benzalkonium chloride + dimeticone + hydrocortisone + nystatin at a glance
Medicine class
Topical antifungal combination containing a mild corticosteroid, barrier agent and antiseptic.
Usual role
Inflamed, moist or chafed skin where Candida albicans is a factor.
Fire safety
Keep away from cigarettes and naked flames because contaminated fabric burns more easily.
What is benzalkonium chloride + dimeticone + hydrocortisone + nystatin used for?
Licensed uses are inflammatory skin conditions in which Candida albicans infection contributes.
Intertrigo affecting skin folds
Severe nappy rash
Eczema
Seborrhoeic dermatitis
Hand dermatitis
Itching and irritation around the anus or external vulval area
How does benzalkonium chloride + dimeticone + hydrocortisone + nystatin work?
Nystatin disrupts Candida cell membranes. Hydrocortisone reduces inflammation and itching, dimeticone forms a water-repellent barrier against moisture and chafing, and benzalkonium chloride provides antiseptic activity against bacteria.
How to take benzalkonium chloride + dimeticone + hydrocortisone + nystatin
For external use only. Follow the prescriber's directions.
Apply to affected skin and massage gently until the cream disappears.
For nappy rash, remove the soiled nappy and clean and dry the skin first.
Keep away from the eyes and avoid dressings over large treated areas.
Do not mix it directly with another skin preparation.
Do not smoke or approach naked flames; exposed clothing, bedding and dressings ignite more easily.
benzalkonium chloride + dimeticone + hydrocortisone + nystatin side effects
Common or expected effects
- Frequencies are not known. Reported effects include irritation or contact dermatitis, skin thinning, stretch marks, visible small blood vessels, pigment change, excess hair, worsening acne or rosacea, and worsening untreated infection.
Get urgent medical advice
- Stop using it and seek immediate help for facial or throat swelling, breathing or swallowing difficulty, faintness or a severe rash.
- Seek prompt medical assessment for marked skin deterioration, spreading infection, or a rounded puffy face with weakness or unusual tiredness.
- Get medical advice before restarting if intense redness, burning, peeling or oozing spreads beyond the treated area after stopping.
benzalkonium chloride + dimeticone + hydrocortisone + nystatin in pregnancy
Use this combination only after advice from a prescriber. Topical corticosteroids are generally considered usable during pregnancy, but extensive exposure should be avoided because human data for the complete combination are limited.
benzalkonium chloride + dimeticone + hydrocortisone + nystatin while breastfeeding
Topical hydrocortisone and nystatin are generally compatible with breastfeeding, but seek prescriber advice for this combination. Prevent the baby touching treated skin, wash your hands after application, and thoroughly remove cream from the breast or nipple before feeding.
benzalkonium chloride + dimeticone + hydrocortisone + nystatin interactions
No specific medicine interactions are known. Take care when using other topical products at the same site.
Other topical creams, ointments or lotions
Do not mix products directly on the skin.
Common questions about benzalkonium chloride + dimeticone + hydrocortisone + nystatin
Answers are fully visible for fast scanning and source review.
Is this a steroid cream?
It contains hydrocortisone, a mild topical corticosteroid, alongside three non-steroid ingredients.
Can it treat any fungal rash?
No. It is licensed for specified inflammatory skin conditions where Candida albicans is a factor, not untreated or unidentified fungal infection.
Can it be used for nappy rash?
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.