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For any queries regarding this training guide, call: 01284 717682
eczema & scalp
conditions
a
training guide
for the pharmacy
BROUGHT TO YOU BY
THE MAKERS OF OILATUM
eczema, scalp conditions
and your role in the pharmacy
Eczema and some scaly scalp
training objectives
conditions can interfere with the daily
After completing this guide, you will be able to:
life of those who suffer from them.
Identify the different types of eczema
You are in an ideal position to offer
Understand the impact that eczema can
help, advice and knowledge to
have on sufferers
customers to help them deal with
Understand the role that emollient therapy has
their condition more effectively and
allow them to get on with their lives.
in managing the condition
Be able to advise customers on correct
application techniques
This guide will look at eczema and
some scaly scalp conditions that you
Be able to identify scalp conditions and the
different types of treatments available.
may come across in the pharmacy.
It can be used by both the pharmacist
and pharmacy support staff to update
knowledge and understanding of this key
therapy area. Pharmacists and pharmacy
technicians can also use this guide as a CPD
opportunity. If you are a member of the pharmacy
support staff, there is a case study and multiple choice
questions to test your newly acquired knowledge. Remember to complete and
return the multiple choice questions to receive a Certificate of Achievement.
This training material has been approved by the National Pharmacy Association (NPA).
The NPA in no way endorses any products, product ranges or treatment regimes mentioned in this material.
2
a training guide for the pharmacy
eczema
Eczema is a condition that causes the skin to be irritated,
itchy and dry and it can be very distressing for anyone
who suffers from it. It affects an enormous number of
people to varying degrees, but unfortunately atopic
eczema cannot be cured. However, it can be managed
effectively with emollients (therapeutic moisturisers) so
What is the pharmacy role ?
Pharmacy is the perfect place for customers to come for
expert advice on eczema. You are in an ideal position to
help sufferers and their family members. By understanding
the symptoms of eczema and the treatments available
you will be able to offer advice on the use of emollients
and lifestyle tips to these customers on how best to
manage their skin condition.
that symptoms can be minimised and sufferers are able to
get on with their lives.
When talking to the parents of eczema sufferers, listen for
clues in the conversation which may suggest they need
Did you know?
your advice to help manage their child’s eczema.
In a recent survey1 of childhood eczema, 59 per cent
of respondents said that looking after a child with
eczema had a considerable or huge impact on family
life and regularly affected their family plans.
This guide will equip you with the knowledge and skills
you need to ensure that you are able to advise your
customers about emollient therapy and how to use it to
its best effect. This is because, used correctly, emollient
therapy can significantly improve an eczema sufferer’s
quality of life.
The impact of eczema
• Eczema affects one in five children and one in 12 adults
• As well as physical symptoms, eczema can cause low
self-esteem and a lack of confidence
• 20 per cent of children with eczema are often bullied
because of their skin.
“
“
“
I am feeling very tired today as we
all had a disturbed night because my little
child was crying due to her itchy skin
”
”
”
I am so upset as a total stranger
stopped me to say my child was getting
sunburnt and did not believe me when
I explained it was eczema
I am having one of those days – I feel
quite down as my child has had a flare-up
of eczema. I keep wondering if there is
something I could have done to prevent it!
a training guide for the pharmacy
3
What is eczema ?
Who gets eczema ?
Eczema is a dry skin condition that gets its name from the
It is often children who suffer from eczema, although it
Greek word ‘ekzein’, which means ‘to boil’. This should
can affect people of all ages.
help to give you an understanding of how eczema can
make a person’s skin feel. You may find that sufferers
describe their skin as dry, hot, red, inflamed and painful.
The most common type of eczema among children is
atopic eczema, which affects as many as 15 per cent of
children by the age of seven.
There are many different types of eczema and the severity
of symptoms varies from person to person. In mild cases,
a person’s skin may appear dry, scaly, red and itchy, and
occasionally affect their sleep or stop them from doing
certain activities. In more severe cases, the skin may be
Atopic eczema is a genetic condition, which means that it
runs in families, although it will often skip a generation.
Children with atopic eczema may also have other
conditions, such as asthma or hayfever.
bleeding, crusting, weeping and prone to infection, leading
to frequent disturbances of their sleep and affecting their
daily routine.
mild eczema
“
Many children will ‘grow out’
of their condition, but it can
sometimes reappear in later life
”
Many children will ‘grow out’ of their condition, but it can
sometimes reappear in later life. In 65 per cent of children,
eczema will have disappeared by the time they are seven
years of age. By the time they are 16 years old, about 74
per cent of children will be eczema-free.
For adults, the cause of eczema can be quite different.
You may find that a customer’s skin is reacting to a
substance they have come into contact with at work or
severe eczema
home. Alternatively, the cause may be environmental (e.g.
hot weather) or linked to medication or a pre-existing
condition such as poor circulation.
In babies and small children the symptoms most often
affect the cheeks, forehead and limbs, whereas in older
children and adults it often occurs in the skin folds such
as behind the knees and in the crease of the elbows.
4
a training guide for the pharmacy
common eczema
triggers
soap
shower gel
pollen
washing up liquid
Contact dermatitis
The most common type of work-related skin disease.
There are two types:
• Irritant contact dermatitis – caused by contact with
something that irritates the skin, such as soap,
detergents, bleach, cement or raw food. Symptoms can
heat
nickel
range from mild dryness and redness to skin that
blisters as if it has been burnt
Different types of eczema
• Allergic contact dermatitis – caused by an allergy to a
substance such as nickel, perfume or preservatives
The following section will help you to recognise and
found in toiletries, cosmetics and topical medicines.
identify the different types of eczema.
Symptoms include dry, red, split, cracked, weeping,
Atopic eczema
painful, itchy and stinging skin. Allergic contact
dermatitis can occur suddenly, even if a person has
The most common type of eczema in children.
been used to a substance for many years.
activity
Think of the words and phrases that customers
use to describe their eczema. Jot these words
down in the space below:
• Often starts in small patches on the cheeks around the
mouth and neck and then spreads to other parts of the
body, such as the creases of joints including the back of
the knees and elbows. In some cases eczema more
commonly affects the front of the knees and elbows,
according to ethnic origin
• The skin will be dry, itchy and prone to ‘flare-ups’,
during which the condition worsens
• Triggers for atopic eczema include soap, pollen, house
dust mites, overheating or rough clothing.
a training guide for the pharmacy
5
Managing atopic eczema
The first line of managing eczema is ‘complete emollient
therapy’. This is a simple, effective treatment that it is well
known for its ability to significantly improve eczema
symptoms and minimise the risk of ‘flare-ups’. Sufferers
may also find that fragrance-free products are useful as
they are less likely to cause irritation.
Topical corticosteroids are a valuable tool in the
management of eczema. The main value of them is that
they reduce inflammation and speed up the healing of the
skin. They also help to make the skin less red, hot, itchy
and sore. Some products are available over the counter for
mild cases of eczema. If someone is suffering from severe
or inflamed eczema, you should refer them to the
pharmacist, as they may need a topical corticosteroid or
Emollients are therapeutic moisturisers that help to keep
skin moist and flexible and thus allow it to feel more
comfortable and less itchy. Unfortunately, although they are
frequently prescribed or purchased, emollients are not
often used properly, despite the fact that using them
effectively may reduce the need for more potent
treatments (e.g. topical steroids).
another treatment that can be prescribed by their GP.
Sufferers will be instructed by their GP on how often they
need to apply topical steroids – most often they are applied
sparingly twice daily. Advise customers that they should still
use emollient therapy as well as the steroid preparations.
There are no rules as to which should be applied first, but it
is important to leave as long a period as possible (at least
Emollients are the basis of any eczema management
15 minutes) between the two treatments.
regime and other treatments can be used in conjunction
with this (see the table of the stepped approach below).
Using emollient therapy is not difficult, but research
suggests that few people are ever shown the correct
There are NICE guidelines for treating atopic eczema.
way to apply emollients, which means that many
This is a stepped approach, and GPs will often apply this
eczema sufferers are not able to reap the full benefits.
principle to sufferers. Discuss this
with your team members.
Systemic
therapy
Phototherapy
6
Wet or paste
medicated
bandages
Wet or paste
medicated
bandages
Other topical
treatments
Other topical
treatments
Mild potency
topical
corticosteroids
Moderate
potency topical
corticosteroids
Potent topical
corticosteroids
Emollients
Emollients
Emollients
mild
atopic eczema
moderate
atopic eczema
severe
atopic eczema
a training guide for the pharmacy
“
The basis of complete emollient
therapy is the use of a combination
of emollient creams, ointments,
bath oils and soap substitutes to
manage the symptoms of eczema.
Complete emollient therapy helps
to ensure that the sufficient
quantity of emollient is applied
throughout the day, by using a
combination of products to suit
lifestyle requirements.
”
How do emollients work ?
Emollients are made up of water, oils, fats and waxes,
often containing one or more of these active ingredients:
• Liquid paraffin
• White soft paraffin
• Emulsifying ointment.
Emollients work by:
• Providing an oily layer over the surface of the skin
• Trapping water underneath the oily layer and
preventing evaporation
• Rehydrating the skin
• Reducing penetration of irritants and allergens
Soap substitutes
• Soothing irritated and itchy skin
People with eczema should avoid using soap as it can be
very drying to the skin and can cause flare-ups. Instead,
• Having a cleansing property so that a soap product is
recommend an emollient soap substitute. These products
not needed.
do not foam like traditional soaps, but they are just as
Types of emollients
Emollients are available in a range of formats.
These should be fragrance-free where possible.
effective at cleaning the skin.
Bath additives
Using a bath additive helps to soothe itching, rehydrate
and cleanse the skin. Customers should be advised to
Creams
bathe once or twice a day for 10 to 20 minutes if possible,
Emollient creams contain a mixture of oils and water and
using one to three capfuls of bath additives in lukewarm
feel light and cool to the skin. They soften and rehydrate
water. The skin should be patted dry (not rubbed) and
the skin. NB: It’s easy for a pot of emollient cream to
followed by an application of emollient cream or lotion to
become contaminated with bacteria and act as a source
lock in moisture. Like soap, normal bubble baths can be
of infection. To avoid this risk, recommend a pump
very drying to the skin and should be avoided by people
dispenser if possible. Alternatively, advise the customer to
with eczema.
spoon out the cream onto a clean plate and use this
instead of dipping their hands into the pot.
Wash gels
These products offer the same benefits as emollient bath
Lotions
additives, but require a shorter contact time with the skin.
Lotions contain more water and less fat than creams.
This means that they can be used under running water
They are especially useful for customers who want to
(e.g. in the shower or at a hand basin).
cover large areas of the body or hairy areas of the body.
The lotion keeps skin soft and supple.
Oilatum offers a complete range of emollients.
a training guide for the pharmacy
7
Education, education, education
• Help customers to know what quantities (such as 250g
or 500g) look like by using the jars and tubs as guidance
Although it’s easy to tell customers that complete
emollient therapy is the best way to manage eczema,
• Advise customers to apply emollients to all parts of the
body and not just the affected parts
some customers may not actually know what this means
and others may not be aware of the correct application
• Use information leaflets to help emphasise important
points about eczema.
techniques. This is where your advice can make all
the difference.
Research shows that pharmacy intervention in educating
patients and parents of children with eczema about the
role of emollients can really improve eczema symptoms.
Practical advice for customers
Explain the importance of ‘complete emollient therapy’ and
“
37 per cent of mums feel helpless,
frustrated and even angry,
especially when their children’s
skin is red and inflamed – they
just want to make them better
how it can improve symptoms and reduce the effect the
condition has on customers’ lives. These types of
conversations can occur when you are helping a customer
You can also advise customers to:
”
• Apply emollient cream after a bath with bath additives
who is:
• Warm emollient cream in the hands first – this makes it
• Seeking advice on products to treat dry skin
• Requesting help as their child is not sleeping due to
itchy skin.
You can also take the opportunity to start these
conversations when handing out a prescription for
emollients to check the customer understands how to use
easier to apply
• Apply extra emollients in extreme or harsh weather
conditions
• Apply frequently – ideally, three or four times a day
• Continue to use emollients, even when the eczema has
improved, as this will help to prevent flare-ups.
the products.
You can:
• Offer customers a practical demonstration of how to use
30 per cent of mums said they were too tired to
apply emollients to their children as often as they
emollients properly (i.e. they should be stroked or
should. Helping customers to choose the right
smoothed onto the skin in the direction of hair growth –
therapy for them will improve the eczema and this
never rubbed into the skin as this can trigger itching and
will in turn improve the quality of family life.
block hair follicles)
• Explain that some emollients can be used to clean the
dirt from the skin and so there is no need to use soap
• Tell customers to use plenty of emollients (250-500g of
cream a week is not unusual, even for a child)
8
Did you know?
a training guide for the pharmacy
activity
In the table below, list the emollient products that your pharmacy stocks and suggest the types of customers
each product would be suitable for.
Formulation
Product name
Main ingredients
Directions for use
Suitable for
Bath additive
Cream
Wash gel
Soap substitutes
Lotion
Helping customers to choose the
right products
Remember that people with eczema or parents of children
WWHAM questions
with eczema are often embarrassed about the condition,
W ho is the medicine for?
so whenever you are talking to a customer about eczema,
W hat are the symptoms?
it is crucial that you do so with tact and understanding.
H ow long have the symptoms been present?
It is also important to bear in mind that even if the
symptoms don’t seem particularly severe to you, they are
probably very worrying and troublesome to the customer.
A ction already taken?
M edicines taken for any other reason?
If a customer asks for your advice on selecting emollients,
it is important that you know how to help. Asking the
WWHAM questions will enable you to determine what type
of eczema the customer has and how it should be treated.
Remember the products must be cosmetically acceptable
to the customer (i.e. that they like the texture and format)
as they will have to use them regularly for many years.
You may also be able to help the customer identify
possible triggers that make their eczema worse and
suggest ways in which they can avoid these, such as
avoiding itchy fabrics or certain detergents.
Before selling a product, ask the customer the following:
When to refer
Refer to the pharmacist in the following instances:
• If the skin shows signs of infection (e.g. weeping)
• The customer’s eczema has suddenly got worse
• There is associated fever, lethargy or distress
• Have they tried any emollients before? If so, are they
• When the eczema is severe.
happy with it or would they like to try an alternative?
• How are they using the emollients? If necessary, give
advice on how to use them effectively.
Pharmacy support staff should remember to complete the case
study on page 14 and discuss their answers with the pharmacist.
a training guide for the pharmacy
9
scaly scalp conditions
What is dandruff ?
What is seborrhoeic dermatitis ?
Dandruff is a common scalp condition that is often seen
This is a more severe condition that affects the scalp as
in pharmacy. Whilst it may seem like a minor complaint,
well as other parts of the body such as the eyebrow, nose,
it can often make sufferers feel embarrassed due to the
ears, face and forehead. The exact cause of seborrhoeic
unpleasant symptoms and it can reduce their confidence.
dermatitis is unknown but it may be due to a reaction to
the fungus malassezia furfur.
Dandruff is the build-up of dead cells on the scalp and it is
estimated that one in four people in the UK will suffer from
• It affects both men and women
The symptoms of
seborrhoeic dermatitis
• It is most common in people’s 20s and 30s and can
• White flakes of skin
dandruff at some point in their lives.
occur at any time.
• Red and inflamed skin
The skin cells are constantly being shed from the scalp as
• Patches of red, scaly and greasy skin
fine particles that go unnoticed. If a person has dandruff
• Yellow brown crusts may form on top of these patches.
these cells are shed more quickly than normal and clump
together to form visible white flakes.
It is quite common for babies to get seborrhoeic dermatitis
on their scalp in the first few months of life and it is
Dandruff is also linked to the presence of higher than
referred to as cradle cap.
normal levels of a fungal yeast (known as malassezia furfur)
which skin cells are shed, as well causing skin irritation
Treatments
and inflammation.
There is no cure for these scalp conditions but using
on the scalp. This fungal yeast accelerates the rate at
OTC treatments can help to reduce the symptoms.
Your advice can also make a difference to customers
activity
Which products would you recommend to a
customer who complains of a flaky and itchy
scalp? Jot them down in the box below:
and their condition.
Recent research showed that customers wanted an
anti-dandruff treatment which also relieved itching.
There are several shampoos available containing one or
more of the following active ingredients:
• Ciclopirox olamine and ketoconazole are topical
The symptoms of dandruff
antifungal agents that work by killing the yeast on the
• White flakes that fall out of the hair onto the shoulders or
They also have anti-inflammatory properties to soothe
can be seen in the hair
• Intense itching and scratching
• Red or inflamed scalp.
10 a training guide for the pharmacy
scalp and so reduce the production of scalp cells.
the soreness and reduce itchiness of the scalp
• Salicylic acid helps to remove the dead skin cells
from the scalp
What are the symptoms of
scalp psoriasis ?
• Selenium sulphide reduces the natural oils produced by
the scalp
• Coal tar clears the scales and relieves itching
• Itchy scalp
and inflammation.
• White flakes of skin
Some products contain a combination of ingredients.
For example, Oilatum Scalp Intensive Treatment Shampoo
• Raised pink patches of skin on the scalp
contains ciclopirox olamine and salicylic acid and is
designed to eliminate stubborn white flakes, soothe sore
• Silvery scales form on top of the patches
scalps and provide relief from itching.
• Especially noticeable around the hairline and ears.
The aim of any treatment is to slow down the shedding of
Customers with scalp psoriasis should be referred to
the skin cells and to kill the fungus causing it. You should
the pharmacist.
encourage customers to use the product as directed on
the packaging for effective treatment, and then subsequent
Refer to the pharmacist
management, of the scalp condition.
• If the customer has severe scaling on the scalp and/or
Scalp psoriasis
on other parts of the body
Scalp psoriasis is a long-term scalp condition. With this
• Any customer who has used an antifungal shampoo
condition the body produces skin cells up to six times
and has experienced a burning, itching or stinging
faster than normal, which can build up on the scalp.
sensation
Other parts of the body such as elbows and knees can
• If the scalp appears to be infected (i.e. if it is weeping or
also be affected by the overproduction of skin cells.
open and red)
It is a hereditary condition that most often appears
• If they have symptoms of scalp psoriasis.
between the ages of 10 and 30.
activity
Complete the following table.
Product
Main ingredients
Mode of action
Directions for use
Oilatum Scalp Treatment Shampoo
Oilatum Scalp Intensive Treatment Shampoo
Selsun Shampoo
Head and Shoulders Shampoo
Polytar Liquid
T-Gel Shampoo
Others
Pharmacy support staff should remember to complete the multiple choice questions (found on the flap attached to the back cover of this
guide) and return them to receive their Certificate of Achievement.
a training guide for the pharmacy 11
completing your cpd
The following synopsis gives you an overview of the
Clinimatrix study and the NICE guidelines.
NICE guidance
The National Institute for Health and Clinical Excellence
Results from the Clinimatrix study:
(NICE) recently issued new guidelines on the best way to
The Clinimatrix study, funded by an educational grant from
manage atopic eczema in children. Among its
Stiefel and coordinated by Alison Carr (senior lecturer in
recommendations, NICE advises that:
Epidemiology at Nottingham University) and a team of
community pharmacists, proved that pharmacy intervention
• Healthcare professionals should offer children with atopic
to promote effective use of emollients can increase the
eczema a choice of unperfumed emollients to use every
correct use and application of emollients and significantly
day for moisturising, washing and bathing
reduce symptoms.
• Healthcare professionals should spend time educating
The study in UK community pharmacies involving
children with atopic eczema and their parents or carers
50 children with eczema found that:
about atopic eczema and its treatment.
• Fewer than five per cent of parents recalled receiving any
The NICE guidance provides some interesting facts about
demonstration of how to apply emollients
how eczema affects children and the step up or down
• Only six per cent of participants applied their emollient
cream correctly
approach treatment of eczema.
• 88 per cent were incorrectly rubbing the cream in, which
can cause further irritation and make the condition worse
• 24 per cent of parents were confusing emollient creams
with steroids and applying them sparingly instead
of liberally.
During the study, participants were seen by a pharmacist
How atopic eczema affects children
Skin
severity
Appearance
Impact on life
Clear
Normal skin, no
evidence of active
atopic eczema
No impact on
quality of life
Mild
Areas of dry skin,
infrequent itching.
May or may not be
small areas of redness
Little impact
on everyday
activities, sleep
or psychological
wellbeing
Moderate
Areas of dry skin,
frequent itching,
redness with or
without excoriation
and skin thickening
Moderate impact
on everyday
activities and
psychological
wellbeing
Severe
Widespread areas of
dry skin, incessant
itching, redness with
or without excoriation,
extensive skin
thickening, bleeding,
oozing, cracking
and alteration of
pigmentation
Severe limitation
of everyday
activities and
psychosocial
functioning and
nightly loss
of sleep
who reviewed their management of eczema and gave
advice, practical tips and a demonstration of the correct
way to apply topical emollients. They also discussed
concerns and questions raised by the patients/parents and
gave them written information about eczema and how
to treat it.
Despite the fact that each intervention took just
10 to 15 minutes, the results were impressive:
• 44 per cent of subjects experienced a 50 per cent or
greater reduction in itch and irritability
• There was an increase in the number of subjects who
applied emollient creams correctly, resulting in a
significant reduction of symptoms.
12 a training guide for the pharmacy
Review of treatment options
for atopic eczema
Remember to use this booklet as a CPD opportunity
and log your CPD at www.uptodate.org.uk
Systemic
therapy
Use the following CPD questions to help you get the most
Phototherapy
from this training:
Bandages
Bandages
Topical
calcineurin
inhibitors
Topical
calcineurin
inhibitors
Mild potency
topical
corticosteroids
Moderate
potency topical
corticosteroids
Potent
topical
corticosteroids
Emollients
Emollients
Emollients
mild
atopic eczema
moderate
atopic eczema
severe
atopic eczema
reflect
How does my pharmacy manage customers with eczema?
Do I know the different treatments available for
treating eczema?
What anti-dandruff products are stocked in the pharmacy?
plan
RPSGB CPD competencies
Do I need to improve my knowledge in the area of skin
and scalp conditions?
This pharmacy guide should provide an opportunity to
engage in CPD and will contribute towards the following
Which customers should I be targeting for advice on the
management of eczema?
RPSGB competencies:
G1a Using expert knowledge and skills to benefit patients.
act
G1d Taking a patient centred approach.
G2o Responding to requests for advice or information.
What role can my pharmacy team play in educating
G6f Teaching or training.
customers about the management of eczema?
C1f Providing advice and counselling.
How can I demonstrate to my customers the correct use
of emollients and other treatments?
reflect
Obtain the NICE guidelines (www.NICE.org.uk) and a copy
of the Clinimatrix study (www.pjonline.com).
The
evaluate
cpd
cycle
plan
evaluate
Do I need any further training on the management of skin
and scalp conditions?
act
a training guide for the pharmacy 13
assessment
case study
A worried mum asks for your help in
selecting a treatment that will help her
five-year-old daughter to sleep better
at night. She has atopic eczema
and it has recently flared up.
Use the WWHAM questions:
Pharmacy support
staff case study
discussion points
The following points should be discussed with
your pharmacy support staff:
• Customers should be encouraged to use a
cream and a bath additive
Who is the treatment for?
• Effective cream application and use of bath
You know that the treatment is for a child.
additive
What are the symptoms?
The customer tells you that her daughter has very dry, red
skin – particularly on the back of her knees, elbows and
wrists. The symptoms have flared up and are now so
troublesome that her daughter is finding it very difficult to
stop scratching at night, which means she is not sleeping
well. This is disrupting the whole family’s sleep.
How long have the symptoms been present?
She has been prone to eczema since she was a baby, but
this particular flare-up has been present for three days.
• Apply to the whole body using 250-500g of
cream per week
• Use the cream frequently throughout the
day – encourage the child to take a small
tub of cream to school and use it when the
eczema is itchy
• Use of steroids during a flare-up
• To go to the doctor if the emollients do not
Action already taken?
The customer has tried rubbing moisturising cream into the
affected areas of her daughter’s skin, but this only seems to
be making matters worse. She was given some treatment
but has not used it for several months.
Medicines taken for other reasons?
soothe the dry and itchy skin
• The emollients should be used all the time
and also when using other treatments
• Discuss the trigger factors and ways to
avoid them.
The little girl is taking occasional antihistamine syrup
for hayfever.
Training action points
action
What product/s would you recommend?
Do you think the customer is aware of how
emollients should be applied?
What other advice could you offer?
Discuss your answers with the pharmacist.
• All intertext exercises and the case study should be
completed, discussing the answers with the pharmacist
• The multiple choice questions should be completed and
returned to receive a Certificate of Achievement
• Pharmacists and registered technicians should record
their CPD onto the RPSGB website.
14 a training guide for the pharmacy
This page is not covered by the NPA Training Seal.
Oilatum products guide
Oilatum Bath Formula
Oilatum Junior Cream 150g & 500ml
Prescribing Information Active Ingredients: light liquid paraffin 6.0% w/w and
white soft paraffin 15.0% w/w. Uses: For the treatment of atopic eczema,
contact dermatitis and dry, sensitive skin including icthyosis. Dosage and
administration: Apply topically to the affected area and rub in well, may be
used as often as required. It is especially effective after washing. Side effects,
precautions and contraindications: Should not be used in patients with
known hypersensitivity to any of the ingredients. Hospital users should follow
local procedures and policies for using topical products on in-patients. Keep out
of the sight and reach of children. Consult the SPC for further details. Legal
category: GSL. Package quantities & NHS price: 150g £3.38, 350g £4.65,
500ml £6.35, 1050ml £14.67. Product Licence number: PL 0174/0207
(150g) PL 0174/0219 (350g, 500ml, 1050ml). Marketing Authorisation
Holder: Stiefel Laboratories (UK) Ltd. Holtspur Lane, Wooburn Green, High
Wycombe, Bucks, HP10 0AU, UK. Date of preparation: November 2008.
Adverse events should be reported. Reporting forms and information can
be found at www.yellowcard.gov.uk. Adverse events should also be
reported to Stiefel Laboratories (UK) Ltd at adverse.reaction@stiefel.com.
Oilatum Scalp Treatment
Oilatum Junior Bath
Prescribing Information Active ingredients: light liquid paraffin 63.4% w/w.
Uses: For the treatment of contact dermatitis, atopic dermatitis, ichthyosis and
related dry skin conditions. Oilatum Junior Emollient Bath Additive is
particularly suitable for infant bathing. Dosage and administration: Suitable
for use in infants and children. Oilatum Junior Emollient Bath Additive should
always be used with water, either added to the water or applied to wet skin,
and may be used as frequently as necessary. Add 1-3 capfuls to an 8-inch bath
of water, soak for 10-20 minutes, and pat dry. Infant bath: Add 1-2 capfuls to a
basin of water, apply gently over entire body with a sponge, and pat dry. Side
effects, precautions and contraindications: Take care to avoid slipping in the
bath. If a rash or skin irritation occurs, stop using the product and consult with
the doctor. Consult the SPC for further details. Legal category: GSL. Package
quantities & NHS price: 150ml £2.82, 250ml £3.25, 300ml £5.10 and 500ml
£5.75. Product Licence number: PL 0174/0182. Marketing Authorisation
Holder: Stiefel Laboratories (UK) Ltd. Holtspur Lane, Wooburn Green, High
Wycombe, Bucks, HP10 0AU, UK. Date of preparation: November 2008.
Adverse events should be reported. Reporting forms and information can
be found at www.yellowcard.gov.uk. Adverse events should also be
reported to Stiefel Laboratories (UK) Ltd at adverse.reaction@stiefel.com.
Oilatum Scalp Intensive
Oilatum Gel
Prescribing Information Active Ingredients: light liquid paraffin 70% w/w.
Uses: For the treatment of contact dermatitis, atopic dermatitis, senile pruritus,
ichthyosis and related dry skin conditions. Dosage and administration:
Oilatum Gel may be used as frequently as necessary. Oilatum Gel should be
applied to wet skin, normally as a shower gel. Shower as usual. Apply Oilatum
Gel liberally to wet skin and massage gently. Rinse briefly and lightly pat the
skin dry. Side effects, precautions and contraindications: Take care to avoid
slipping in the shower. Oilatum Gel should not be used on greasy skin. Keep out
of the sight and reach of children. Consult the SPC for further details. Legal
category: GSL. Package quantities & NHS price: 150g £5.15. Product
Licence number: PL 0174/0072. Marketing Authorisation Holder: Stiefel
Laboratories (UK) Ltd. Holtspur Lane, Wooburn Green, High Wycombe, Bucks,
HP10 0AU, UK. Date of preparation: September 2008.
Adverse events should be reported. Reporting forms and information can
be found at www.yellowcard.gov.uk. Adverse events should also be
reported to Stiefel Laboratories (UK) Ltd at adverse.reaction@stiefel.com.
1. References are available on request.
a training guide for the pharmacy 15
eczema and scalp
conditions
Test your knowledge
eczema and scalp
conditions
Test your knowledge
Remember to complete and return
Remember to complete and return
your multiple choice questions to
your multiple choice questions to
ensure that you receive your
ensure that you receive your
Certificate of Achievement. Simply tick one correct
Certificate of Achievement. Simply tick one correct
answer for each of the questions below.
answer for each of the questions below.
You can photocopy this form before completion for
You can photocopy this form before completion for
other members of staff to use. Either fax your
other members of staff to use. Either fax your
answers to: 01284 717699 or detach the card and
answers to: 01284 717699 or detach the card and
post it back using the reply paid service.
post it back using the reply paid service.
1. Atopic eczema occurs as:
a. Dry and itchy skin
b. Flaking skin
c. Split skin
d. Spotty skin
1. Atopic eczema occurs as:
a. Dry and itchy skin
b. Flaking skin
c. Split skin
d. Spotty skin
2. Emollients work by:
a. Numbing the skin
b. Providing an oily layer
over the skin
c. Reducing inflammation
d. Helping to heal the skin
3. The following advice should
be given to customers:
a. Apply emollients to the
affected parts of the
body only
b. Apply emollients
infrequently
c. Smoothe emollients onto
the skin
d. Rub in the emollients
4. How much emollient
cream should be applied
each week?
a. 0.25-0.5g
b. 5g
c. 50g
d. 250-500g
5. Dandruff can be caused by:
a. Scratching the scalp
b. Build-up of hair
products on the scalp
c. Above normal levels
of fungal yeast
d. Above normal levels
of bacteria
6. Scalp psoriasis is:
a. Caused by bacteria
b. Caused by fungus
c. Hereditary
d. Caused by not washing
the hair
Name:
Job title:
2. Emollients work by:
a. Numbing the skin
b. Providing an oily layer
over the skin
c. Reducing inflammation
d. Helping to heal the skin
3. The following advice should
be given to customers:
a. Apply emollients to the
affected parts of the
body only
b. Apply emollients
infrequently
c. Smoothe emollients onto
the skin
d. Rub in the emollients
4. How much emollient
cream should be applied
each week?
a. 0.25-0.5g
b. 5g
c. 50g
d. 250-500g
5. Dandruff can be caused by:
a. Scratching the scalp
b. Build-up of hair
products on the scalp
c. Above normal levels
of fungal yeast
d. Above normal levels
of bacteria
6. Scalp psoriasis is:
a. Caused by bacteria
b. Caused by fungus
c. Hereditary
d. Caused by not washing
the hair
Name:
Pharmacy name:
Pharmacy name:
Address:
Address:
Postcode:
Job title:
Postcode:
Daytime telephone number:
Daytime telephone number:
For any queries, call 01284 717682
For any queries, call 01284 717682
BUSINESS REPLY SERVICE
LICENCE No
RRHA-UXZU-HURY
BUSINESS REPLY SERVICE
LICENCE No
RRHA-UXZU-HURY
Precision House
Bury Road
Beyton
BURY ST EDMUNDS
IP30 9PP
Eczema & Scalp Conditions
Precision House
Bury Road
Beyton
BURY ST EDMUNDS
IP30 9PP
Eczema & Scalp Conditions