What does Cavilon (dimethicone) do for the skin?

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Last updated: December 10, 2025View editorial policy

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What Cavilon Does for the Skin

Cavilon products create a protective barrier film on the skin that shields against moisture, friction, and irritants, primarily used to prevent and manage incontinence-associated dermatitis and pressure injuries.

Primary Mechanism of Action

Cavilon functions as a physical barrier that protects skin from multiple damaging forces:

  • Moisture protection: The barrier film prevents prolonged contact between skin and moisture from urine, feces, or wound exudate 1, 2
  • Friction reduction: Cavilon Barrier Cream significantly reduces both static and dynamic coefficients of friction between skin and materials like incontinence pads, providing stable friction coefficients during movement 1
  • Mechanical force protection: The barrier shields skin from shear forces and mechanical trauma 3

Clinical Applications

Incontinence-Associated Dermatitis (IAD)

Cavilon Durable Barrier Cream is highly effective for both preventing and treating IAD in patients with urinary and/or fecal incontinence 2:

  • Large product evaluations demonstrated superior efficacy compared to previously used barrier products in managing IAD 2
  • The cream maintains skin integrity in high-risk populations, particularly elderly patients and those with medical comorbidities 2, 3

Pressure Injury Prevention

Combining hydrocolloid dressing with 3M Cavilon No-Sting Barrier Film significantly reduces facial pressure injury incidence 4:

  • In healthcare workers wearing protective equipment for COVID-19, this combination reduced pressure injury incidence compared to hydrocolloid dressing alone (P<0.05) 4
  • Skin comfort levels improved significantly with the combined approach (P<0.05) 4

Surgical and Procedural Use

The barrier film preserves surgical skin markings when povidone-iodine adhesive draping is removed, preventing erasure of critical anatomical landmarks 5.

Product Formulations

Two main Cavilon formulations serve different purposes:

  • Cavilon No-Sting Barrier Film: A liquid film-forming barrier that provides a transparent protective layer without causing stinging, even on damaged skin 4, 5
  • Cavilon Durable Barrier Cream: A cream formulation that provides longer-lasting protection, particularly effective for IAD management 1, 2, 3

Key Performance Characteristics

Friction Management

Cavilon Barrier Cream demonstrates unique tribological properties 1:

  • Provides the lowest dynamic and static friction coefficients among tested barrier treatments in wet-pad conditions
  • Eliminates directional differences in static friction coefficients, indicating reduced shear loading
  • Maintains stable friction during reciprocating sliding, unlike untreated skin or other barrier products

Skin Tolerance

The "no-sting" formulation allows application to compromised or damaged skin without causing pain 4, 3, making it suitable for patients with existing dermatitis or wounds.

Clinical Pitfalls to Avoid

  • Don't confuse IAD with pressure ulcers: Recognition of IAD is often inconsistent, with symptoms frequently misidentified as pressure ulcers, leading to inappropriate treatment 2
  • Age-related vulnerability: Elderly patients face particular risk from moisture and mechanical forces due to age-related skin changes including thinning dermis, decreased cell numbers, and reduced collagen 3
  • Application timing: For pressure injury prevention, apply the barrier film before exposure to friction or pressure sources rather than after skin damage occurs 4

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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