#Boudreaux butt paste side effects skin

A large tube of generic zinc oxide ointment is quite inexpensive.

Some zinc oxide products are formulated to be creamy and easier to use these products can be useful, but they are likely to be more expensive. Mineral oil can be used to help remove zinc oxide ointment from skin. Zinc oxide ointment is thick and sticky and can easily stain clothes or carpet. The major disadvantage of their use includes their messiness and difficulty of use. Advantages of these agents include inexpensive cost, availability in numerous dose forms and sizes and documented efficacy. Zinc oxide and petrolatum may be the most useful effective ingredients to guide product choice. As numerous inexpensive products are available OTC (see table), with known safety and efficacy, it is best to avoid using Maalox. When used, Maalox has often been recommended to combine with Aquaphor (petrolatum, mineral oil) or zinc oxide.

#Boudreaux butt paste side effects skin

The possibility for enhanced magnesium absorption from skin and systemic toxicity should also be considered. Although Maalox use may be logical (aluminum can act as an astringent, and the hydroxide salts can buffer urine and fecal acids), no data, other than anecdotal reports, are available to document this products safety and efficacy when used for diaper dermatitis. It has been reported that some pediatricians recommend Maalox (magnesium hydroxide, aluminum hydroxide Novartis) applied topically as an aid to treat diaper dermatitis. Baking soda (sodium bicarbonate) or products containing baking soda should also not be used. Products containing boric acid should not be used. Some products (eg, butt paste) contain boric acid, which has been reported to cause systemic toxicity. Several ingredients that have not been proven to be safe and effective yet are commonly included in OTC products are aloe, Peruvian balsam, vitamins A and D, vitamin E and witch hazel. The ingredients labeled by the FDA as safe and effective include zinc oxide, petrolatum (including white petrolatum), mineral oil, calamine, talc, topical cornstarch, kaolin, dimethicone, allantoin and cod liver oil and lanolin (both only when in combination with other effective ingredients). Many over-the-counter protectant products are available, but only 12 ingredients have been labeled by the FDA as safe and effective.

Diaper dermatitisĪs the etiology of most cases of diaper dermatitis is contact dermatitis induced by diaper occlusion, friction, moisture and skin irritation from urine and stool, the use of a protectant agent is indicated as first-line drug therapy. Indirect systemic delivery of drugs to infants can occur via breast milk, when the infants mother consumes a drug that distributes into breast milk. Topical drug application is mostly used in infancy for diaper dermatitis. Although most infants will not have the need for frequent or regular systemic drug therapy with the possible exception of acetaminophen or ibuprofen for fever or discomfort the need for topical pharmacotherapy is not uncommon. This months Pharmacology Consult coincides with the June special issue on well baby care.

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