II. Indications

  1. Thick, dry, itchy Plaques (hyperkeratotic lesions)
  2. Areas often rubbed off by patients

III. Contraindications

  1. Avoid on lesions in hairy areas
  2. Avoid in intertriginous areas (inguinal or axillary region or in gluteal crease)
    1. Risk of Superficial Folliculitis or maceration

IV. Advantages

  1. Inert: allergic dermatitis less likely than cream
  2. Most potent vehicle of the Preparation Bases (due to most Occlusion)
  3. More lubrication than other Preparation Bases

V. Adverse Effects

  1. Feels greasy and may have lower compliance rates (use at bedtime)
  2. May occlude Hair Follicles more than less occlusive Preparation Bases (such as Topical Lotions)

VI. Pharmacology

  1. Topical Steroid ointments are more potent than creams
    1. Ointment vehicle holds steroid to skin surface

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