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Oxyplastine 46%

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Oxyplastine 46%

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

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Overview of Oxyplastine 46%

Property Description
Active ingredient Zinc Oxide (46% w/w)
Form Topical Ointment (Paste)
Pharmacological class Dermatological Protectant
Common use Protection against skin irritations and chafing
Origin Pharmaceutical preparation (Mixed)

Classification and Type of Oxyplastine 46% Ointment

Oxyplastine 46% is defined as a non-prescription pharmaceutical preparation that is officially classified as a Dermatological Protectant (ATC code D02AB). It is manufactured as a dense, high-concentration topical ointment, specifically formulated for external use on the skin surface. This classification confirms its primary role in providing passive, physical protection rather than active systemic treatment. The product is a single-active-ingredient product, focusing entirely on the barrier function.


Composition and Significance of Zinc Oxide 46%

The sole active ingredient in Oxyplastine 46% is the inorganic compound Zinc Oxide, which is present at a high concentration of 46% weight-for-weight (w/w). This elevated concentration is a key characteristic, ensuring the formation of a robust, opaque physical layer. The preparation utilizes a complex, fatty ointment base incorporating excipients such as wool fat (lanolin), virgin castor oil, white beeswax, and purified water. This specific vehicle choice contributes to hydrophobic (water-repellent) characteristics, which is a differentiating feature for its target use in shielding skin from prolonged moisture exposure.


General Purpose: How the Protective Barrier Functions

The general therapeutic purpose of Oxyplastine 46% is to serve as a physical shield against irritants and moisture. The applied layer of the high-density Zinc Oxide ointment provides a continuous, inert protective barrier, effectively isolating sensitive skin from external friction and contaminants. Furthermore, the Zinc Oxide compound imparts a mild astringent action, which aids in reducing superficial fluid exudation. This dual function establishes its core utility in supporting the skin's natural recovery from minor, localized irritations by preventing further insult.

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What side effects are possible with Oxyplastine 46%?

Possible side effects and safety information

The safety profile of Oxyplastine 46% (Topical Zinc Oxide) is based on documented adverse reactions and safety constraints defined by government regulatory authorities.


Adverse Reaction Classification

The adverse effects associated with this high-concentration topical preparation are overwhelmingly localized and fall primarily under two System-Organ Classes (SOC) as defined in official labeling:

  • Skin and Subcutaneous Tissue Disorders: This category includes reactions at the site of application.
  • Immune System Disorders: This refers to potential hypersensitivity and allergic reactions.

Documented reactions may include localized skin irritation, erythema (redness), pruritus (itching), and a localized burning or stinging sensation. For many of these non-systemic topical effects, a precise numerical frequency cannot be estimated from available regulatory reporting data, and they are typically classified as having a Frequency Not Known.


Serious Reactions and Safety Constraints

While considered rare, official regulatory documents note the possibility of severe hypersensitivity reactions, including severe allergic contact dermatitis or systemic allergic responses. These reactions constitute the most clinically significant documented safety event.

Mandatory safety constraints and limitations included in the regulatory label are:

  • Contraindication: The ointment is strictly contraindicated in individuals with known hypersensitivity to the active substance (Zinc Oxide) or any of the excipients, such as wool fat (lanolin).
  • Application Restriction: Application must be avoided near the eyes or mucous membranes.

No specific unique safety considerations are globally mandated by regulators for use in older adults or those with renal or hepatic impairment, due to the minimal systemic absorption expected from this topical formulation.

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Overdose and Emergency Response

The regulatory information for this high-concentration topical protectant defines the overdose profile primarily around the risk of accidental ingestion. Overdose is classified as unlikely when the product is used topically as directed for its intended purpose.

Documented Overdose Manifestations

The official documentation of overdose presentations focuses on the consequences of accidental swallowing. The primary documented clinical manifestations are associated with the gastrointestinal system. These symptoms may include nausea, vomiting, abdominal pain (colic), and diarrhea. Serious outcomes, while rare, may include severe systemic zinc intoxication which can, in unusual circumstances, lead to effects on the renal and hepatic systems.

Emergency Action and When to Seek Help

Any accidental oral exposure requires immediate attention. Regulatory guidance explicitly states that if the medicine is swallowed, you must seek immediate medical attention or contact a Poison Control Center at once. This immediate action is mandated due to the potential for symptomatic systemic exposure, with pediatric patients noted as a population of specific concern for accidental ingestion.

Supportive Measures

In the event of accidental oral overdose, the officially described procedural steps center on symptomatic and supportive management. It is a documented regulatory statement that no specific antidote is known for zinc oxide toxicity. Professional medical monitoring of vital signs and laboratory parameters may be required to manage any potential systemic effects that arise following ingestion.

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Therapeutic Uses of Oxyplastine 46%

What Oxyplastine 46% Treats: Main Uses and Benefits

Oxyplastine 46% is a zinc oxide topical protectant used in situations involving certain distressing symptoms and supportive management for conditions where symptoms may intensify temporarily. This therapeutic agent is commonly used to help manage symptoms related to irritative states, including diaper rash, chafed skin, minor superficial abrasions, and intertrigo. It is used in patterns involving acute or unstable symptoms across all age groups.


This preparation is commonly used to address the symptomatic discomfort of irritant contact dermatitis caused by prolonged exposure to moisture and irritants. The application is relevant for easing symptoms related to physical discomfort, such as redness, burning, and soreness. The benefit provided is primarily protective. This supports general well-being during symptomatic phases and contributes to improved day-to-day comfort during symptomatic periods.


Quick Fact: Support for Friction and Wetness

The paste is applied across domains where additional symptomatic support is needed due to skin damage from friction (chafing) or superficial wetness (weeping skin), contributing to functional stability when symptoms interfere with routine activities.

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Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Oxyplastine 46% — Official Regulatory Information

The eligibility profile for Oxyplastine 46% (Zinc Oxide 46% Ointment) is based on its classification as a topical protectant with minimal systemic effects, allowing for broad population use.

Eligibility Scope

  • Populations for whom use is allowed: Use is generally permitted for Adults, Children, and the Elderly. The regulatory profile typically imposes no formal restrictions related to Hepatic impairment or Renal impairment due to the negligible systemic absorption of zinc oxide.
  • Populations for whom use is contraindicated: Use is absolutely contraindicated in patients with a documented hypersensitivity or allergy to the active ingredient, zinc oxide, or to any of the product's excipients.

Condition-Specific and Usage Restrictions

  • Local Condition Restriction: The ointment must not be applied to the skin if fungal infections, oozing lesions, or superinfected lesions are present.
  • Skin Integrity Restriction: Use is not recommended on areas with severe skin injury, large open wounds, or burns, and application should be avoided on extensive surface areas.
  • Pregnancy and Lactation: Use during pregnancy is advised with caution due to limited data. During lactation, use is permitted, but the ointment must not be applied to the breast or nipple area to prevent ingestion by the newborn.

Connection to the overall eligibility profile: Regulatory documentation establishes a broad allowance across all age groups. Non-eligibility is determined by local skin integrity and the risk of hypersensitivity, affirming the product's function as a non-systemic, external-use preparation.

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What should I know about interactions with other medicines?

Interactions with other medicines and products

Interaction Scope

Medicinal product categories with documented interactions:

  • Other topical medicinal products (only through physical means).

Specific interacting medicines (if explicitly listed):

  • None listed due to systemic pharmacological interaction risk.

Mechanistic basis of interactions (only if stated in label):

  • Local physical interference (occlusion/barrier effect) with the absorption or contact of other topical agents.

Timing-based interaction rules (if applicable):

  • Separated administration time may be required for other topical medicinal products applied to the same area to ensure their intended local effect is achieved.

Population-specific interaction notes (if applicable):

  • None documented.

Interaction-related restrictions:

  • The dense, occlusive film of the preparation may impede the effectiveness of other topical treatments applied concomitantly to the same area.

Interaction Classifications (High-Level)

Interaction severity classification (as defined in official documents):

  • No systemic pharmacological interactions (e.g., contraindicated, major, moderate, minor) are documented. The only documented interaction is a local physical constraint.

Regulatory basis (EMA / FDA / etc.):

  • FDA DailyMed, EMA Public Assessment Reports, MHRA Labeling (based on high-concentration topical Zinc Oxide profile).

Interaction-context constraints (as defined in official documents):

  • Constraints are limited to the local application site where co-administration of another topical product occurs.

Resulting Interaction Structure

Official interaction statements:

  • The product's topical administration and negligible systemic absorption mean that formal drug-drug interactions mediated by metabolism or transport are not documented in regulatory labels.
  • No substances or drug classes are officially contraindicated for co-administration due to a pharmacological interaction risk.
  • The application of this ointment to a skin area may physically block or reduce the efficacy of other topical medicinal products applied subsequently or concurrently to the same site.

Connection to the overall interaction profile (2–4 sentences): The official interaction profile for Oxyplastine 46% is distinguished by the regulatory classification of the product as a non-systemically absorbed topical protectant. This classification results in an interaction map characterized by the absence of systemic pharmacological interactions and an exclusive focus on a local physical interference constraint with the absorption of other topical products. This single constraint is the only interaction-related restriction formally documented in regulatory texts.

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Mechanism of Action

How Oxyplastine 46% Works

Oxyplastine 46%, containing Zinc Oxide, exhibits a highly localized, multi-domain mechanism of action that primarily influences cutaneous physiological processes without systemic distribution. The initial mechanistic event is the physical barrier formation on the stratum corneum, creating an inert surface film that spatially separates the underlying tissue from external physical and chemical stimuli. This is augmented by the astringent effect of zinc oxide, which involves the superficial coagulation of proteins and tissue contraction, thereby facilitating the local binding and immobilization of excess surface fluid.

Simultaneously, locally released zinc ions ( Zn^2+) function as essential enzyme co-factors necessary for the engagement of proliferation and differentiation pathways within keratinocytes and fibroblasts, contributing to the process of epithelial tissue maturation and restructuring. Furthermore, Zn^2+ ions modulate local processes by influencing the activity of pro-inflammatory signaling mediators at the application site. This mechanism modulates the cascade of cellular responses associated with heightened local physiological activity and limits the downstream effects of dysregulated tissue responses.

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Dosage and Administration Information

How to Use Oxyplastine 46%

Oxyplastine 46% is a topical preparation, and its application follows a specific approach intended to maximize its physical barrier function. The route of administration for this high-concentration ointment is topical, intended for external application onto the skin surface.

General Administration Guidelines

Instruction Domain Principle
Dosing Schedule Apply a quantity sufficient to establish an opaque, continuous protective barrier over the entirety of the affected area. Dosing is coverage-based, not volume-based.
Frequency Pattern Applied as often as necessary and repeated to maintain the barrier. For use in wetness-prone conditions, application is typically made with each change to ensure continuous protection.
Preparation The application site must be cleansed and allowed to dry fully before the ointment is applied.
Age-Group Rules The coverage-based dosing principle and application frequency are consistent for adults and pediatric patients (including infants).

Resulting Procedural Structure

The general use protocol involves a sequence to ensure the intended barrier is properly formed. First, wet or soiled materials are promptly removed, and the area is cleaned and dried completely. Second, the 46% Zinc Oxide ointment is applied liberally, ensuring the layer is continuous and opaque. The purpose of this preparation and application sequence is to create an effective and enduring physical shield against external moisture and irritants. This structure ensures the product is used procedurally as intended.

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Recent Clinical Evidence

Research evidence / Overview of Studies for Oxyplastine 46%

This overview describes the types of scientific research conducted on high-concentration zinc oxide preparations, such as Oxyplastine 46%, and outlines the patterns and limitations observed in those studies, according to regulatory and peer-reviewed sources.


Evidence for Use in Diaper Rash

Research related to high-concentration zinc oxide and diaper rash includes Randomized Controlled Trials (RCTs). These studies were used in research exploring how symptoms change over time in Infants and Toddlers with skin irritation. The studies focused on episodic or acute changes and observed patterns over defined time intervals.

Outcomes Measured in Diaper Rash Studies

Studies monitored key indicators such as Erythema Score, which is a key metric for evaluating the severity and extent of redness. Researchers also calculated the Time to Resolution as an outcome measure for the skin condition in the observed populations. The evidence quality for high-concentration zinc oxide in this context is often described as High by reviewing bodies.


Evidence for Use in Intertrigo and General Skin Irritation

Research examining conditions associated with acute episodes, such as Intertrigo (skin-fold irritation) and Chafed Skin, has also been conducted. These studies used a mix of smaller Randomized Controlled Trials and Observational Studies that examined general adult and pediatric populations. The research examined outcomes linked to irritative states, applied in studies examining patient-reported experiences related to physical discomfort.

Objective Measures of Skin Barrier Function

In studies exploring short-term symptom changes, objective measures were used in some studies. Research examined temporary changes by monitoring outcomes related to the local skin environment. For example, some studies monitored shifts in Skin pH and changes in Transepidermal Water Loss (TEWL), which are objective measures of skin barrier function.


What is Still Uncertain About Oxyplastine 46%

Evidence quality varies across studies, especially due to the varied concentrations of zinc oxide and the different ointment bases used. Consequently, findings were mixed in some contexts. Researchers note that comparative evidence is lacking against many other marketed topical protectants. Additionally, follow-up durations were limited, and long-term effects are not fully established regarding continuous use.

Key Studies & References Zinc Oxide Ointment: Official Product Labeling and Indications (DailyMed)

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Frequently Asked Questions (FAQ)

Common questions about Oxyplastine 46% (FAQ)

Q: Is Oxyplastine 46% the same as other zinc oxide creams?

A: According to official product information, Oxyplastine 46% is classified as a topical ointment (paste), not a cream. It contains a high concentration of 46% Zinc Oxide and a specific base that includes fatty ingredients like wool fat (lanolin) and virgin castor oil. These characteristics and the dosage form may differ from other zinc oxide products, which are often formulated as creams or lotions with different compositions.

Q: What is the difference between Oxyplastine 46% ointment and a cream?

A: Oxyplastine 46% is an ointment, which means it has a high oil-to-water content, creating a thicker, greasier, and more occlusive layer on the skin. This formulation is designed to maximize the protective barrier effect. Creams, by contrast, are typically lighter and have a higher water content. The official base ingredients, like wool fat and castor oil, contribute to the hydrophobic (water-repellent) characteristics of the ointment, which is a key defining feature.

Q: Can adults use Oxyplastine 46% for skin issues?

A: Yes, official regulatory documents state that use is generally allowed for adults as well as children. The product's intended purpose is to serve as a protective barrier for general skin irritations and chafing, which are common concerns in adult populations.

Q: Can the product be used on oozing or infected skin lesions?

A: No. The official warnings explicitly state that the product is not recommended for application to areas where oozing lesions, fungal infections, or superinfected lesions are present. This constraint is in place because the product is officially indicated only for skin protection, and use in these conditions is not authorized in regulatory labeling.

Q: What should I do if a skin irritation seems to get worse after using Oxyplastine 46%?

A: Official safety documents indicate that if skin symptoms or health problems do not improve or appear to become worse, contacting a healthcare professional or doctor may be appropriate. This applies when expected effects are not achieved or when adverse skin reactions persist.

Q: Does Oxyplastine 46% help with the inflammation associated with skin irritation?

A: The mechanism of action, as described in official sources, indicates that the zinc component influences local physiological processes by modulating the activity of factors known as pro-inflammatory signaling mediators. This means the product can influence the body's local response associated with skin irritation.

Q: Can Oxyplastine 46% be used for mild sunburn relief?

A: The specific product is officially indicated for the protection against general skin irritations and chafing. While zinc oxide is broadly used as a skin protectant, its use for the relief of existing sunburn is not listed as a specific primary indication in this product's official protective barrier labeling.

Q: What should be done if the product is accidentally swallowed?

A: Official documentation notes that the product may cause harm if ingested. In the event the ointment is accidentally swallowed, official safety information indicates that contacting a doctor or a poison control center may be necessary.

Q: Can Oxyplastine 46% be used for skin irritations other than diaper rash?

A: Yes. The official uses are not limited to infants. In addition to treating and preventing diaper rash, the product is indicated to treat general skin irritation and chafing in various populations.

Q: Is Oxyplastine 46% suitable for use on broken skin?

A: Official labeling advises caution, specifically stating that the product is not recommended for application to areas with severe skin injury, large open wounds, or burns. The product is primarily intended for use as a protective barrier on intact or mildly irritated skin surfaces.

Q: Can Oxyplastine 46% be used on the face?

A: Official safety labels contain an explicit restriction that application must be avoided near the eyes or mucous membranes (such as the mouth or nose). Application on other areas of the face is not strictly prohibited, but maintaining distance from sensitive areas is a necessary precaution.

Q: Does Oxyplastine 46% stain clothes or fabric?

A: Yes. Official cautions state that this ointment may stain clothing or fabric due to its dense, fatty base and high concentration of white Zinc Oxide. Due to the potential for staining, protecting clothing from direct contact with the product may be necessary.

Q: How quickly does Oxyplastine 46% usually start to work?

A: The primary way the product works is through the immediate physical barrier formation that occurs when the ointment is applied to the skin. This protective effect begins upon application. The speed of relief from symptoms of irritation can vary between individuals.

Q: Is there a maximum number of days Oxyplastine 46% can be used continuously?

A: Some regulatory documents advise a limited duration of use. For example, use for infant redness is generally limited to 3 days, and for general skin irritation, use is typically limited to 5 days. If symptoms persist beyond the specific duration indicated in the regulatory documents, consulting a healthcare professional is generally recommended.

Q: Is Oxyplastine 46% suitable for newborns or only older infants?

A: Official product documentation is clear that the coverage-based dosing and application rules are consistent for pediatric patients, including infants. The product is commonly used for conditions like redness of the infant’s buttocks, which may affect newborns.

Q: Do official studies support the use of Oxyplastine 46% for minor burns?

A: The product's official label focuses on treating or preventing chafing and general skin irritation as its primary indications. The label also advises against use on burns. Therefore, the use of this specific product for minor burn relief is not supported by the primary indication or safety profile.

Q: Is there any research on the use of Oxyplastine 46% in sensitive skin populations?

A: Official warnings note that an excipient (inactive ingredient) in the product, wool fat (lanolin), has the potential to cause skin reactions, such as eczema. This warning highlights a known risk factor for individuals who may have sensitive or reactive skin.

Q: Why is the application of Oxyplastine 46% limited to a certain area of the body?

A: Official warnings advise users to avoid applying the ointment over an extended area of the body and state that it is not recommended for application on extensive surface areas. This constraint is generally related to cautionary guidance for topical products that contain high concentrations of active ingredients.

Q: Is it normal for a white residue to remain after applying the ointment?

A: Yes. Due to the high concentration of Zinc Oxide, official information notes that the ointment often leaves a thin white residue that may not be entirely rubbed in. This is a normal characteristic of the protective barrier that the product is intended to form on the skin.

Q: Is Oxyplastine 46% suitable for people with sensitive skin prone to eczema?

A: This product contains wool fat (lanolin), an excipient noted in warnings as potentially causing skin reactions like eczema. The product is also contraindicated for anyone with a known hypersensitivity to any of the ingredients.

Q: What is the role of virgin castor oil in the formula?

A: Virgin castor oil is listed as an excipient that forms part of the ointment base. Regulatory profiles describe it as contributing an emollient (skin-softening) quality, which helps the ointment achieve its smooth, oily texture and provides beneficial characteristics to the protective barrier.

Q: Are there research papers published about the wound-healing properties of this specific product?

A: Official texts on the product's mechanism describe how zinc ions function as enzyme co-factors that engage pathways involved in cell proliferation and differentiation. These are processes that contribute to tissue maturation and restructuring, which can be supportive of natural healing, though wound-healing is not an official indication.

Q: Does Oxyplastine 46% have a specific pH that is gentle on skin?

A: Regulatory safety data for the active ingredient, Zinc Oxide, notes a near-neutral pH value (around pH 7 in aqueous solution). Although the specific pH of the finished ointment may not be published, the ingredients are consistent with a topical formulation intended to be non-irritating to the skin.

Q: Does the product help reduce friction on the skin?

A: Yes. The official mechanism of action defines the product's core function as providing a physical barrier to external irritants. Official documentation states that this inert layer works to help shield the skin from direct contact and to reduce friction.

Q: How does the concentration of 46% zinc oxide compare to other over-the-counter products?

A: Regulatory monographs for topical zinc oxide products generally approve concentrations that range between 10% and 40%. The 46% concentration in Oxyplastine is identified in its official label as a high concentration (weight-for-weight), which is a key defining characteristic of this specific, dense ointment formulation.

Q: What is the role of lanolin in the Oxyplastine 46% formulation?

A: Wool fat (lanolin) is an excipient that contributes to the rich ointment base. Lanolin is recognized for its emollient (moisturizing) and hydrophobic (water-repellent) properties, which are important for helping the ointment adhere to the skin and form a strong water-resistant protective barrier.

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How should Oxyplastine 46% be stored and disposed of?

How to Store and Dispose of Oxyplastine 46%?

The official storage and disposal requirements for Oxyplastine 46% (Zinc Oxide Ointment) are regulated to maintain product stability and safety. This product must be stored at a Controlled Room Temperature, typically maintained between 15 C and 30 C (59 F and 86 F).

To preserve its quality, the ointment should be kept in its original, tightly closed container. It is strictly required to avoid exposure to excessive heat and to keep the product from freezing.

For safety, all medication, including this ointment, must be stored out of the reach of children to prevent accidental ingestion. When the product is expired or no longer needed, users must not dispose of it in household trash or down a drain. Instead, consult a healthcare professional, pharmacist, or local waste management office for instructions on proper pharmaceutical waste disposal.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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