Understanding Perioral Dermatitis
Perioral dermatitis is a common skin condition characterised by red, inflamed lesions around the mouth and sometimes the nose or eyes. It often resembles acne and can lead to considerable discomfort and self-consciousness. The exact cause is not fully understood, but it is commonly triggered by the use of topical steroids, certain skincare products, hormonal changes, and even dental products like toothpaste.- Red rash around the mouth
- Small, pus-filled bumps
- Itching or burning sensations
- Dryness or flaking skin
Key OTC Treatments for Perioral Dermatitis
Navigating the many OTC options for treating perioral dermatitis can be daunting. However, there are specific treatments that stand out in 2025 for their efficacy and positive results.1. Topical Antibiotics
Topical antibiotics like metronidazole gel are widely recommended for treating perioral dermatitis. These formulations help reduce inflammation and control the growth of bacteria on the skin.- Metronidazole (0.75% and 1%) – Well-tolerated and effective.
- Clindamycin – Another excellent choice for targeted treatment.
2. Anti-inflammatory Treatments
Consider using anti-inflammatory creams that specifically target redness and irritation. Products containing azelaic acid or niacinamide have proven beneficial.- Azelaic acid – Known for its antibacterial properties and ability to reduce inflammation.
- Niacinamide – Helps to soothe the skin and bolster its barrier function.
3. Gentle Cleansers
Every effective skincare routine starts with a cleanser. For those suffering from perioral dermatitis, choosing a gentle cleanser is vital. Look for formulations that are free of irritants.- Fragrance-free options – These tend to be less irritating.
- Non-comedogenic products – They won’t clog pores or exacerbate the condition.
4. Moisturisers without Irritating Ingredients
Using a moisturiser is essential for all skin types, even for those with perioral dermatitis. Opt for hydrating products that do not contain alcohol or strong fragrances.- Hydrating gels or creams – Look for ingredients like hyaluronic acid and ceramides.
- Oil-free moisturisers – These can help in balancing the skin without added greasiness.
5. Sun Protection
Lastly, sun protection cannot be overlooked. The sun can aggravate perioral dermatitis, so incorporating broad-spectrum SPF will play a crucial role in your treatment regimen.- Mineral sunscreens – They tend to be less irritating for sensitive skin.
- SPF 30 or upwards – Essential for daily use even on cloudy days.