Sometimes our nails become incredibly dry and rough. Especially when it comes to cracked heels and rough palms. Some people's nails also become thick and ugly due to fungal infections or other reasons. So, in times like these, your doctor may recommend a cream, lotion, or nail polish containing urea. When you hear this name, you may think of fertilizers, but in medicine, it is used for a completely different, very important purpose. Let's see what it is and how exactly it is used.
What is this urea?
Simply put, urea is something that helps soften and remove dead skin cells, that is, rough, thickened skin. In medical science, we call this a 'keratolytic' agent. That means it breaks down the protein called keratin in the top layer of the skin, softening the skin.
Not only that, urea is a great ingredient that helps retain moisture in the skin (moisturizing), which is why it is so effective for extremely dry, cracked skin.
What are the uses of this medicine?
Your doctor may prescribe this medication for several different reasons.
- For extremely dry, rough, or thickened skin: A good example of this is cracked heels. It can also be used to soften areas where the skin has become thick and rough due to skin conditions like eczema or psoriasis.
- For damaged or diseased nails: Imagine that a person has a fungal infection on their nail, making it thick, yellow, and ugly. Sometimes, a minor surgery is required to remove these nails. However, there are special ointments containing urea that can soften the damaged nail and help it come off easily without surgery.
Things you need to tell your doctor before using the medicine
It is very important to inform your doctor about these facts before using this medicine.
- If you have any wounds, burns, or swelling on your skin.
- If you have a skin infection.
- If you have allergies to urea or any other medicine, food, or dye.
- If you are pregnant or trying to get pregnant.
- If you are a breastfeeding mother.
Based on this information, the doctor will decide whether this medication is suitable for you or not, and how to use it.
How exactly do you use this?
To get accurate results, you need to know how to use this correctly.
1. For external use only: This is for topical use only, never to be taken orally .
2. Clean the skin: Wash and clean the affected area before applying the medicine.
3. Apply to damp skin: For best results, it's best to apply this to your skin while it's still slightly damp, either after showering or washing it. This will help the skin absorb moisture better.
4. Apply a thin layer: When applying to the skin, apply a thin layer only to the affected area.
5. If applying to nails: If applying to a nail, first protect the healthy skin around the nail from getting on it. You can apply a little Vaseline around it. Then apply it to the damaged nail well. Sometimes it is said to leave it to dry, or to cover it with an adhesive bandage. In a few days, the nail will soften and be ready to be removed.
6. Areas to be careful: Be very careful when applying to the face, eyes, lips, or other sensitive skin areas. Avoid applying to these areas.
What if it is used for small children?
Before using this medicine on children, be sure to consult your pediatrician . Sometimes special care may be needed.
What are the possible side effects?
Like all medications, this one can have some minor side effects. But there's nothing to worry about. The important thing is to be aware.
| Side effect | Description |
|---|---|
| Things to report to your doctor immediately | |
| Severe skin redness or inflammation | If the redness or inflammation of the skin does not subside after applying the medicine and continues. |
| Things that are usually not serious, but should be reported to the doctor if they persist | |
| Skin rash | Small blisters on the skin. |
| Slight burning or tingling | A slight burning sensation may occur after applying the medicine. This usually goes away after a while. |
Some more important things to know
What if I miss a dose of medication?
If you forget to take your medicine, take it as soon as you remember. But if it's almost time for your next dose, skip the missed dose and take the next dose at the scheduled time. Never take two doses at once .
What if it gets too much?
If you accidentally take too much of this medicine, or if someone drinks it, immediately go to the nearest hospital Emergency Department (ETU) . Or call the National Poisons Information Centre at the Colombo National Hospital for advice.
Can it be used with other medications?
Generally, no major side effects are expected. However, do not apply any other ointment or medication to the area where this cream is applied without consulting your doctor .
How do you store this?
Store at room temperature (between 15-30 Celsius), out of the reach of children. Keep the lid tightly closed. Do not use after the expiration date.
Take-Home Message
- Urea is a very effective medication that helps soften dry, rough skin and remove damaged nails.
- This is for external use only. Always use as directed by your doctor.
- Before using the medicine, tell your doctor about any other skin conditions, allergies, or pregnancy you have.
- For best results, apply while skin is still damp, such as after bathing.
- If severe skin irritation, redness occurs, or symptoms do not improve, inform your doctor.
- Always keep medicines safe and out of reach of children.
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