E45 Cream 125g
|White Soft Paraffin||BP||14.5%||w/w|
|Light Liquid Paraffin||PhEur||12.6%||w/w|
Excipient(s) with known effect:
Methyl hydroxybenzoate (E218)
Propyl hydroxybenzoate (E216)
For the full list of excipients, see section 6.1
Smooth cream, white or practically white with a slight odor.
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.
Adults, the elderly, children, and infants over the age of 1 month – apply to the affected part two or three times daily.
Method of administration
For topical administration.
Hypersensitivity to white soft paraffin, light liquid paraffin, and anhydrous lanolin or to any of the excipients listed in section 6.1.
If a rash develops, the use of the product should be discontinued.
Instruct patients not to smoke or go near naked flames – the risk of severe burns. Fabric (clothing, bedding, dressings, etc) that has been in contact with this product burns more easily and is a serious fire hazard. Washing clothing and bedding may reduce product build-up but not totally remove it.
The absorption of topical minoxidil can be increased by concurrent topical soft paraffin. This could potentiate the hypotensive effects of vasodilators
No effects during pregnancy are anticipated, since systemic exposure to white soft paraffin, liquid paraffin and lanolin is negligible. As with all medicines, this product should be used with caution during pregnancy.
It is unknown whether soft paraffin, light liquid paraffin, and anhydrous lanolin metabolites are excreted in human milk. A risk to the newborns/ infants cannot be excluded. The application of the product to the breast is not recommended during breastfeeding.
No data on human fertility are available.
The product has no or negligible influence on the ability to drive and use machines
Occasionally, hypersensitivity reactions, otherwise adverse effects are unlikely. Should this occur, the use of the product should be discontinued?
Adverse events that have been associated with white soft paraffin, light liquid paraffin, and anhydrous lanolin are given below, tabulated by system organ class and frequency. Frequencies are defined as: Very common (≥1/10); Common (≥1/100 and <1/10); Uncommon (≥1/1000 and <1/100); Rare (≥1/10,000 and <1/1000); Very rare (< 1/10,000); Not known (cannot be estimated from the available data). Within each frequency grouping, adverse events are presented in order of decreasing seriousness.
|System Organ Class||Frequency||Adverse Events|
|Immune System Disorders||Not known||Hypersensitivity, Dermatitis allergic|
|Skin and Subcutaneous Tissue Disorders||Not known||Acne|
Reporting of Suspected Adverse Reactions
Reporting suspected adverse reactions after authorization of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
E45 cream is of low toxicity. If accidental ingestion occurs, conservative treatment only is required. There have been no reports of overdosage with the use of this product.
Dermatologicals; Soft Paraffin and Fat Products
ATC Code: D02AC
Lanolin, light liquid paraffin, and white soft paraffin have emollient moisturizing properties.
There are no preclinical safety data of relevance to the consumer.
Empilan GMS, cetyl alcohol, sodium cetostearyl sulphate, carbomer, methyl hydroxybenzoate, propyl hydroxybenzoate, sodium hydroxide, citric acid monohydrate, purified water.
Compatibility problems may be encountered with stronger acids, calcium, magnesium and aluminum salts, quaternary compounds, acridines, basic dyestuffs, and alkaloids.
Aluminum tubes and polypropylene tubs: 3 years.
All other containers: 2 years.
Store below 25°C for polyethylene tubes and pump pack, made of polypropylene and polyethylene and consisting of a plastic bottle and a pump system with a dip tube. None for aluminum tubes and polypropylene tubs.
A collapsible aluminum tube, internally lacquered with a membrane seal and plastic screw cap. Pack sizes: 15, 50 or 100 g.
(The 100 g tube is for dispensing only. One hundred tubes will be packed in an outer carton, labeled with the same wording as an OTC pack and the additional statement ‘For dispensing only – not for retail sale’.)
A polyethylene tube with membrane seal and plastic screw cap. Pack sizes 15 or 50 g.
A polypropylene securipot with a white polythene pilfer-proof screw cap. Pack sizes: 125, 350 or 500 g.
A white polypropylene jar with a white polyethylene push-on, tamper-evident closure. Pack sizes: 250, 300 or 500 g.
((The 500 g jar is for dispensing only. Thirty-six jars will be packed in an outer carton, labeled with the same wording as an OTC pack and the additional statement ‘For dispensing only – not for retail sale’.)
A polypropylene securipot with a polythene pilfer-proof screw cap fitted with an HDPE or polypropylene dispenser having polythene covered follower plate.
Pack sizes: 500 or 900 g.
A pump pack made of polypropylene and polyethylene, consisting of a plastic bottle and a pump system with a dip tube. Pack size: 500 g.
A pump pack made of polypropylene and polyethylene, consisting of a piston pump system with an airless dispenser. Pack size: 500g
Not all pack sizes are necessarily marketed.