Can a Newborn Use Lactic Acid Cream for Red Neck? Safety and Guidelines - Pharmacology

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Can a newborn who is over a month old use Lactic Acid Cream for treating red neck (intertrigo)?


Should newborns also use the cream continuously for 2 weeks as indicated on the label? Are there any side effects for such a small infant?

Gina, 40~49 year old female. Ask Date: 2016/08/16

Dr. Liao Lingmei reply Pharmacology


Hello: The medication Luliconazole cream contains two active ingredients: a potent corticosteroid and an antifungal agent.
The skin of newborns is thinner than that of adults, making it easier for medications to penetrate.
Therefore, when using topical medications, it is essential to follow the physician's recommendations based on the specific condition.
Please be sure to adhere to the doctor's instructions and do not self-assess whether a particular ointment can be used.
Wishing you health and happiness!

Reply Date: 2016/08/16

More Info


When it comes to treating skin conditions in newborns, such as a "red neck" or any form of dermatitis, it is crucial to approach the situation with caution. Lactic acid cream, which is often used for its exfoliating properties and to help with skin hydration, may not be suitable for newborns. The skin of a newborn is significantly thinner and more sensitive than that of an adult, making it more susceptible to irritation and adverse reactions from topical medications.

Safety and Guidelines for Using Lactic Acid Cream on Newborns:
1. Consult a Pediatrician: Before applying any topical treatment, including lactic acid cream, it is essential to consult with a pediatrician or a dermatologist who specializes in pediatric care. They can assess the specific condition of the newborn's skin and recommend appropriate treatments.

2. Understanding the Ingredients: Lactic acid is an alpha hydroxy acid (AHA) that can cause irritation, especially in sensitive skin. Newborns have a delicate skin barrier that is still developing, and using products with active ingredients like lactic acid can lead to irritation, redness, or even chemical burns.

3. Duration of Use: If a healthcare provider prescribes a topical treatment, they will provide specific instructions regarding the duration of use. It is not advisable to use any topical cream for an extended period, such as two weeks, without medical supervision, especially for a newborn. Prolonged use of topical treatments can lead to skin thinning and increased sensitivity.

4. Potential Side Effects: The risk of side effects in newborns is higher due to their sensitive skin. Possible side effects of using lactic acid cream may include:
- Redness and irritation at the application site
- Allergic reactions, which can manifest as hives, swelling, or difficulty breathing
- Increased sensitivity to sunlight, leading to sunburn
5. Alternative Treatments: For conditions like a red neck, which may be caused by irritation, heat rash, or other dermatological issues, there are often safer alternatives. These may include:
- Gentle moisturizers specifically formulated for infants
- Barrier creams that protect the skin without causing irritation
- Natural remedies, such as coconut oil or aloe vera, which can soothe the skin without harsh chemicals
6. Monitoring for Reactions: If a topical treatment is applied, it is crucial to monitor the newborn for any signs of adverse reactions. If any unusual symptoms occur, such as increased redness, swelling, or discomfort, the treatment should be discontinued immediately, and a healthcare provider should be consulted.

In summary, while lactic acid cream may be beneficial for certain skin conditions in adults, it is generally not recommended for use on newborns without the guidance of a healthcare professional. The delicate nature of a newborn's skin requires careful consideration and often necessitates the use of gentler, more suitable alternatives. Always prioritize safety and consult with a pediatrician for the best course of action regarding any skin treatment for infants.

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