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General notes on prescribing dermatology products for patients

Quantities

It is recommended that emollients be applied frequently - EVERY 2 HOURS - during the day, particularly when the condition is florid. In these situations the following quantities for ADULTS for 1 week are suggested:

EMOLLIENTS
EVERY 2 Hrs

Creams and Ointments

Lotions

Face

50-100g

250ml

Both hands

100-200g

500ml

Scalp

100-200g

500ml

Both arms or both legs

300-500g

500ml

Trunk

1000g

1000ml

Groin and genitalia

50-100g

250ml

The BNF recommended quantities of EMOLLIENTS to be given to ADULTS for twice daily application for one week are:

EMOLLIENTS
TWICE DAILY

Creams and Ointments

Lotions

Face

15-30g

100ml

Both hands

25-50g

200ml

Scalp

50-100g

200ml

Both arms or both legs

100-200g

200ml

Trunk

400g

500ml

Groin and genitalia

15-25g

100ml

Note: Patients with eczema/psoriasis should be prescribed 500g-1000g of emollients weekly.

Don’t forget bath additives, moisturisers and soap substitutes prescribe generously.

The recommended quantities of STEROIDS to be given to ADULTS for twice daily application for one week are:

STEROIDS/TWICE DAILY

Creams and Ointments

Prescribing of topical steroids for children

Children, especially babies, are particularly susceptible to side effects. The more potent steroids are contraindicated in infants less than 1 year, and in general should be avoided in paediatric treatment or if necessary used with great care for short periods.

1% Hydrocortisone products are safe. 

Face

15-30g

Both hands>

15-30g

Scalp

15-30g

Both arms or both legs

30-60g

Trunk

100g

Groin and genitalia

15-30g