Timodine cream

Timodine cream is used to treat inflamed skin conditions, particularly where the fungal infection Candida albicans can occur. For example, for nappy rash and inflamed skin (intertrigo). Where two folds of skin rub together, chafing can occur, leading to a sore inflamed area of skin. This particularly happens in warm, covered areas where frequent sweating occurs, such as in skin folds (in the groin or anal cleft) or under babies' nappies.

Typical symptoms of inflamed skin or skin sores are:

• Irritated skin and wetness.
• Itching, burning or aching of the affected area.

Timodine cream is specially formulated to ease the soreness and treat the infections in intertrigo and inflamed nappy rash. It can also be used to treat the following skin conditions when there is infection with Candida albicans:

• Eczema.
• Housewives hands (skin irritation caused by chemicals such as washing powders).
• Seborrhoeic dermatitis (inflammation of the scalp with excessive dandruff scales and oily secretions).
• Pruritis ani and vulvae (irritation of the external area around the anus and vagina).

Timodine cream contains four different medicines called nystatin, hydrocortisone, dimeticone and benzalkonium chloride.

• Nystatin is an antifungal agent which kills Candida albicans.
• Hydrocortisone is a mild corticosteroid (or steroid) which fights the inflammation that causes redness, swelling and itchiness.
• Dimeticone is a water-repellent which stops wetting and chafing.
• Benzalkonium chloride is an antiseptic which kills bacteria.

For intertrigo, eczema, housewives’ hands, seborrhoeic dermatitis, pruritis ani and vulvae:

Apply a thin layer of the cream to the sore area and rub into the skin gently until the cream disappears. Repeat the treatment three times a day until the skin is healed.

For severe nappy rash:

Remove the soiled nappy, then clean and dry your baby’s skin. Rub a thin layer of Timodine cream into the sore areas until the cream disappears. Repeat the treatment after every nappy change.

• Do not use Timodine cream for more than seven days, unless your doctor tells you to.

For more information on how to use Timodine cream, please see the package leaflet.

If you use more Timodine cream than you should

Over-use of any corticosteroid cream can result in side effects. If you, or somebody else, accidentally swallowed the cream, consult a doctor. Please refer to the package leaflet for more information.

If you forget to use Timodine cream

In the case of a missed application, simply apply when the next dose is due.

If you stop using Timodine cream

A worsening of symptoms can sometimes occur. If this happens to you, tell your doctor or pharmacist.

Do not use Timodine cream on you or your child:

• If you or your child are allergic (hypersensitive) to any of the ingredients in the cream.
• On any untreated bacterial, fungal or viral skin infections.
• On ulcerated skin.
• To treat a skin condition called perioral dermatitis. This is a red spotty rash around your mouth or chin.
• To treat a skin condition called rosacea. This is redness and inflammation over your nose, cheeks, chin or forehead.
• Near the eyes.
• Under dressings on large areas of the body.

If any of the above applies to you, or if you are not sure, speak to your doctor

or pharmacist before you use this medicine.

Take special care with Timodine cream

• Ask your doctor before using Timodine dream if:
• You are pregnant or breastfeeding.
• You are elderly.
• You use the cream on a newborn baby.
• You or your child have pruritis (an itchy skin condition).
• You or your child have liver disease.
• You have infected wounds, broken skin, thin/ raw skin or acne.
• Avoid prolonged use of Timodine cream on the face.
• Prolonged use of Timodine cream could increase the likelihood of the cream stopping being effective for you, and of you developing an allergic reaction to the cream.
• Increased absorption of the cream may occur if the cream is used on thin/ raw skin, on areas where two skin areas touch or rub together, or under dressings. Thinning of the skin is more likely to occur if the cream is used under dressings.
• If you are using Timodine cream for nappy rash make sure you speak to your doctor about how you should use the cream. Nappies can make it easier for the ingredients of the cream to pass through the skin and it is possible to accidently end up using too much cream.

If any of the above applies to you, or if you are not sure, speak to your doctor or pharmacist before you use Timodine cream.

Other medicines and Timodine cream

Please tell your doctor or pharmacist if you are taking or have recently taken/used any other medicines, including medicines obtained without a prescription.

If you are using other skin creams at the same time as Timodine cream, make sure you leave several minutes between applying the different creams.

• If you are pregnant or breast-feeding, only use Timodine cream if advised by your doctor.
• Timodine cream contains ingredients that may cause skin irritation. See the package leaflet for more information.

You need a prescription to order Timodine cream. A doctor can write a prescription for Timodine cream after an online consultation. They will know if this medicine is suitable for you. Timodine cream is available on prescription only.

Would you like to know what Timodine cream costs? The current price is listed on our order page. This is an all-in price which includes the cost for the consultation and a service fee.

Like all medicines, Timodine cream can cause side effects, although not everybody gets them.

Get emergency medical help if you or your child have signs of a severe allergic reaction (see the package leaflet for more information).

Other possible side effects:

• Thinning of the skin.
• Stretch marks.
• Dilated blood vessels near the surface of the skin.
• Red spotty rash around your mouth or chin.
• Acne, or your acne may become worse.
• Allergic or irritant skin reactions.
• Loss of colour in the skin where the cream is used.
• Excessive hair growth.
• The appearance of red or purple discolorations on the skin that do not blanch on applying pressure.
• Spread and worsening of untreated infection.
• Redness and inflammation over the nose, cheeks, chin or forehead.
• Adrenal glands may stop working properly. Symptoms of this may include tiredness, depression and anxiety.
• Cushing’s syndrome (a condition where levels of steroid hormone become too high in the body). Symptoms include a puffy and rounded face that is also red, stretch marks and acne.

If you get any side effects, talk to your doctor or pharmacist. This includes

any possible side effects not listed in the leaflet.

The active ingredients in this medicine are nystatin 100,000 IU/g, hydrocortisone 0.5% w/w, dimeticone 350 10% w/w and benzalkonium chloride solution 0.2% w/w.

The other ingredients are: dibutyl phthalate, glyceryl monostearate SE, purified water, stearic acid, sodium metabisulphite, cellulose nitrate, cetostearyl alcohol, butylated hydroxyanisole compound (containing butylated hydroxyanisole (E320), propyl gallate, and citric acid), methyl hydroxybenzoate (E218), propyl hydroxybenzoate (E216) and sorbic acid.