Various agents are available, including soft paraffin, zinc oxide, cod liver oil, dimethicone, lanolin, mineral oil and titanium dioxide. These are found in many of the proprietary nappy creams and ointments, and there is no evidence that one is superior to another. The only qualification to this is the avoidance of adverse or allergic reactions to the chosen product. Antiseptics These are of questionable value. In the US, the use of boric acid and many phenol derivatives has been discouraged.
Sensitivity is a significant factor to be considered.
Antifungals Miconazole or clotrimazole may be used to treat nappy rash with fungal overgrowth.