Diaper Rash

Stuart Millar Updated by Stuart Millar

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We recommend reading these general instructions on how to use SmartLotion®: Click here.

Stinging can occur when first applying SmartLotion®. For instructions on how to reduce the stinging, please click here.

Dr. Harlan recommends that anyone using SmartLotion® on their child do so with their Pediatrician or Dermatologist's supervision.

The FDA has not officially cleared hydrocortisone for use in children under 2.


Baby has a painful rash from soiled diaper. There are red dots outside the main body of the rash.

Baby has both Irritant Dermatitis from stool, and a superficial yeast infection with Candida.


Dr. Harlan typically provides the following instructions to his patients for the treatment of diaper rash: Change the baby's diaper extra-frequently, gently cleansing the skin.

Then, apply a thin layer of Perfect Repair™ prebiotic miosturizer, or another recommended moisturizer. Allow baby to “air out” for as long as practical before applying a new diaper.  Twice daily use clotrimazole cream (Lotrimin® cream) or whatever your pediatrician recommends for a yeast infection.  At bedtime or before long naps apply a paste-like cream (Desitin®, A&D®) and use a thin layer, not thick. (Skin must breathe.) 

When these measures alone are not helping significantly, add SmartLotion® twice daily for 7 days to this program.  If not improving, see your Pediatrician or Dermatologist for a skin culture swabbing for both Candida yeast and Staph bacteria. Pimples with pus strongly suggest Staph.  Ask your Pediatrician for cleansing instructions with dilute Chlorhexidine for Staph.

How did we do?

Cradle Cap

Infantile Perioral Dermatitis