Chapter 16: Common Dermatologic Therapies

Routine Skin-Care Measures: Topical Therapies

Topical products, either prescribed or over the counter, are commonly used for both treatment and prevention of many dermatologic conditions. All topical medications are formulated into a base, which has an impact on the delivery of the medication. The potency of the same medication is highest when formulated into an ointment, followed by creams and lotions.

Ointment: Thick, little water added, clear, greasy feel.  Least likely to sting.

Cream: Thick, cannot be poured, white, primarily oil with water added, moisturizing, easier to apply than ointment.

Lotion: Thin, can be poured, white, non-greasy feel, easy to apply.

Oil: Runny, no water added, easy to apply, best applied to slightly wet skin.

Solution: Water or alcohol based with dissolved medication.  Liquid, easy to apply to scalp, might sting.

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Pediatric Dermatology Copyright © 2023 by Dr. Wingfield E. Rehmus, MD, MPH; Dr. Jamie Phillips; Dr. Lisa Flegel; Dr. Saud Alobaida; and Hannah Podoaba is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, except where otherwise noted.

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