Sodium lauryl sulfate (SLS) and Aqueous cream
Atopic dermatitis and dry skin go as an inseparable unit; restorative lotions/emollients have been utilized for overseeing skin inflammation for a long time are as yet the prescribed first-line treatment.
One basic emollient, Aqueous cream, has been available for a considerable length of time yet as indicated by a few examinations the negative impacts on the skin obstruction are believed to be identified with a specific fixing: sodium lauryl sulfate (SLS) 1%.
Reports of skin responses, for example, consuming, stinging, tingling and redness in the wake of utilizing Aqueous cream have been featured over various years.
What is SLS?
Emollients are utilized in two different ways, connected specifically to the skin as a leave-on cream, and as a cleanser substitute rather than cleanser and shower gel.
SLS is a part of emulsifying wax and is a cleanser and surfactant – which implies it breaks surface strain and isolates particles – and enables items to foam (causing air pockets and suds). It keeps up the velvety consistency of emollients.
Fluid cream isn’t a leave-on lotion
There have been a few examinations which have surveyed the impact of fluid cream on the skin structure. These investigations reasoned that Aqueous cream as a leave-on lotion negatively affected the skin boundary – leaving skin dryer, more helpless against aggravations and flares of dermatitis.
UK NICE rules for atopic dermatitis in under 12’s (distributed in 2013) recognizes that Aqueous cream can be utilized as a wash item, however is identified with stinging when utilized as a leave-on emollient and in this way isn’t prescribed as a leave-on lotion.
Similarly the UK administrative instructs that if there are signs concerning skin bothering with the utilization of fluid cream, you should stop its utilization for another emollient that does not contain SLS. The British Association of Dermatologists has additionally prescribed that watery cream not be utilized as a lotion.
Why emollient treatment is vital and successful
The advantages of frequently utilizing emollients in atopic skin inflammation incorporate their capacity to:
• Soothe dry irritated skin
• Repair the skin’s boundary, anticipating passage of aggravations and allergens which can trigger dermatitis flares
• Increase the viability of recommended medications
• Reduce the prerequisite for topical corticosteroids
Different items are accessible without SLS
A few emollients and a few brands of Aqueous cream have been reformulated lately to expel SLS, so check the mark or ask your drug specialist. Case of these inventive brands incorporate Dundalk-based, Ovelle (their item “Infant Aqueous cream” is without sls) and Listowel-based Doctor Maher’s .
The best emollients are the ones that you want to utilize and that reason you no distress or disturbance, and that you will keep on utilizing each day. Finding the correct emollient might involve experimentation.