What over-the-counter (OTC) moisturizer would you recommend for dry skin?

Recommended Over-the-Counter Moisturizers for Dry Skin

For dry skin, I recommend using a fragrance-free moisturizer containing petrolatum or mineral oil, packaged in a tube rather than a jar, and applying it immediately after washing hands or bathing for optimal skin barrier repair and maintenance. 1

Characteristics of an Ideal OTC Moisturizer

When selecting a moisturizer, look for products with these key features:

• Formulation type based on severity:

  • For mild dryness: Lotions (lighter)
  • For moderate dryness: Creams (better hydration) 1
  • For severe dryness: Ointments (maximum occlusion, ideal for extremely dry skin or winter use) 1

• Key beneficial ingredients:

  • Petrolatum or mineral oil (occlusive agents) 1
  • Humectants like glycerin or urea 1
  • Products with added moisturizers 2

• Ingredients to avoid:

  • Fragrances (can cause irritation and worsen skin barrier function) 1
  • Allergenic surfactants, preservatives, or dyes 2
  • Antibacterial ingredients (unless medically necessary) 1

Application Recommendations

For optimal effectiveness:

• Apply moisturizer immediately after washing hands or bathing while skin is still slightly damp 2, 1
• Use at least 2 fingertip units for each hand 1
• Reapply every 3-4 hours and after each hand washing 1
• For severe dryness, consider the "soak and smear" technique: soak hands in plain water for 20 minutes and immediately apply moisturizer to damp skin nightly for up to 2 weeks 2
• For extremely dry areas, consider applying moisturizer followed by cotton or loose plastic gloves at night to create an occlusive barrier 2

Special Considerations

• For sensitive skin or contact dermatitis: Choose products without allergenic ingredients and consider moisturizers with added anti-inflammatory ingredients 1
• For post-inflammatory pigmentation: Consider products containing azelaic acid as an adjunctive treatment 1
• For occupational exposure: Use cotton glove liners under work gloves to reduce irritation 1

Common Pitfalls to Avoid

• Using jar-packaged moisturizers: These can become contaminated through double-dipping; use tube-packaged products instead 2
• Applying moisturizer to wet (not damp) skin: This dilutes the product and reduces effectiveness
• Using very hot water for washing: This damages the stratum corneum and worsens skin barrier function 1
• Rubbing skin dry: Pat dry gently instead to minimize irritation 2
• Infrequent application: Regular, consistent use is necessary for maintaining skin barrier function 1

By following these guidelines, you can effectively manage dry skin and improve skin barrier function, which will help prevent irritation and maintain skin health.