... chrons diease, diabetes, and recently in the last 8 months had a hemoragic and thrombotic strokes.now that we are bring her home and caring for her and he prescribed betaderm 0.1% 1:1 clotrim..is that not a contradiction
I'm not able to find Betaderm-do you mean Betadine? Clotrimazole is an antifungal agent. If you are speaking of Betadine cream, this is an antiseptic/antibacterial/antimicrobial. Why would you think this is contraindicated? Many skin conditions in an adult "diaper" area are caused by fungus since the area is dark, warm and moist. These areas become irritated, scratched (because fungal infections can be itchy), macerated by moisture, and exposed to bacteria from the digestive tract via stool contamination and you will get secondary bacterial infection. Bacteria thrive on skin and also in the stools. I would think a combination of an antifungal and an antimicrobial/antibacterial medication to be very appropriate!
If its a bacterial infection it would be. Most diaper rashes aren't. It sounds like he thinks its inflammation and yeast. Which is more likely. Did he see it? What I've found that works really well is a combo of zinc oxide ointment and either nystatin or clotrimazole, to treat a mild case and then zinc oxide for prevention. Because the lady I take care of gets yeast easily, I like the combo even for prevention.
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