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Emollient / Ocular lubricant

Yellow soft paraffin

Brand names: Vaseline, various

Adult dose

Dose: Skin: Apply PRN to affected area; Eye ointment: Apply small amount to inner canthus at night
Route: Topical / Ophthalmic
Frequency: PRN

Clinical pearls

  • Cornerstone emollient for dry/eczematous skin
  • As eye ointment (simple eye ointment) for ocular surface lubrication, nocturnal exposure keratopathy
  • MHRA alert: paraffin-based emollients and fire risk — advise patient on flammability risk with fabric

Contraindications

  • Hypersensitivity (rare)
  • Avoid on burns or raw wounds as occlusive dressing

Side effects

  • Folliculitis with prolonged occlusive use
  • Blurred vision (eye ointment)
  • Contact dermatitis (rare)
  • Fire hazard — paraffin-based emollients on fabric are flammable

Monitoring

  • Skin condition response
  • Ophthalmology follow-up for ocular use

Reference: BNF; MHRA Drug Safety Update 2020; https://bnf.nice.org.uk/drugs/yellow-soft-paraffin/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.