The best treatment for a yeast diaper rash is to treat it for what it is. It is a fungal infection. Several over-the-counter (OTC) antifungal treatments have been used successfully in treating this type of diaper rash.
Before applying any of these creams, talk with your child's healthcare provider for his or her treatment suggestions.
You will have to search beyond the baby section to find most antifungals. Clotrimazole (an often recommended antifungal) is usually found in the athlete's foot section, and miconazole is found in the women's vaginal yeast infection section. Nystatin or ketoconazole (both available only with a prescription) may also be recommended.
There is one commercial prescription-only diaper rash ointment available -- Vusion® ointment, which contains miconazole (an antifungal), zinc oxide (a barrier skin protectant), and white petrolatum (also a barrier skin protectant). This product is specifically approved for treating yeast diaper rash.
Antifungal creams or ointments are applied to the diaper area beneath the barrier ointment at least two to three times a day until the rash gets better.
In order to allow the rash to heal more quickly, you should follow the other treatment suggestions for a regular diaper rash. This includes keeping the affected clean and dry, along with applying a protective barrier cream or ointment with each diaper change.
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