As Pediatricians, we often prescribe combination diaper ointments for patients who don't respond to usual diaper ointment remedies. Sometimes, the rash has gotten superinfected with yeast (and needs specific anti-yeast/anti-fungal treatment) or has become superinfected with bacteria (and needs antibiotic ointment or, rarely, oral antibiotic medication).
For years, I have told parents that they can concoct a homemade mixture that works on most diaper rashes. I sometimes hand out urine collection cups for parents to keep their homemade diaper ointment in, to make it easier when applying it to their tots. Here is the formula:
Mix equal parts of:
Zinc oxide diaper ointment (I like Balmex)
Antibiotic ointment (such as Neosporin, Bacitracin, or triple antibiotic ointment)
Hydrocortisone cream 1 % ( with or without Aloe)
OTC Miconazole cream - typically you can find 2% in the womens' section sold as Monistat
If you are treating a diaper rash religiously and it is getting worse, call your pediatrician's office to make an appointment - a yeast or bacterial infection may be the culprit.
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