Diaper dermatitis
Clinical basis & sources
- Primary source
- OCP Minor Ailments Prescribing
Sources used
- Minor Ailments: Drug Classes and Specified DrugsOntario College of Pharmacists · 2026
- Executive Officer Notice: Update to Funding for Minor Ailment Services in Ontario Pharmacies (Effective July 1, 2026)Government of Ontario · 2026-05-19
- Diaper DermatitisNCBI Bookshelf / StatPearls · 2023
- Antifungal agents for common outpatient paediatric infectionsCanadian Paediatric Society · 2019
- How to treat diaper rashAmerican Academy of Dermatology · 2026
- Ontario Regulation 256/24: GeneralGovernment of Ontario · 2026
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Allowable drugs under Schedule 4 (7)
Drugs an Ontario pharmacist may prescribe for Diaper dermatitis under O. Reg. 256/24, Schedule 4. Choice still depends on the assessment, contraindications, allergies, and product availability — this is the eligible list, not a recommendation.
- Ciclopirox
- Clotrimazole
- Desonide
- Hydrocortisone
- Ketoconazole
- Miconazole
- Nystatin
Symptoms this assessment screens
- Red, irritated rash in diaper area
- Moisture, stool/urine exposure, friction, diarrhea, or frequent wiping
- Beefy red rash, skin-fold involvement, or satellite lesions
- Barrier care tried but rash persists
- New wipes, diapers, creams, soaps, laundry products, or topical products
- Caregiver can apply treatment with each diaper change if needed
Red flags — any positive means refer
- Fever, appears unwell, poor feeding, dehydration concern, or severe pain
- Blisters, pus, honey crusting, bleeding, open sores, swelling, or spreading redness
- Not improving after 2 to 3 days of appropriate care
- Very young infant, immunocompromised child, recurrent severe rash, or unclear diagnosis
- Possible psoriasis, seborrheic dermatitis, perianal strep, scabies, herpes simplex virus, zinc deficiency, or injury concern
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