ExoCream® 27.1% Cream

Potential Savings In NHSE of £1.6 million through choosing ExoCream® instead of E45® Cream1

ExoCream® is the lowest cost 27.1% Cream (E45® Cream copy) in a 500ml Pump2

ExoCream® acts as an emollient which softens and moisturises dry skin, restoring the skin’s normal protective function and acting as a barrier to irritants. It contains white soft paraffin 14.5%, light liquid paraffin 12.6%, hypoallergenic anhydrous lanolin 1% and is fragrance free. The paraffin creates a breathable hypoallergenic layer of oil on the skin surface to prevent water evaporating while the lanolin heals and softens the top layers of the epidermis, rapidly soothing inflamed skin and preventing further flare-ups. May also be used as a gentle facial cleanser, avoiding foaming soaps which can be potential irritants.

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Please call us on +44 (0)345 241 4330 or email info@penlanhealth.com for pricing

Saving vs. E45® Cream

The above calculator is solely to be used to articulate differences in acquisition costs. Source NHS Open Prescribing – PCA annual data Financial Year 2022 / 2023. E45® price rise from April 2023 included in the calculation.

Saving vs. Doublebase® Gel

The above calculator is solely to be used to articulate differences in acquisition costs. Source NHS Open Prescribing – PCA annual data Financial Year 2022 / 2023.

Saving vs. Aveeno® Cream, Zeroveen® Cream and AproDerm® Colloidal Oat Cream

The above calculator is solely to be used to articulate differences in acquisition costs. Source NHS Open Prescribing – PCA annual data Financial Year 2022 / 2023.

Saving vs. Cetraben® Cream

The above calculator is solely to be used to articulate differences in acquisition costs. Source NHS Open Prescribing – PCA annual data Financial Year 2022 / 2023.

Saving vs. HyloTear® and HyloForte®

The above calculator is solely to be used to articulate differences in acquisition costs. Source NHS Open Prescribing – PCA annual data Financial Year 2022 / 2023.

Saving vs. Glucogel®

The above calculator is solely to be used to articulate differences in acquisition costs. Source NHS Open Prescribing – PCA annual data Financial Year 2022 / 2023.

Product Documents

Product Description

ExoCream® at only £3.99 is the lowest priced 500ml / 500g Pump emollient in the E45® Cream 27.1% paraffin segment of emollient products.2

Available since 2015 with continued supply.

ExoCream® 500ml pump at only £3.99 costs 45% less than E45® Cream Pump 500g at £7.12.2

Choosing ExoCream® 500ml Pump represents a potential cost saving of £1.6 million over E45® Cream across NHSE in 2022 / 2023.1

 

27.1% Paraffin Creams White Soft Paraffin Light Liquid Paraffin 500g / 500ml Pump 500g Bottle
E45® Cream 14.5% 12.6% Yes
ExoCream® Yes Yes Yes
Epimax® Moisturising Cream Yes Yes Yes
Zerocream® Emollient cream Yes Yes Yes
AproDerm® Not Available

INDICATIONS

For the symptomatic relief of dry skin conditions, where the use of an emollient is indicated, such as flaking, chapped skin, ichthyosis, traumatic dermatitis, sunburn, the dry stage of eczema and certain dry cases of psoriasis.

PREPARATIONS AVAILABLE

Cream

SIZES AVAILABLE

125g (tub); 500ml (pump)

 

General Emollient Advice

The Primary Care Dermatolgy Society (PCDS) state in their clinical guidance:

Emollients are the mainstay of therapy and without them it is not possible to manage eczema effectively. Good evidence shows that the more emollients are used, the less topical steroids are needed. Compliance is essential and so always review patients to check they are happy with what has been prescribed – it may be necessary to try a range of emollients before the patient settles on the best combination.

  • Moisturisers
    • Most patients prefer creams and gels. The most important factor is to find one that the patient likes and is happy to use
    • Ointments tend to be less well tolerated by patients, but they are less likely to cause contact allergic dermatitis as they do not contain preservatives (this is for both emollients and topical steroids)
    • Encourage appropriate usage by prescribing generous amounts e.g. 500 grams of moisturisers to use regularly (often QDS)
    • As with other topical treatments, moisturisers should be gently rubbed into the skin until they are no longer visible. They should be applied downward in the direction of the hairs to lessen the risk of folliculitis
    • Warn that they may sting for the first couple of days before soothing the skin
    • Ointments come in tubs and so can easily become cross infected with bacteria from the skin – patients must not place hands into tubs but instead use a utensil to scoop out the ointment
    • Order of application – if topical steroids are also being used, moisturisers can be applied first and allowed to dry for 15-20 minutes before applying the topical steroid

 https://www.pcds.org.uk/clinical-guidance/atopic-eczema

Emollients tend to have a short duration of action and will be required to be applied regularly or when needed.

ExoCream is best applied when the skin is moist and should ideally be applied to the skin at least three or four times a day or as often as recommended by a healthcare professional to keep the skin well moisturised and in good condition. In particular, it is a good idea to regularly apply to the hands because they are exposed to the elements more than any other part of the body.

ExoCream should be applied liberally to the affected area then smoothed into the skin along the line of hair growth, rather than rubbing it in.

Patients may also want to use ExoCream after washing their hands, having a bath or taking a shower. Advise patents that when bathing they should use warm not hot water and to avoid staying in the bath too long as this can make dry skin conditions worse.

References
1 NHSE OpenData Financial year 2022
2 NHSBSA January 2023

TRADEMARKS
E45® is a trademark of Karo Healthcare AB
Epimax® is a trademark of Aspire Pharma Limited
Zerocream® is a trademark of Thornton & Ross Limited
AproDerm® is a trademark of Fontus Health Limited

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