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Epaderm Cream

Epaderm Cream

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  • ✔️ Soothes and moisturises dry, itchy, eczema-prone skin
  • ✔️ Suitable for babies, children, and adults daily
  • ✔️ Restores the skin's natural protective barrier effectively
  • ✔️ Doubles as a gentle, soap-free skin cleanser
  • ✔️ Fragrance-free formula ideal for sensitive skin types

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What Is Epaderm Cream and How Does It Help Dry Skin?

 

Epaderm cream is a paraffin-based emollient moisturiser widely used across the UK to manage dry, itchy, and flaky skin conditions. Whether you're dealing with eczema, psoriasis, ichthyosis, or simply very dry skin, it works by restoring moisture to the skin and helping to maintain the skin's natural protective barrier. It's available over the counter without a prescription, making it easy to access for the whole family. You can browse a wide range of similar products in our skin care collection.

Dry skin conditions affect millions of people in the UK. The NHS recognises emollients as a cornerstone of treatment for conditions like eczema, and Epaderm cream is one of the most commonly recommended options by GPs and dermatologists alike. It's gentle enough for everyday use and suitable for all ages — including newborns.

 

How Does Epaderm Cream Work on the Skin?

 

Epaderm cream works through a combination of occlusive and emollient mechanisms. Here's what that means in practice:

  • Occlusive action: Yellow soft paraffin and liquid paraffin form a thin, protective film over the skin surface, reducing transepidermal water loss (TEWL).
  • Emollient action: The cream softens and smooths the outer layers of the skin, reducing roughness and flaking.
  • Barrier restoration: Regular use helps rebuild the skin's compromised barrier, which is particularly important in conditions like atopic eczema where the barrier is structurally weakened.
  • Soap substitute function: It can be used in place of soap during washing, avoiding the drying and irritating effects of conventional cleansers.

The formulation is free from common irritants such as fragrances and preservatives that can trigger flare-ups in sensitive skin. That simplicity is part of what makes it so well-tolerated across different skin types and age groups.

 

Who Should Use Epaderm Cream and Is It Right for You?

 

Epaderm cream is suitable for a broad range of people. It's particularly useful if you have a chronic dry skin condition that requires regular moisturising. It's also a practical choice for parents managing skin conditions in young children, as it's gentle and non-sensitising.

  • Adults and children with eczema or atopic dermatitis
  • Babies with dry or sensitive skin (including nappy rash-prone skin)
  • People with psoriasis or ichthyosis
  • Anyone with dry skin caused by environmental factors, ageing, or frequent handwashing

If you're looking for emollient options for your little one, our baby and toddler collection includes a range of gentle skin care products suitable for young, sensitive skin.

 

How Does Epaderm Cream Compare to Other Emollients?

 

Feature Epaderm Cream Diprobase Cream
Active ingredients Yellow soft paraffin, liquid paraffin, emulsifying wax Liquid paraffin, white soft paraffin
Suitable for babies Yes Yes
Can be used as soap substitute Yes No
Fragrance-free Yes Yes

 

Is Epaderm Cream Safe to Store and Use Long-Term?

 

Epaderm cream should be stored below 25°C, away from direct sunlight and out of reach of children. Once opened, use within the period indicated on the packaging — typically 12 months. Always use a clean spatula or wash your hands before dipping into the tub to avoid contaminating the product.

Long-term use is generally considered safe when used as directed. However, one important safety point: paraffin-based emollients can soak into fabric and increase fire risk. The MHRA has issued guidance advising patients to keep away from naked flames and to wash clothing and bedding regularly. This applies to Epaderm cream as it does to all paraffin-containing emollients.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Epaderm Cream specifications
Treatment category Emollient / Moisturiser
Mechanism of action Occlusive and emollient — reduces transepidermal water loss and softens skin
Effective for Eczema, psoriasis, ichthyosis, dry and sensitive skin
Suitable for Adults, children, and babies
Active ingredients Yellow soft paraffin, liquid paraffin, emulsifying wax
Pack sizes 125g, 500g
UK classification General Sale List (GSL)
Drug class Emollient
Preparation Cream
Route of administration Topical (applied to skin)

Specifications of Epaderm Cream

 

What Is Epaderm Cream and What Is It Used For?

 

Epaderm cream is a topical emollient used to moisturise and protect dry, itchy, or flaky skin. It is indicated for the management of chronic dry skin conditions including eczema (atopic dermatitis), psoriasis, and ichthyosis. It can also be used as a soap substitute during bathing or showering, helping to cleanse the skin without stripping away its natural oils.

The NHS recommends emollients as a first-line treatment for eczema, advising that they should be applied regularly — even when the skin appears to be clear — to maintain the skin barrier and reduce the frequency of flare-ups. Epaderm cream fits this role well, given its simple, well-tolerated formulation.

 

What Do You Need to Know Before Using Epaderm Cream?

 

Before using Epaderm cream, it's important to be aware of the following contraindications and warnings:

  • Do not use if you are allergic to any of the ingredients, including yellow soft paraffin, liquid paraffin, or emulsifying wax.
  • Paraffin-based emollients increase the flammability of fabric — keep away from naked flames, cigarettes, and other ignition sources.
  • Wash clothing and bedding regularly, as paraffin residue can build up in fabric over time.
  • Do not apply to broken, infected, or inflamed skin without first seeking medical advice.
  • If your skin condition worsens or does not improve after regular use, consult your GP or pharmacist.

Drug interactions:

  • No significant drug interactions are known for topical emollients such as Epaderm cream.
  • If you are using other topical treatments (e.g. topical corticosteroids), apply Epaderm cream first and allow it to absorb before applying other products, or follow your prescriber's instructions.

 

How Should You Apply Epaderm Cream Correctly?

 

Using Epaderm cream correctly makes a real difference to how well it works. Apply it generously and regularly — don't be tempted to use only a small amount. Here's a step-by-step guide:

  1. Wash and dry your hands before use.
  2. Use a clean spatula or spoon to remove cream from the tub — avoid dipping fingers directly in to prevent contamination.
  3. Apply the cream generously to the affected area.
  4. Smooth in the direction of hair growth to reduce the risk of folliculitis (blocked hair follicles).
  5. Allow the cream to absorb before dressing or applying other topical treatments.
  6. When using as a soap substitute, apply to wet skin, rinse off, and pat dry gently.
Indication Age Group Dose Frequency
Dry skin / eczema Adults Apply liberally to affected areas 2–4 times daily
Dry skin / eczema Children and babies Apply liberally to affected areas 2–4 times daily
Soap substitute All ages Apply to wet skin, rinse off At each wash

If you're managing eczema alongside other skin concerns, you may also find it helpful to explore our creams and ointments collection for complementary topical treatments.

 

What Are the Possible Side Effects of Epaderm Cream?

 

Epaderm cream is generally very well tolerated. Side effects are uncommon, but as with any topical product, some people may experience a reaction. If you notice any of the following, stop use and speak to your pharmacist or GP.

Common side effects:

  • Mild skin irritation or stinging on first application
  • Temporary redness at the application site
  • Greasy or occlusive feeling on the skin

Less common side effects:

  • Folliculitis (inflammation or infection of hair follicles, particularly if applied against the direction of hair growth)
  • Allergic contact dermatitis (rare — usually related to emulsifying wax component)
  • Acne-like breakouts in individuals with acne-prone skin

Serious allergic reactions (anaphylaxis) are extremely rare with topical emollients. However, if you experience swelling of the face, lips, or throat, or difficulty breathing, seek emergency medical attention immediately.

 

How Should You Store Epaderm Cream Safely?

 

Proper storage helps maintain the quality and safety of Epaderm cream. Follow these guidelines:

  • Store below 25°C in a cool, dry place.
  • Keep away from direct sunlight and heat sources.
  • Keep the lid tightly closed when not in use.
  • Keep out of reach and sight of children.
  • Do not use after the expiry date printed on the packaging.
  • Once opened, use within 12 months or as indicated on the label.
  • Do not store near naked flames or ignition sources — paraffin-based products are flammable.

If you're looking for additional support for skin conditions or want to explore other options, our allergy and hay fever collection includes products that may help manage allergic skin reactions alongside your emollient routine.

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Epaderm Cream online in the UK?

You can buy Epaderm Cream online from Cured Pharmacy, a GPhC-registered UK online pharmacy. It is available without a prescription as an over-the-counter emollient. Simply add it to your basket and it will be dispatched directly to your door.

How does Epaderm Cream work on dry and eczema-prone skin?

Epaderm Cream works by forming a protective, occlusive layer over the skin that reduces water loss and locks in moisture. The paraffin-based ingredients also soften the outer layers of the skin, reducing roughness and flaking. With regular use, it helps to restore and maintain the skin's natural barrier function, which is often compromised in conditions like eczema.

How do I apply Epaderm Cream step by step?

Apply Epaderm Cream generously to the affected area, smoothing it in the direction of hair growth to reduce the risk of folliculitis. Use a clean spatula to remove cream from the tub rather than dipping your fingers directly in. Allow it to absorb before dressing or applying any other topical treatments.

How often should I apply Epaderm Cream each day?

Epaderm Cream can be applied two to four times daily, or as often as needed to keep the skin moisturised. The NHS recommends applying emollients regularly — even when skin looks clear — to prevent flare-ups. Your GP or pharmacist may advise a specific frequency based on the severity of your condition.

Is Epaderm Cream safe for babies and newborns?

Yes, Epaderm Cream is suitable for use in babies, including newborns, and is frequently recommended by GPs and health visitors for infant eczema and dry skin. It is fragrance-free and contains no known common irritants, making it well-suited to delicate skin. Always consult your GP or health visitor before starting any new skin treatment in a very young baby. You can find more gentle options in our baby and toddler collection.

Can Epaderm Cream be used as a soap substitute?

Yes, Epaderm Cream can be used as a soap substitute during bathing or showering. Apply it to wet skin, massage gently, then rinse off and pat the skin dry. This is particularly useful for people with eczema, as conventional soaps and shower gels can strip the skin of its natural oils and trigger flare-ups.

What are the side effects of Epaderm Cream?

Side effects are uncommon but may include mild skin irritation, temporary redness, or folliculitis (inflammation of hair follicles). Allergic contact dermatitis is rare but possible, usually linked to the emulsifying wax component. If you experience any worsening of your skin condition or signs of an allergic reaction, stop use and speak to your pharmacist or GP.

Is there a fire risk with Epaderm Cream?

Yes — like all paraffin-based emollients, Epaderm Cream can increase the flammability of fabric when it soaks into clothing or bedding. The MHRA advises patients to keep away from naked flames, cigarettes, and other ignition sources. Wash clothing and bedding regularly to reduce paraffin build-up in fabric.

Who is eligible to use Epaderm Cream?

Epaderm Cream is suitable for adults, children, and babies with dry skin conditions including eczema, psoriasis, and ichthyosis. It is also appropriate for anyone with dry skin caused by environmental factors, ageing, or frequent handwashing. People with known allergies to paraffin or emulsifying wax should avoid it and seek an alternative emollient.

What happens if I miss an application of Epaderm Cream?

If you forget to apply Epaderm Cream at your usual time, simply apply it as soon as you remember. Do not apply a double amount to make up for a missed application. Consistency is key with emollients — regular use is more effective than occasional heavy applications.

How does Epaderm Cream compare to Diprobase or Cetraben?

All three are paraffin-based emollients used for dry skin and eczema, and all are fragrance-free. Epaderm Cream is unique in that it can also be used as a soap substitute, which Diprobase and Cetraben cannot. Individual responses vary, so it may take some trial to find the emollient that suits your skin best — your pharmacist can help guide you.

Can I use Epaderm Cream with topical steroids?

Yes, Epaderm Cream can be used alongside topical corticosteroids. The general advice is to apply the emollient first, allow it to absorb for around 30 minutes, and then apply the steroid cream. Always follow the specific instructions given by your GP or dermatologist regarding the order and timing of application.

How long can you use Epaderm Cream for?

Epaderm Cream can be used long-term as part of an ongoing skin care routine for chronic dry skin conditions. The NHS recommends continuing emollient use even during periods when the skin appears clear, to maintain the skin barrier and reduce the risk of flare-ups. There is no defined maximum duration of use for this product.

What are the latest recommendations on emollients for eczema?

Current NHS and NICE guidance continues to recommend emollients as the cornerstone of eczema management, emphasising regular and generous application. Research supports the use of emollients from early infancy to help maintain the skin barrier, though evidence on preventing eczema onset in high-risk infants is still evolving. Speak to your GP or dermatologist for the most up-to-date personalised advice. You can also explore our skin care collection for a range of emollient options.

What are the alternatives to Epaderm Cream for dry skin?

Common alternatives include Diprobase Cream, Cetraben Cream, Doublebase Gel, and Hydromol Cream — all of which are paraffin-based emollients available over the counter. The right choice depends on your skin type, the severity of your condition, and personal preference regarding texture. Your pharmacist can help you compare options and find the most suitable product for your needs.

How Should You Use Epaderm Cream?

Epaderm Cream is straightforward to use, but applying it correctly will help you get the most benefit. Always use a clean spatula or spoon to remove cream from the tub — this prevents contamination and keeps the product safe for longer.

What Is the Correct Dose of Epaderm Cream?

There is no fixed dose for Epaderm Cream — the key is to apply it generously and regularly. Many people underestimate how much emollient is needed; the NHS advises using large amounts frequently rather than small amounts occasionally.

When Is the Best Time to Use Epaderm Cream?

The best times to apply Epaderm Cream are immediately after bathing or showering, when the skin is still slightly damp — this helps to lock in moisture most effectively. Applying before bed is also beneficial, as the skin has time to absorb the cream overnight without the interference of clothing or activity.

If you are using Epaderm Cream alongside a topical corticosteroid, apply the emollient first and wait approximately 30 minutes before applying the steroid. This ensures neither product dilutes the other.

How Long Can You Use Epaderm Cream For?

Epaderm Cream is suitable for long-term, ongoing use. For chronic conditions like eczema or psoriasis, the NHS recommends continuing emollient use even during periods when the skin appears clear, as this helps to maintain the skin barrier and reduce the frequency of flare-ups.

There is no defined maximum duration of use. However, if your skin condition does not improve after several weeks of regular use, or if it worsens at any point, speak to your GP or pharmacist for further assessment.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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What Are the Most Common Side Effects of Epaderm Cream?

Epaderm Cream is generally very well tolerated, and most people use it without experiencing any side effects. However, as with any topical product, some individuals may notice mild reactions, particularly when starting treatment.

  • Mild stinging or tingling on first application
  • Temporary redness at the application site
  • A greasy or occlusive feeling on the skin surface

What Are the Less Common Side Effects of Epaderm Cream?

Less common side effects are rare but worth being aware of. If you notice any of the following, consider adjusting your application technique or speaking to your pharmacist.

  • Folliculitis — inflammation or infection of hair follicles, often caused by applying cream against the direction of hair growth
  • Acne-like breakouts, particularly in individuals with oily or acne-prone skin
  • Miliaria (heat rash) if the cream is applied too thickly in warm conditions

What Are the Serious Side Effects of Epaderm Cream?

Serious side effects are extremely rare with Epaderm Cream. Allergic contact dermatitis can occasionally occur, usually as a reaction to the emulsifying wax component. Symptoms include worsening redness, itching, swelling, or blistering at the application site — if this happens, stop use immediately and seek medical advice.

Anaphylaxis (a severe allergic reaction) is exceptionally rare with topical emollients. If you experience swelling of the face, lips, or throat, difficulty breathing, or a sudden rash spreading beyond the application site, call 999 or go to your nearest A&E immediately.

What Should You Do If You Experience Side Effects of Epaderm Cream?

For mild side effects such as temporary stinging or redness, these often resolve on their own as your skin adjusts. Try applying a smaller amount and gradually increasing. If folliculitis develops, ensure you are smoothing the cream in the direction of hair growth and not applying it too thickly.

For any persistent, worsening, or unexpected reactions, stop using Epaderm Cream and consult your pharmacist or GP. You can also report suspected side effects to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk.

Can Epaderm Cream Interact With Other Medicines?

No significant drug interactions are known for Epaderm Cream. However, if you are using other topical treatments — such as topical corticosteroids, calcineurin inhibitors, or antifungal creams — it is important to apply them at separate times rather than simultaneously. Apply Epaderm Cream first, allow it to absorb, and then apply any other prescribed topical treatment as directed by your prescriber.

Always inform your GP or pharmacist about all products you are currently using, including over-the-counter treatments, to ensure there are no concerns specific to your situation.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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