Emollient with Urea

Drug Safety Update

 July 2024: Epimax Ointment and Epimax Paraffin-Free Ointment: reports of ocular surface toxicity and ocular chemical injury

Due to the risk of ocular injury, Epimax ointment is not indicated for use on the face. If patients are using Epimax ointment on the body, please advise hand washing before touching the face and eyes

August 2020: Emollients and risk of severe and fatal burns: new resources available

 December 2018: Emollients: new information about risk of severe and fatal burns with paraffin-containing and paraffin-free emollients.

April 2016: Paraffin-based skin emollients on dressings or clothing: fire risk.

Important safety information (for all Emollients)

The CSM has warned that these preparations make skin and surfaces slippery, therefore particular care is needed when bathing.

Emollients and Fire Risk

All emollients (paraffin and paraffin-free) can soak into clothing, bedding and dressings, leaving a flammable residue. The risk remains even after washing. Patients and carers should be advised to keep fabrics away from cigarettes, candles and other open flames. 

Clear communication of these precautions is essential to reduce the risk of serious harm.

Prescribers or patients can request a free home fire safety visit by completing the Kent Fire and Rescue Service referral form, or by calling 0800 923 7000 (Monday–Friday, 9am–5pm) to speak with a home fire safety advisor.

Please see here for the following local Kent & Medway guidance and information:

  • K&M Emollient Prescribing Guidance for Adults and Children
  • K&M Emollients Patient Information Leaflet

Urea-containing emollients may be useful where a keratolytic is required e.g. hyperkeratosis, ichthyosis, extremely dry and/or fissured skin on hands & feet

Whilst all products listed below are on formulary for primary and secondary care prescribing, there are significant cost differences. Please follow the attached guideline (or specific Trust guideline) wherever possible for the most cost-effective product choice.

Pack
30 gram
100 gram
50 ml
150 ml
100 ml
150 gram
500 gram
Pack
75 gram
200 gram
56 gram
112 gram
500 gram
40 gram
  • On Formulary Preferred
  • On Formulary Second Line
  • On Formulary Third Line
  • Specialist Initiation
  • Secondary Care Only
  • Not Approved for Formulary