13.2.2 Barrier preparations

ChoiceDrug
1st choiceBarrier preparations can be purchased ‘over-the-counter’ and self-care should be encouraged where appropriate

Prescribing Notes

  • Refer to wound care formulary for additional skin protectors.
  • Barrier preparations often contain water-repellent substances such as dimeticone or other silicones. They are used on the skin around stomas, bedsores and pressure sores in the elderly where the skin is intact. Where the skin has broken down, barrier preparations have a limited role in protecting adjacent skin. Barrier preparations are not a substitute for adequate nursing care.
  • Urinary rash may clear if skin is left exposed to air; if associated with yeast (candida) infection, an antifungal cream such as clotrimazole cream is useful.