II. Indications
- Thick, dry, itchy Plaques (hyperkeratotic lesions)
- Areas often rubbed off by patients
III. Contraindications
- Avoid on lesions in hairy areas
- Avoid in intertriginous areas (inguinal or axillary region or in gluteal crease)
- Risk of Superficial Folliculitis or maceration
IV. Advantages
- Inert: allergic dermatitis less likely than cream
- Most potent vehicle of the Preparation Bases (due to most Occlusion)
- More lubrication than other Preparation Bases
V. Adverse Effects
- Feels greasy and may have lower compliance rates (use at bedtime)
- May occlude Hair Follicles more than less occlusive Preparation Bases (such as Topical Lotions)
VI. Pharmacology
-
Topical Steroid ointments are more potent than creams
- Ointment vehicle holds steroid to skin surface