solution, their availability is optimal.
No special information.
Macrogol cetostearyl ether (cetomacrogol)
Disodium phosphate dodecahydrate
Sodium dihydrogen phosphate dihydrate
Do not store above 25°.
Replace cap after use.
High density polyethylene squeezable bottle (500 g) with a polypropylene flip top cap.
High density polyethylene bottle (500 g) with a polypropylene metering pump.
High density polyethylene tube (100g) with a polypropylene screw cap.
Lacquered aluminium tube (30, 100g) with a polyethylene screw cap.
Diomed Developments Limited
T/A Dermal Laboratories
Hertfordshire, SG4 7QR
17 May 2004