INDICATIONS
For use as regular first-line treatment and prophylaxis of dry or chapped skin conditions that may also be pruritic or inflamed.
PREPARATIONS AVAILABLE
Gel
SIZES AVAILABLE
100g (tube); 500ml (pump)
General Emollient Advice
The Primary Care Dermatolgy Society (PCDS) state in their clinical guidance:
Emollients are the mainstay of therapy and without them it is not possible to manage eczema effectively. Good evidence shows that the more emollients are used, the less topical steroids are needed. Compliance is essential and so always review patients to check they are happy with what has been prescribed – it may be necessary to try a range of emollients before the patient settles on the best combination.
- Moisturisers
- Most patients prefer creams and gels. The most important factor is to find one that the patient likes and is happy to use
- Ointments tend to be less well tolerated by patients, but they are less likely to cause contact allergic dermatitis as they do not contain preservatives (this is for both emollients and topical steroids)
- Encourage appropriate usage by prescribing generous amounts e.g. 500 grams of moisturisers to use regularly (often QDS)
- As with other topical treatments, moisturisers should be gently rubbed into the skin until they are no longer visible. They should be applied downward in the direction of the hairs to lessen the risk of folliculitis
- Warn that they may sting for the first couple of days before soothing the skin
- Ointments come in tubs and so can easily become cross infected with bacteria from the skin – patients must not place hands into tubs but instead use a utensil to scoop out the ointment
- Order of application – if topical steroids are also being used, moisturisers can be applied first and allowed to dry for 15-20 minutes before applying the topical steroid
https://www.pcds.org.uk/clinical-guidance/atopic-eczema
Emollients tend to have a short duration of action and will be required to be applied regularly or when needed.
MyriBase Gel is best applied when the skin is moist and should ideally be applied to the skin at least three or four times a day or as often as recommended by a healthcare professional to keep the skin well moisturised and in good condition. In particular, it is a good idea to regularly apply to the hands because they are exposed to the elements more than any other part of the body.
MyriBase Gel should be applied liberally to the affected area then smoothed into the skin along the line of hair growth, rather than rubbing it in.
Patients may also want to use MyriBase Gel after washing their hands, having a bath or taking a shower. Advise patents that when bathing they should use warm not hot water and to avoid staying in the bath too long as this can make dry skin conditions worse.
References
1 NHSBSA OpenData Calendar year 2023
2 NHSBSA May 2024
TRADEMARKS
Doublebase® is a Trademark of Dermal Limited
Epimax® and Isomol® are Trademarks of Aspire Pharma Limited
Zerodouble® is a Trademark of Thornton & Ross Limited
AproDerm® is a Trademark of Fontus Health Limited
