@RugerAl We have discussed this topic many times in the past; please remember to use the search (magnifying glass) function before bringing up a topic that’s already been discussed repeatedly.
I use Calmoseptine, recommended by my primary care physician. It’s hard to clean off which means one little smear works for days, like it or not! Only downside: the oil in it is hard to get out of your clothes, but I wouldn’t say it’s overly obvious.
When I get a severe rash, it’s usually yeast-based, so I also take oral Flucanazole 150mg for 7-10 days, and include prescription Nyamyc powder on top of the Calmoseptine. Once in a while I also apply a female vaginal yeast cream in my diaper creases.
I find Calmoseptine to be instantly cooling and soothing. It makes it so I can’t feel the irritating gathers of the pull-up. It doesn’t take much of Calmoseptine for it to be very effective. One bottle has lasted me for 1.3 years! Sometimes you have to ask the pharmacist to get it for you from behind the counter even though it’s an over-the-counter product, because it’s so commonly stolen for babies (so sad!). It’s available more easily on Amazon and at a discount rate if you buy two or more at the same time. I 1,000% recommend Calmoseptine and it’s worth every penny because of how long and how well it works. It does have a temporary mild odor as do all ointments, but it’s less offensive overall when compared to others like yucky Desitin.
Desitin doesn’t help me and smells horrible! I’ve also tried (odorless) Cavilon made by 3M, to no effect. I only tried the cream, not the spray. There is a forum member here somewhere who swears by the spray version of Cavilon. Cavilon is definitely pricey. I wouldn’t say Calmoseptine is cheap, either, but it’s totally worth it!
@pegasi99 My dermatologist loves Aquaphor if you want a Vaseline-type (petroleum) product, but he advises against it for diaper rash. I’ve tried Aquaphor by itself, and Aquaphor combined with Neosporin, and didn’t benefit from either; in fact, they both seem to make rashes worse. I think the heat in that part of the body makes the petroleum jelly too hot and therefore more irritating, or something like that.
Hope this helps!