FAQs

Yes.
Generally, yes, because in terms of allergenicity, these substances are very good (hypoallergenic). However, applying them in high concentrations or pure form should be avoided at least in the medium and long term. Under clinical conditions, there are numerous applications where these two substances are controlled, precisely because of their hypoallergenic nature. In cosmetic products, smaller amounts in combination with natural oils can be used for normal to very dry skin without any issues. From the perspective of organic cosmetics, hydrocarbons like paraffins and Vaseline (a mixture of paraffins) are often portrayed negatively because they do not have an immediate plant or animal origin. The comedogenic effect can occur when overly fatty preparations are applied to already oily skin (not phase-appropriate). In many medical products, such as fatty gauze for wound treatment, Vaseline/paraffin has been successfully and hypoallergenically used for decades!"!

No.
All dline® skincare products (creams, lotions, oil baths) are made without parabens or chlorhexidine to ensure very high product compatibility

No,
not generally. In general, many fragrances do have an increased potential for allergies. However, dline® products only use fragrances that are identified as hypoallergenic based on the latest knowledge and allergological epicutaneous testing. They have been clinically tested and successfully applied in repeated application observations and case studies (1997-2013). Therefore, dline® products containing these well-tolerated perfume ingredients can be applied to dry and sensitive skin. For particularly sensitive individuals, any dline® product can be ordered without fragrance, at the same price

No. 
The Cera Alba (white beeswax) used in dline® products is highly purified beeswax and, therefore, hypoallergenic. In contrast, there is the 'pure natural product,' which still contains many 'impurities' and is unbleached. These impurities often lead to intolerance.

No. 
The concentration of the Urea ingredient plays a crucial role. Urea at a low dose (up to about 5%) is very well tolerated and can bind moisture in the stratum corneum (thereby facilitating secondary descaling). Continuous use does not cause problems but contributes to maintaining sufficient moisture in the stratum corneum. On the other hand, high concentrations of Urea, such as 10%-15% or more, have a direct descaling (keratolytic) effect on the skin. Therefore, the use of preparations with a high Urea content is indeed advisable in cases of hyperkeratosis or significant scaling. Caution: high Urea concentrations can cause a burning sensation in sensitive, irritated skin. Despite its low Urea content, NCR® NutrientCream has proven highly effective in cases of hyperkeratosis on the soles of the feet and hands. It provides a very safe and gentle application, potentially applied as a fatty cream bandage (increasing and expediting the effect by days).

Yes. 
All dline® products are free from lanolin, as this ointment base can trigger allergic reactions on dry, inflamed skin (see AWMF guideline UCV from 2010). Synonyms for lanolin include: sheep wool fat, Adeps lanae, Adeps lanae PhEur, Adipis lanae, Alcoholes lanae; wool fat, Cera lanae, Adeps lanae anhydricus.

• Aloe Vera
  Natural moisturizing factor, soothes and relaxes the skin
• Beeswax
  Stabilizer, emollient
• Bisabolol
  Chamomile extract, soothes the skin, alleviates irritation
• Ceramide
  High-quality, skin-identical additive, moisturizing, skin-soothing
• Glycerin
  Moisture component, similar to Urea
• Almond Oil
  Highly compatible oil for skin nourishment and care
• Panthenol
  Promotes skin regeneration, soothes highly stressed skin
• Rutin
  Toning for tissues and skin
• Urea
  Moisture-binding, soothing, effective for irritated and scaling skin
• Vitamin A
  Promotes skin regeneration
• Vitamin C
  Antioxidant – particularly effective in combination with Vitamin E. Supports skin regeneration
• Vitamin E
  Antioxidant – particularly effective in combination with Vitamin C. Supports skin regeneration
• White Vaseline
  Stabilizer, very well-tolerated ointment base, highly emollient
• Zinc
  Toning, astringent, cooling, reduces irritation, provides UV protection (depending on concentration)

Yes. 
The products are manufactured with strict consideration of internationally recognized allergological data to guarantee the best possible allergological compatibility. In various clinical and outpatient applications, allergological tests, and application observations, skin tolerance has achieved a maximum value of 97%. The subjective feeling after application is also highly rated. An objective clinical improvement, perceptible to the individual, is often noticeable within 4-7 days.

Yes.
Evidence-Based Medicine (EBM) is crucial for the development of dline®. Current scientific knowledge, application experiences from affected individuals and experts, as well as documented studies, serve as the basis for recommendations and further product developments. The INCI (International Nomenclature of Cosmetic Ingredients) and associated allergological databases are regularly and repeatedly reviewed by independent dermatologists/allergologists to quickly incorporate improvements into production. Various literature references, results of application observations, and publications can be requested at any time.

No,
not fundamentally. A modern and high-quality skincare regimen must be tailored to the skin type, phase-appropriate, pH-neutral on the skin, hydrating, emollient, and hypoallergenic. This is only possible through the combination of carefully matched, high-quality, and hypoallergenic ingredients.

Yes. 
The high-quality ingredients, lipid content, and the formulation (W/O = Water in Oil) ensure excellent rehydration and lipid replenishment. Depending on the lipid content (e.g., 23% in HL®-HydroLotion up to 38% in NCR®-NutrientCream), the products can be used for normal, dry, and very dry, scaling skin. NCR®-NutrientCream and CC®-CoolingCream can be mixed with Vaseline if needed to increase the lipid content!

Yes.
All dline® products are pH-neutral (value below 7.0).

Yes. 
The cause of itching should be known because skincare can alleviate or eliminate the symptom, especially in the case of dry skin. The product CC®-CoolingCream, in particular, significantly and sustainably reduces itching through the use of the low-dose ingredient menthol. For patients with allergic issues with menthol, CC® is also available without menthol at the same price!

Yes.
Due to their excellent tolerability, using dline® products on infants and toddlers is very feasible. These skincare products have been used since 1997, and there have been no complaints in this regard. However, the skin of infants and toddlers reacts differently and is very sensitive. Therefore, it is generally recommended to test the products on the inside of the upper arm for 2–3 days before applying them to larger areas (general advice for pre-testing before widespread use of skincare products).

Yes.
There are no contraindications for this.

No.
In principle, the product is designed for the skin and not for wounds. Application is possible and helpful for moist/irritated skin areas.

Yes. 
In scar care, alongside the sometimes necessary compression, skincare is particularly important. Adequate moisturization and care of scars are crucial because scars lack sebaceous and sweat glands, leading to drying and increasing tension in the scar tissue. The skincare product must be well massaged in to make the scar elastic and soft. The combination of ZCR®-ZincCream and NCR®-NutrientCream in a 1:10 mixture is especially effective, or using NCR®-NutrientCream alone.

Yes.
Due to the disruption of autonomic nerve fibers, the skin in DFS tends to excessive scaling and irritation. Numerous application observations are available, indicating a significant improvement in skin conditions in DFS with the use of NCR®-NutrientCream (lipid content 38%) (central reference: 12 WZ®-WundZentren and WKZ®-WundKompetenzZentren in Austria, Germany, and Switzerland – since 2000).

Yes.
BL®-BasicLotion or HL®-HydroLotion can be used very effectively for the hands. For dry and cracked skin on the hands, it is recommended to apply NCR®-NutrientCream overnight and wear cotton gloves to enhance the nurturing effect. Special note: BL®-BasicLotion and CC®-CoolingCream can be applied directly to slightly dry to normal skin on damp skin (enhanced cooling effect, reduces lotion/cream needs by approximately 60-80%). Apply the corresponding lotion to dry palms, spread it, and then massage it into the wet, damp skin in circular motions. This way, the lotion can be used optimally and economically after a full bath or shower.

Yes.
In compression therapy, skincare is particularly important as the skin is constantly dehydrated (due to friction) by wearing compression stockings. Studies (e.g., Sigvaris®) show that dline® products BL®-BasicLotion and FTG®–FreshTonic-Gel are compatible with stockings made of synthetic and natural rubber. Furthermore, any other dline® product can also be applied, for example, with a cotton tube bandage (e.g., tg Lohmann, Tubinet, ...) under the compression stocking.

Yes.
NCR®-NutrientCream provides excellent skincare and very good protection when using diaper inserts or diapers due to its low Vaseline/paraffin content. If the skin shows signs of maceration, NCR® can be combined with ZCR®-ZincCream. The rapid absorption of NCR® (a fine protective film remains on the skin) does not affect the function of diapers (absorption). For heavily irritated or macerated skin, ZCR®-ZincCream in combination with diapers is highly effective.

Yes.
Various dline® products were already tested in 2006 at the Kantonsspital Winterthur (B. Rutschmann / G. Kammerlander). Skincare was performed during the day after radiation therapy and finally in the evening. The products were very well tolerated. The selection was tailored to the skin type and dryness (BL®, ZCR®, CC®).

Yes.
NCR®-NutrientCream is particularly well-suited due to its high lipid content and high-quality ingredients. If there is increased itching, CC®-CoolingCream is preferable. For extremely dry skin, the products can be mixed with Vaseline if needed.

Yes.
Depending on the skin type, various dline® products can be applied. If the skin feels very hot (Grade 1), the following can be recommended:

1. Moisten irritated skin with cool water
2. Spread BL®-BasicLotion or CC®-CoolingCream on dry palms, and gently apply it to the wet skin (glides easily over irritated skin, providing sustained cooling; forms only a very fine protective film. This is important to allow heat dissipation! If needed, 1%-5% FTG®-FreshTonicGel can be added to BL®-BasicLotion or CC®-CoolingCream (increases the cooling effect additionally, but should not be applied on the face).

Yes.
For psoriasis, BL®-BasicLotion can be massaged into the scalp (preferably with a cotton tube bandage over it overnight. Rinse in the morning 1–2 times with NAS®-NutrientAntiDandruffShampoo.) Both products are coordinated with each other. This helps improve symptoms and scaling in a gentle manner. The underlying cause of psoriasis cannot be treated at present.

No. 
dline® products can be used for normal skin up to very severely scaly skin. Both BL®-BasicLotion and HL®-HydroLotion can be used as daily, high-quality skincare measures (anti-aging) indefinitely. The high-quality ingredients help the stratum corneum to retain more moisture, lipids, and valuable additives, relax the skin, and noticeably improve well-being.

No – when referring to lotions, creams, and oil baths. Seborrheic (oily) skin does not need additional fat – counterproductive.

Yes. Shampoo (NAS®, BS®) and FTG® can be used without any issues. PickelEx® Solution and Gel can explicitly be used on seborrheic (oily) skin.

Yes.
There are no restrictions; the products can be applied as long and as often as necessary and desired.

Yes.
All dline® skincare products (creams, lotions, oil baths, shampoo) can be combined with each other.

No,
not generally. For products such as shampoo or oil baths, this is recommended because additional emulsifiers and similar substances are omitted to enhance better compatibility. The recommendation to shake before use is specified on the labels of these products (back side).

Yes.
If the skin is left slightly moist after showering/washing or bathing, the products, especially BL®-BasicLotion and CC®-CoolingCream, can be massaged in more effectively. To massage onto wet skin, apply the products to dry palms first – distribute there and then gently spread over the moistened skin. Positive side effect: You need about 2/3 less product for the same skin area.

No.
The frequency of application depends on the skin condition. Depending on the dryness of the skin, care should be provided once to several times a day. After showering, skincare should be performed in general, as excessive (especially too warm) water and skin cleansing agents can lead to increased dehydration (defatting) of the skin.

Yes.
If the lipid content (richness in fat) is insufficient for extremely dry skin with NCR®-NutrientCream, white Vaseline (Vaselinum album) can be added (ratio: 10–30% white Vaseline combined with 70%–90% NCR®). The preparations are designed to allow for trouble-free mixing.