Daktacort for nappy rash - made it worse, DD now screaming in pain!!

[OhWhatAPalaver]

It appears that my DD's skin is not tolerating the Daktacort that she was prescribed for her nappy rash. She had a bit of a fungal rash and has got funny poos at the mo so it was getting worse, hence took her to the nurse who prescribed Daktacort. She said it is usually very good but after using it twice on DD the rash is now so much worse and she is screaming in pain! Not happy :( what else have people used when it gets this bad? I am now trying Nystaform HC which she was prescribed for a totally unrelated fungal spot on her arm ages ago. Hoping it works but don't know if there might be something better out there!
Any advice much apprecited, hate seeing DD in so much pain :(

[OhWhatAPalaver]

also when you use these antifungal's, do you just put the cream on or can you put sudocrem over the top of it? daft question but i wasn't sure!

[nancerama]

My GP prescribed Timodene for a nappy rash like the one you describe. DS had a D&V bug when he was 9 months old that gave him a terrible sore bottom with broken skin. Timodene cleared it up almost immediately.

I found Savlon cooled and soothed the pain while we were waiting for a GP appointment.

[OhWhatAPalaver]

Thanks, making another appointment this morning so hopefully they'll prescribe something better!

[crashdoll]

Sounds like she had a reaction to it. Poor little love. I had an allergic reaction to Daktacort when I had a problem on my coccyx. All I can say is; ouchie!

[OhWhatAPalaver]

Yeah I suspected allergic reaction as it was all raised and red where I put the cream :( doc said it doesn't even need antifungal cream, she just prescribed metanium and its working great! :)

[nappyaddict]

Morhulin
Thovaline Ointment
Siopel Cream
Antiseptic bepanthen cream (weirdly the actual bepanthen nappy cream didn't work)
Boots Bottom Balm
Orabase Paste
Conotrane Cream
Magic Fairy Better Botty Balm
Green baby powder
Little green earthlets balm
Paw paw cream
Palmers Bottom Butter
Bennetts Baby Bum Cream

Some natural remedies that worked with him are:

cornflour mixed with water or vaseline
emu oil
grapefruit seed extract
manuka honey
vegetable glycerine
sage tea
tea tree, lavender and witch hazel
cooled pearl and barley liquid (for both nappy area and to drink)
bicarb and oats in the bath
pure lanolin
pure shea butter
hemp cream

If none of those work you can ask for these on prescription:

aveeno
sprilon spray (I have bought aveeno and sprilon OTC as well, but they are expensive.)

Has a swab been done to see if it is fungal or has the nurse said it is fungal just by looking at it? I would insist on a swab if one hasn't already been done. If the swab says it is definitely fungal then ask to try Clotrimazole cream, Nystatin Cream or Nystatin Spray.

I have tried:

metanium, savlon, drapolene, bepanthen, sudocreme, germoline, vaseline, zinc and castor oil, waitrose bottom butter, fullers earth cream, calendula cream, e45 nappy cream, kamillosan, vagosen, canesten, chamomile tea, red clover cream, benadryl, daktarin, daktacort, timodene, arnica cream, egg white, organic babies salve, green baby balm, almond oil, rooiboos (redbush) tea.

[Weegiemum]

My dd1 was prescribed Daktacort for an infected rash - did her bum good but I turned out to be so allergic to it that surgical gloves weren't enough and I came out in all-over hives.

2 days of better botty balm and we were both better. I've used it on my hands and as a lip balm ever since!

[nappyaddict]

Trimovate also didn't work for us.

Fucidin cream is meant to be good for fungal infections too.

[crazykat]

Hydrocortisone works wonders its prescribed and only use it once a day but you can use sudocrem in between.

I feel for your DD I have a bed reaction to e45 and DSD had a rash on her legs and was given e45 for it, we told her to wear pjs or is have a reaction but she (and her mother) thought I was overreacting and didn't. Cue me changing her bed and touching her quilt cover/sheet (DP washed her pjs/clothes) and my arms bing covered in a rash with the skin on my hands cracking and scratching til it bled in my sleep. Funny enough they listen now after DH went mental.

[MetabolicHealth]

It's important to make the right diagnosis and typically nappy rash is 'beefy red' and involves the skin creases and sometimes you will see small 'satellite patches'. Remember in darker skin it is harder to see erythema and inflammation. In response to this thread Daktacort contains an antifungal (miconazole) and steroid (hydrocortisone) and is very good for a number of skin conditions but doesn't always work with nappy rash. Consider alternative diagnosis or try NHS first-line choice antifungal for the job called imidazole. Secondly you should stop using barrier creams whilst treating nappy rash. This allows the skin to breathe. After all nappy rash is commonly caused from a persistent moist and warm environment so let the skin breathe - don't use any drying agents like tea tree oil or talc powder this is unnecessary and can cause discomfort for baby. Do keep the skin moisturised and when everything has settled barrier creams like metanium and sudocream between changes is a good idea along with nappy free time and pat drying. Always consult a doctor if baby looks uncomfortable, there is no improvement, in uncertainty or the skin shows any sign of breakdown.