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13.1 Vehicles  

Choice of vehicle can mean the difference between treatment success and failure. Patients will not use a topical therapy that irritates their skin, and will be loath to use one that does not ‘feel right’. 

Ointments are greasy and generally insoluble in water, so can be difficult to wash off. They are most suitable for chronic dry conditions. 
Creams contain oil and water, so are easier to apply and wash off, and are more cosmetically acceptable. They are better than ointments for acute conditions due to a cooling effect as they evaporate. However, their constituents are more likely to cause both irritant and allergic reactions. 
Lotions also have a cooling effect, and may be preferable for treating hairy and large areas. They can be made up in either water or alcohol. The latter will sting if applied to broken skin. 
Gels have a high water content, and are suitable for face and scalp.
 
13.2   Emollients and barrier preparations
13.3   Anti-pruritic preparations and topical local anaesthetics and topical local anaesthetics 
13.4   Topical corticosteroids
13.5.1 Eczema
13.5.2 Psoriasis
13.5.3 Drugs affecting the immune response
13.6   Preparations for Acne and Rosacea
13.7   Preparations for Warts
13.8   Sunscreens
13.9   Shampoos and scalp applications
13.10   Anti-infective skin preparations
13.11 Skin cleansers, antiseptics, and desloughing agents
13.12 Hyperhidrosis
13.13 Circulatory preparations

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