Aqueous cream is a widely used, water-based moisturizing cream, primarily known for its emollient (skin-softening) properties. It is commonly recommended for dry skin conditions like eczema (atopic dermatitis), psoriasis, and general skin hydration.
Composition
Aqueous cream typically contains:
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Liquid paraffin (mineral oil) – Moisturizes and prevents water loss.
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White soft paraffin (petroleum jelly) – Forms a protective barrier.
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Emulsifying wax – Helps blend oil and water.
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Purified water – Base of the cream.
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Preservatives (e.g., phenoxyethanol, chlorocresol) – Prevent bacterial growth.
(Note: Some formulations may contain sodium lauryl sulfate (SLS), which can irritate sensitive skin.)
Uses
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Moisturizer for Dry Skin – Helps relieve dryness and flakiness.
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Eczema & Dermatitis Care – Often prescribed alongside steroid creams.
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Soap Substitute – Used as a non-foaming cleanser for sensitive skin.
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Preventing Skin Breakdown – Useful for bedridden patients to avoid pressure sores.
Potential Side Effects & Controversies
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Skin Irritation – Some people (especially children with eczema) may experience redness or burning due to SLS.
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Allergic Reactions – Rare, but possible if sensitive to ingredients like lanolin or preservatives.
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Thinning of Skin (if misused) – Not a steroid, but long-term overuse without medical advice may affect skin barrier function.
⚠️ Caution:
Alternatives to Aqueous Cream
If irritation occurs, consider:
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Cetraben Cream (SLS-free)
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Epaderm Ointment (thicker, no SLS)
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Diprobase Cream (similar but gentler)
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CeraVe Moisturizing Cream (ceramide-based)
How to Use Safely
✔ Apply to clean, dry skin (best after a bath).
✔ Use as a leave-on moisturizer or gentle cleanser.
✔ Avoid if stinging occurs (switch to an SLS-free version).
✔ For eczema, follow your doctor’s advice (sometimes used alongside steroids).
