4.1. Therapeutic indications

For the topical application to the skin.As an emollient for the symptomatic relief of dry skin conditions.As a soap-substitute for skin washing.

4.2. Posology and method of administration

Adults, children and the elderly

To be applied to the skin as required.

4.3. Contraindications

Hypersensitivity to any of the ingredients.Emulsifying ointment has been found to have major sunscreen activity in clinically normal skin. Preparations containing emulsifying ointment should not be used before phototherapy or in phototesting procedures.

4.4. Special warnings and precautions for use

For external use only. Paediatric population

Aqueous cream contains sodium lauryl sulfate which may cause local skin reactions (e.g. stinging and contact dermatitis), particularly in children with atopic eczema. An audit of children attending a paediatric dermatology clinic recorded the proportion of immediate cutaneous reactions to emollients (defined as one or more of burning, stinging, itching and redness developing within 20 minutes of application). Aqueous cream was the emollient used by most (71%), which was associated with an immediate cutaneous reaction in 56% of exposures, compared with 18% with other emollients used (details of the other emollients were not reported; n = 100). Aqueous cream should be applied in the direction of hair growth to reduce the risk of folliculitis.The risk of fire should be considered when using large quantities of any paraffin-based emollient. Aqueous cream in contact with dressings and clothing is easily ignited by a naked flame. The risk is greater when this preparation is applied to large areas of the body and clothing or dressings become soaked with the emollient. Patients should be told to keep away from fire or flames and not to smoke when using this preparation.This preparation may make skin and surfaces slippery – particular care is needed when bathing.Aqueous cream also contains cetostearyl alcohol which may cause local skin reactions (e.g. contact dermatitis).The package leaflet/label should include the following information: Contains sodium lauryl sulfate which may cause local skin reactions (e.g. stinging and contact dermatitis).Keep all medicines out of the reach of children.Store below 25°C.Do not freeze.Instruct patients not to smoke or go near naked flames - risk of severe burns. Fabric (clothing, bedding, dressings etc) that has been in contact with this product burns more easily and is a serious fire hazard. Washing clothing and bedding may reduce product build-up but not totally remove it.

4.5. Interaction with other medicinal products and other forms of interaction

None known.

4.6. Pregnancy and lactation

The safety of Aqueous cream during pregnancy and lactation has not been established.

4.7. Effects on ability to drive and use machines

None known.

4.8. Undesirable effects

Immune system disorders: Occasional allergic reactionsSkin and subcutaneous tissue disorders: Emollients may exacerbate acne and/or folliculitis. When used as a leave-on emollient, aqueous cream may be associated with immediate cutaneous reactions such as stinging, burning, itching, redness and contact dermatitis (particularly in patients with eczema). See section 4.4. Rash Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

4.9. Overdose

Overdose is considered unlikely with this product when used as indicated. Symptoms of accidental oral ingestion may include gastrointestinal symptoms, particularly diarrhoea and should be treated symptomatically.