MHRA (2018). Mycophenolate mofetil, mycophenolic acid: updated contraception advice for male patients.

Creams, ointments and suppositories containing steroids are usually mixed with other ingredients. They commonly also contain a soothing preparation and may also contain a local anaesthetic. They are often used for piles. A commonly used one, available both on prescription and over the counter is Anusol HC®. This is a mixture of the soothing preparation Anusol®and the steroid cream hydrocortisone. NICE TA455: Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people

Only where inflammatory skin conditions are associated with bacterial or fungal infection, such as infected eczema. The antimicrobial drug should be chosen according to the sensitivity of the infecting organism and used regularly for a short period (typically twice daily for 1 week). Longer use increases the likelihood of resistance and of sensitisation. People often ask about Metanium Cream Other Uses and whether or not it can be used for anything else. At My Pharmacy we advise against Metanium Cream Other Uses unless your own healthcare provider has prescribed it or told you to buy it to use for something else. Metanium Cream For Eczema I agree that Metanium is special stuff. Never heard of it before my little one developed a nasty nappy rash so bad he screamed when touching - a couple of applications of this and it cleared right up.” (Recommended by Mumsnetter LJB689908) NHS England commissioned for paediatrics (aged 12-17); must meet the criteria within NICE TA814- see Specialised Commissioning: Key documents If we have money for more expensive cream, we use Childs Farm.” (Recommended by Mumsnet user mossyroundhill) Our verdict

NHSE commissioned drug for Paediatric indications (where Adult TA available) - see Specialised Commissioning: Key documents Enable baby to have some nappy-free time to allow their skin to get some air (put a towel or a waterproof sheet down) May require occasional specialist input indefinitely and therefore the patient should not be discharged from specialist care Some preparations mentioned above are available from a pharmacy or supermarket. Many soothing preparations and some containing steroids are available over the counter without a prescription. For others, such as nitrate ointment, or local anaesthetic preparations, you may need a prescription from your doctor.

Overdose is unlikely when Metanium Nappy Rash Ointment is used as instructed for treating nappy rash. However, as this product contains titanium salicylate, accidental ingestion or excessive topical application could lead to symptoms of salicylate poisoning. Metanium ointment contains the active ingredients titanium dioxide, titanium peroxide, titanium salicylate in a water-repellent, siliconised base. It also contains dimethicone 350, light liquid paraffin, tincture of benzoin and white soft paraffin. It is a type of treatment called a barrier ointment and is used to treat nappy rash. Urea is a keratin softener and hydrating agent used in the treatment of dry, scaling conditions (including ichthyosis) and may be useful in elderly patients. It is occasionally used with other topical agents such as corticosteroids to enhance penetration of the skin. For internal haemorrhoids, screw the applicator nozzle onto the tube and smear some of the cream on the outside of the nozzle to ease application. Carefully insert the applicator into the opening of the anus. Gently squeeze the tube whilst slowly withdrawing the nozzle so that the cream moves gently up the anus.