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Medication Guide: What is Ihle's paste?

4 min read

Containing 25% zinc oxide, Ihle's paste is a medicated topical cream that has been a trusted remedy for minor skin irritations, including diaper rash, for generations. This article provides a comprehensive overview of what is Ihle's paste, its uses, and how it helps heal and protect the skin.

Quick Summary

Ihle's paste is a topical medication with 25% zinc oxide, used to create a protective barrier on the skin. It treats and prevents irritations like diaper rash, chafing, and minor cuts.

Key Points

  • High Zinc Oxide Concentration: Ihle's paste contains a high percentage of zinc oxide (typically 25%), which acts as a powerful astringent and protectant.

  • Forms a Protective Barrier: The thick consistency of the paste creates a physical barrier on the skin, sealing out moisture and irritants.

  • Primary Use for Diaper Rash: It is most commonly used to prevent and treat diaper dermatitis in infants and is often recommended by pediatricians.

  • Versatile Skin Soother: Beyond diaper rash, it can be used for chafing, minor cuts, and other skin irritations in both infants and adults.

  • External Use Only: It is for topical application only, and users should avoid contact with eyes and sensitive areas.

  • Common Side Effects are Mild: While generally well-tolerated, rare allergic reactions or persistent irritation may occur, in which case a healthcare provider should be consulted.

In This Article

Understanding the purpose of Ihle's paste

Ihle's paste is a thick, protective topical paste known for its high concentration of zinc oxide, typically around 25%. It is primarily used as an astringent and skin protectant, creating a physical barrier to shield the skin from irritants and moisture. This makes it highly effective for treating and preventing common skin issues, particularly those associated with exposure to wetness. While often associated with infant care and diaper rash, its applications extend to adults dealing with various types of minor skin irritations and chafing.

Key ingredients and mechanism of action

Zinc Oxide As the active ingredient, zinc oxide serves multiple functions that make Ihle's paste so effective:

  • Protective Barrier: It forms a physical, breathable barrier on the skin's surface. This layer repels moisture and prevents irritants like urine and feces from contacting the skin.
  • Astringent Properties: Zinc oxide has astringent qualities that help soothe and dry out weeping or inflamed skin, promoting a drier environment conducive to healing.
  • Anti-inflammatory: It helps reduce redness and inflammation associated with skin irritation.

Inactive Ingredients The inactive ingredients in Ihle's paste provide the emollient base and help the product adhere to the skin. Common non-medicinal ingredients include:

  • White petrolatum: A heavy emollient that adds to the protective barrier, sealing in moisture and protecting the skin.
  • Anhydrous lanolin: A moisturizing agent that helps soften and condition the skin.
  • Corn starch or starch: A drying agent that helps absorb excess moisture.
  • Mineral oil and paraffin: Used to give the paste its characteristic thick consistency.

Medical uses for Ihle's paste

Ihle's paste is a versatile over-the-counter medication with several uses:

  • Diaper Rash: Its most common use is to prevent and treat diaper dermatitis in infants. The thick barrier protects the baby's delicate skin from prolonged exposure to wetness.
  • Chafing: It can be applied to areas of the body prone to skin-on-skin friction or irritation from clothing, offering a protective layer to prevent painful chafing.
  • Minor Cuts and Scrapes: The paste can be used to protect minor cuts and scrapes from further irritation while promoting healing.
  • Minor Burns: For small, minor burns, Ihle's paste can soothe the skin and form a protective barrier.
  • Dermatitis: It is used to provide relief from other forms of skin inflammation and irritation.

Comparison: Ihle's paste vs. other topical treatments

To understand how Ihle's paste fits into the landscape of topical skin treatments, consider its properties against other common products. The primary differentiator is the high concentration of zinc oxide and the thick, protective barrier it forms.

Feature Ihle's Paste Desitin Maximum Strength Triple Paste Vaseline (Pure Petrolatum)
Active Ingredient 25% Zinc Oxide 40% Zinc Oxide 12.8% Zinc Oxide 100% Petrolatum
Key Function Barrier, Astringent, Soothing High-Strength Barrier, Anti-inflammatory Triple-Protection Barrier, Long-Lasting Protective Barrier, Moisturizing
Consistency Thick, Protective Paste Thick, Ointment Thick, Ointment-like Paste Greasy, Ointment
Use Case Treat/Prevent Diaper Rash, Chafing Severe Diaper Rash Treatment Moderate-to-Severe Diaper Rash Prevention, Minor Irritation
Texture Gritty due to high solid content Smooth, thick Smooth, adhesive Slippery, greasy

How to use Ihle's paste

  1. Clean the Area: Gently clean the affected area with mild soap and water. Pat the skin dry completely before application to ensure the paste adheres properly.
  2. Apply a Thin Layer: Using your fingertips, apply a thin, even layer of Ihle's paste to the irritated skin. A little goes a long way, and a thick application is not necessary.
  3. Use as Needed: For diaper rash, apply the paste with each diaper change to provide continuous protection. For other irritations, apply as needed until the condition improves.
  4. External Use Only: As with all topical medications, Ihle's paste is for external use only. Avoid contact with eyes, mouth, and other sensitive areas.

Considerations and precautions

Ihle's paste is generally safe and well-tolerated. However, it is important to follow the product's instructions and take precautions:

  • Allergic Reactions: Though rare, some individuals may experience a mild allergic reaction, such as a rash or increased irritation. If this occurs, discontinue use and consult a healthcare provider.
  • Storage: Store the paste at room temperature, typically between 15°C and 30°C.
  • Keep Out of Reach: Always keep the product out of the reach of children. If accidental ingestion occurs, contact a poison control center immediately.
  • Consult a Professional: If the skin irritation persists or worsens after a few days of use, consult a healthcare professional for a proper diagnosis and alternative treatment options.

Conclusion

Ihle's paste remains a popular and effective over-the-counter solution for a variety of minor skin irritations, particularly diaper rash. Its high concentration of zinc oxide allows it to form a powerful protective barrier that soothes and heals the skin by repelling moisture and reducing inflammation. While it may have a thicker and grittier texture than some alternatives, this formulation is key to its barrier-forming capabilities. By understanding its ingredients, uses, and proper application, consumers can effectively use Ihle's paste for reliable skin protection and relief.

Canadian Pediatric Society

(Note: This is an optional outbound link to an authoritative source on a related topic. The search results include mentions of Ihle's paste being recommended by pediatricians.)

Frequently Asked Questions

The primary function of Ihle's paste is to act as a protective skin barrier using its active ingredient, 25% zinc oxide. This helps to seal out moisture and irritants from the skin, preventing and treating issues like diaper rash.

Yes, while frequently used for babies, Ihle's paste can also be used by adults to treat minor skin irritations, chafing, and dermatitis.

For effective treatment and prevention of diaper rash, it is recommended to apply Ihle's paste at every diaper change, ensuring continuous protection for the skin.

The main difference is the zinc oxide concentration. While Ihle's paste contains 25% zinc oxide, Desitin Maximum Strength typically contains 40%, making it a higher-strength option for more severe rashes.

Most people tolerate Ihle's paste well. However, rare instances of skin irritation or allergic reactions can occur. If irritation worsens, discontinue use and contact a physician.

Ihle's paste is intended for minor skin irritations and should not be applied to deep or puncture wounds. It is best to consult a healthcare professional for proper treatment of open wounds.

Inactive ingredients in Ihle's paste typically include white petrolatum, anhydrous lanolin, starch (or cornstarch), mineral oil, and paraffin, which provide its base and thick texture.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.