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Hydrocortisone cream jock itch. Jock Itch: Causes, Symptoms, and Effective Treatment Options

What are the common causes of jock itch. How can you identify jock itch symptoms. What are the most effective treatments for jock itch. Why does jock itch sometimes persist despite treatment. When should you seek professional medical help for jock itch.

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Understanding Jock Itch: A Common Fungal Infection

Jock itch, medically known as tinea cruris, is a fungal infection that primarily affects the groin area. This condition is characterized by an itchy, red or dark rash that typically appears in the warm, moist areas of the body. Despite its name, jock itch isn’t limited to athletes and can affect anyone, regardless of their physical activity level.

The fungus responsible for jock itch thrives in warm, humid environments, making the groin area an ideal breeding ground. This infection is closely related to other fungal skin conditions such as athlete’s foot and ringworm.

Identifying Jock Itch Symptoms

How can you recognize jock itch? The primary symptoms include:

  • Itching and burning sensation in the groin area
  • Red or dark, dry patches of skin in the inguinal folds
  • A distinct border between the rash and unaffected skin
  • Flaking, peeling, or cracking skin
  • Possible spread to the inner thighs or lower abdomen

It’s important to note that in men, jock itch typically does not affect the scrotum. The rash often appears on both sides of the groin, though one side may be more severely affected than the other.

Common Causes and Risk Factors for Jock Itch

Why do some people develop jock itch while others don’t? Several factors can increase your risk of developing this fungal infection:

  1. Excessive sweating
  2. Obesity
  3. Wearing tight, non-breathable clothing
  4. Prolonged exposure to moisture (e.g., not changing out of wet swimwear)
  5. Living in a humid climate
  6. Having a weakened immune system
  7. Having athlete’s foot (which can spread to the groin area)

Understanding these risk factors can help you take preventive measures to reduce your chances of developing jock itch.

The Connection Between Athlete’s Foot and Jock Itch

Is there a link between athlete’s foot and jock itch? Indeed, there is a strong connection. Athlete’s foot, caused by the same type of fungus, can easily spread to the groin area. This often happens when you touch or scratch your feet and then touch your groin, or when you pull on underwear or pants over infected feet.

To prevent this spread, it’s crucial to treat athlete’s foot promptly and practice good hygiene, such as washing your hands after touching infected areas and putting on socks before underwear.

Effective Treatment Options for Jock Itch

How can you effectively treat jock itch? While the condition can be uncomfortable, several treatment options are available:

Topical Antifungal Medications

Over-the-counter antifungal creams are often the first line of defense against jock itch. These typically fall into two categories:

  • “-azole” antifungals: These include miconazole and clotrimazole. They are generally less expensive and can be effective for many cases of jock itch.
  • “-afine” antifungals: These include butenafine and terbinafine. While more expensive, they often work more quickly and effectively.

When using these creams, apply a thin layer to the affected area twice daily. It’s important to continue treatment for at least a week after the rash has cleared to prevent recurrence.

Combining Antifungal and Steroid Creams

Can steroid creams help with jock itch? While steroid creams like hydrocortisone can help relieve itching and inflammation, they should never be used alone for jock itch. Steroids can actually worsen the fungal infection if used without an antifungal medication.

For best results, apply a thin layer of antifungal cream first, followed by a small amount of over-the-counter hydrocortisone ointment. Use this combination twice daily until the itching subsides, then continue with the antifungal cream alone.

Additional Treatment Measures

What other steps can you take to treat jock itch?

  • Use antifungal powders in humid conditions to keep the area dry
  • Try vinegar soaks to help clean the area and promote healing
  • Wear loose-fitting, breathable underwear and clothing
  • Keep the affected area clean and dry

Persistent Jock Itch: When to Seek Professional Help

Why might jock itch persist despite treatment? In some cases, what appears to be jock itch may actually be another condition, such as a bacterial infection, psoriasis, or eczema. Additionally, if you have untreated athlete’s foot, it may continually reinfect the groin area.

When should you consult a healthcare professional? Consider seeking medical attention if:

  • Your symptoms don’t improve after two weeks of over-the-counter treatment
  • The rash spreads beyond the groin area
  • You develop a fever or other systemic symptoms
  • You have recurring episodes of jock itch

A dermatologist can provide a definitive diagnosis and may prescribe stronger antifungal medications, including oral treatments, if necessary.

Preventing Jock Itch: Proactive Measures

How can you prevent jock itch from occurring or recurring? Here are some effective preventive strategies:

  1. Keep your groin area clean and dry
  2. Change out of wet or sweaty clothing promptly
  3. Use antifungal powders in your groin area if you’re prone to sweating
  4. Wear loose-fitting, breathable underwear
  5. Treat athlete’s foot promptly to prevent spread
  6. Avoid sharing personal items like towels or clothing
  7. Maintain a healthy weight to reduce skin folds where fungi can thrive

By incorporating these practices into your daily routine, you can significantly reduce your risk of developing jock itch.

The Impact of Lifestyle Factors on Jock Itch

How do your daily habits influence your susceptibility to jock itch? Several lifestyle factors can play a significant role:

Physical Activity and Sweating

While regular exercise is beneficial for overall health, intense physical activity that leads to excessive sweating can create an environment conducive to fungal growth. To mitigate this risk:

  • Shower immediately after workouts
  • Use moisture-wicking fabrics during exercise
  • Apply antifungal powder before workouts if you’re prone to jock itch

Clothing Choices

Your choice of clothing can significantly impact your risk of developing jock itch. Opt for:

  • Breathable, natural fabrics like cotton
  • Loose-fitting underwear and pants
  • Changing clothes daily, especially underwear

Personal Hygiene Practices

Maintaining good personal hygiene is crucial in preventing jock itch. Key practices include:

  • Thoroughly washing and drying the groin area daily
  • Using a separate towel for your feet and groin area
  • Avoiding the use of harsh soaps that can disrupt the skin’s natural pH balance

The Role of Diet and Immune System in Jock Itch Prevention

Can your diet influence your susceptibility to jock itch? While there’s no direct link between specific foods and jock itch, maintaining a balanced diet can support your immune system, which plays a crucial role in fighting off fungal infections.

Immune-Boosting Foods

Consider incorporating these immune-boosting foods into your diet:

  • Citrus fruits high in Vitamin C
  • Yogurt and other probiotic-rich foods
  • Garlic, known for its antifungal properties
  • Green leafy vegetables rich in antioxidants

Maintaining a Healthy Weight

Obesity can increase the risk of jock itch by creating more skin folds where moisture can accumulate. Maintaining a healthy weight through a balanced diet and regular exercise can help reduce this risk.

Advanced Treatment Options for Persistent Jock Itch

What options are available when over-the-counter treatments fail to resolve jock itch? In such cases, a dermatologist may recommend more advanced treatment options:

Prescription Antifungal Medications

These may include stronger topical creams or oral antifungal medications such as:

  • Itraconazole
  • Fluconazole
  • Terbinafine

These medications are typically prescribed for a specific duration and may require liver function monitoring due to potential side effects.

Combination Therapies

In some cases, a combination of treatments may be necessary. This could include:

  • Oral antifungals with topical treatments
  • Antifungal medications combined with low-dose corticosteroids
  • Phototherapy in conjunction with antifungal treatments

Addressing Underlying Conditions

Persistent jock itch may be a sign of an underlying condition affecting the immune system. In such cases, treating the root cause may be necessary to resolve the fungal infection permanently.

The Psychological Impact of Chronic Jock Itch

How does persistent jock itch affect a person’s mental health? While often overlooked, the psychological impact of chronic jock itch can be significant:

Emotional Distress

Chronic itching and discomfort can lead to:

  • Anxiety and stress
  • Decreased self-esteem
  • Social withdrawal
  • Sleep disturbances

Coping Strategies

If you’re struggling with the emotional aspects of chronic jock itch, consider:

  • Seeking support from a mental health professional
  • Joining support groups for individuals with chronic skin conditions
  • Practicing stress-reduction techniques like meditation or yoga
  • Focusing on overall health and well-being

Remember, jock itch is a common condition that can be effectively managed with proper treatment and preventive measures. By understanding the causes, recognizing the symptoms, and taking proactive steps, you can minimize the impact of this uncomfortable fungal infection on your daily life. If you’re experiencing persistent symptoms despite self-care measures, don’t hesitate to consult a healthcare professional for personalized advice and treatment options.

Jock Itch — Medical Secrets

What is jock itch?

Jock itch is an itchy rash caused by fungus. It tends to be red or dark, dry patches of skin in and around your inguinal folds (groin), usually on both sides (one side > the other). It can come up onto the lower belly or down onto the inner thighs (in men, it does not affect the scrotum). There is usually an obvious line between the rash and your normal skin because the edges of the rash are often a brighter red or darker than the middle. If you are sweaty, the rash can leave damp, peeling skin in the folds. It tends to happen in people with athlete’s foot.

Why do I have jock itch?

Jock itch tends to come from athlete’s foot on the feet. It is more common if you sweat a lot, are obese, wear tighter clothing in the groin that doesn’t “breathe,” leave wet clothes on the skin (by not changing out of a swimsuit), or live in a humid climate.

How do I fix jock itch?

There are several things you can do to treat jock itch. None of these are perfect, but hopefully, you can find the best combination for you:

  1. Apply a thin layer of topical antifungal cream twice a day. Head-to-head studies don’t exist on the best antifungal creams, but antifungals ending in “-afine” appear to work better (and are pricier) than antifungals ending in “-azole.” I would try a cheaper “azole” first.

    • “-afine” antifungals (more expensive): butenafine or terbinafine.

    • “-azole” antifungals (less expensive): miconazole or clotrimazole.

      NOTE: The percentages of each medicine are only important for that specific medicine, so ketoconazole 2% (prescription) is twice as strong as ketoconazole 1% (over-the-counter), but miconazole 2% is NOT stronger than clotrimazole 1%.

  2. If it’s itchy, use steroid (cortisone) ointments WITH the antifungal cream

    • Don’t use steroid ointments alone for jock itch. Fungus loves steroid medicine, and the jock itch will get worse. But, antifungal creams take a couple of weeks by themselves to help with the itchiness of jock itch.

    • An over-the-counter hydrocortisone ointment works best (instead of cream). Apply a thin layer of hydrocortisone ointment twice daily after putting on the antifungal cream. You would stop the steroid ointment if it is not itchy anymore.

      WARNING: Overuse of topical steroids like hydrocortisone can cause skin thinning, stretch marks, and easy bleeding or bruising.

  3. If you sweat or it is humid where you live, use an antifungal powder.

  4. Try vinegar soaks to speed up the process.

    • Vinegar soaks are immensely helpful for cleaning up superficial infections with fungus or bacteria and healing up any scratched, broken, or damaged skin. Safe for all ages.

  5. Wear loose-fitting underwear (women) and clothing until clear. Let things breathe down there.

What if my jock itch isn’t getting better?

Usually, the steps above can help most people get their jock itch better. You HAVE to treat athlete’s foot if you have that too, or it’s a neverending process that keeps coming back. If you are very sweaty, you need to treat it with a clinical-strength antiperspirant (see my Sweating page). Other rashes can look like jock itch (like a bacterial infection, psoriasis, or eczema). If over-the-counter options are not working or if the jock itch keeps coming back, look for a board-certified dermatologist in your area. There are stronger prescription medications that can be given – a course of oral antifungal medications works really well for most people. If you are in or near Utah, see one of my excellent colleagues at the University of Utah.

DISCLAIMER

The statements expressed and content of this website are not intended to be a substitute for professional medical advice. Readers should seek their own professional counsel for any medical condition or before starting or altering any treatment, exercise, or dietary plan. Please see our full disclaimer here.

Dryness, Fungal infectionAaron Secrestitchy, fungus, yeast, antifungal, jock itch, rash, groin, pubic area, inguinalComment

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Jock Itch That Won’t Go Away: Causes and Treatments

Jock Itch That Won’t Go Away: Causes and Treatments

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Medically reviewed by Owen Kramer, M. D. — By Tim Jewell — Updated on February 16, 2023

Some practices can make jock itch worse or prevent it from healing. But other health conditions may resemble jock itch and require different treatment options.

Jock itch happens when a specific species of fungus builds up on the skin, growing out of control and causing inflammation. It’s also called tinea cruris.

Common symptoms of jock itch include:

  • redness or irritation
  • itchiness that doesn’t go away
  • scaling or dryness

Most cases of jock itch are mild and easily treated.

But there are some activities and “treatments” that can make jock itch symptoms last longer. Let’s dive into what can make jock itch worse, how to tell jock itch apart from other similar conditions, and how to successfully treat jock itch.

There are a few things you might do that unintentionally make your jock itch worse. Here are some examples:

  • Working out. This can cause the infected skin to chafe against nearby skin or with clothing and irritate it, making the skin more susceptible to a worsening infection.
  • Having poor hygiene habits. Using improperly cleaned, damp towels or clothing, and not keeping skin dry may promote infection.
  • Using the wrong treatment. Spreading an anti-itch cream, such as hydrocortisone, on the infected area won’t treat the infection — it can actually worsen it. This can increase the area of the infection or make the infection worse.
  • Having a weakened immune system. Taking immunosuppressants for autoimmune disorders or having a weakened immune system from medication or conditions like HIV can make it harder for your body to fight off fungal infections.

Some conditions look like jock itch, but they aren’t, so they won’t respond to typical tinea cruris treatment.

Inverse psoriasis

Inverse psoriasis is a type of psoriasis, an autoimmune condition, that may have a genetic basis.

Like jock itch, it tends to appear in the same areas where you skin chafes, like your groin or inner thighs. Some common treatments for inverse psoriasis include:

  • prescription topicals
  • oral medications
  • biologics

Yeast infection (thrush)

Yeast infections are a similar type of fungal infection caused by the fungus Candida.

They’re more common in people with vulvas, but they can also affect the penis from the head and shaft to the scrotum and the nearby groin skin.

Common treatments for yeast infections include:

  • antifungal topicals like nystatin or clotrimazole (Lotrimin AF)
  • oral antifungal medications, for more severe cases

With early and proper treatment, jock itch should go away within about a month.

Here are some signs that your jock itch is going away:

  • rash or redness begins to fade away
  • skin regains its usual color
  • symptoms like itchiness or irritation start to subside

Got an especially severe or resistant case of groin itching? Here’s what you should do if over-the-counter (OTC) topical treatments don’t work.

Take antifungal medication

A doctor may prescribe medication for severe jock itch. Here are some of the options:

  • oral medications like fluconazole (Diflucan) or itraconazole (Sporanox)
  • topicals like oxiconazole (Oxistat) or econazole (Ecoza)

Use an antifungal shampoo

Medicated shampoos that contain ketoconazole or selenium sulfide are a good, strong treatment for jock itch symptoms. They’re available by prescription from your doctor or over the counter.

They don’t typically have side effects, and OTC versions are easy to buy at most drugstores.

See a doctor if you’ve used OTC treatments but haven’t seen any improvements in your symptoms after 2 weeks.

A doctor may be able to prescribe you a medication that can help, or they can evaluate you for another type of skin disorder that can mimic jock itch.

Here are some tips for preventing jock itch:

  • Wash your hands regularly. This is especially important when you touch other people or are about to eat with your hands.
  • Keep the moist areas of your body clean and dry. This is especially important for areas around your groin and upper thighs.
  • Bathe at least once a day. Make sure to use gentle, unscented soap and dry off completely before putting clothes on. Bathe more than once a day if you’re active or sweat profusely throughout the day.
  • Don’t wear tight clothing. It can trap moisture and cause skin to chafe.
  • Wear loose-fitting cotton underwear. It’ll let your groin and thighs ventilate, especially if you live in a humid climate.
  • Wash your workout clothes or any equipment your body touches after a sweaty workout.
  • Have athlete’s foot? Don’t use the same towel on your feet and other areas of your body. Athlete’s foot and jock itch are both caused by tinea fungi and can spread to one another. Treating athlete’s foot is important for preventing jock itch.

Jock itch is typically easy to treat, but it can often come back.

Practice healthy hygiene habits to help prevent jock itch. Treat it early with OTC topicals when you first notice symptoms. If it doesn’t go away after a few weeks, see a doctor.

Last medically reviewed on October 22, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • 8 reasons your groin itches and how to get relief. (n.d.).
    aad.org/public/diseases/itchy-skin/groin-itch
  • Jock itch (tinea cruris). (2018).
    health.harvard.edu/a_to_z/jock-itch-tinea-cruris-a-to-z
  • Mayo Clinic Staff. (2018). Jock itch.
    mayoclinic.org/diseases-conditions/jock-itch/symptoms-causes/syc-20353807

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Feb 16, 2023

Written By

Tim Jewell

Edited By

Roman Gokhman

Oct 22, 2019

Written By

Tim Jewell

Edited By

Roman Gokhman

Medically Reviewed By

Owen Kramer, MD

Share this article

Medically reviewed by Owen Kramer, M.D. — By Tim Jewell — Updated on February 16, 2023

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Hydrocortisone instructions for use: indications, contraindications, side effects – description Hydrocortisone ointment for external. approx. 1%: tube 10 g (18964)

📜 Instructions for use Hydrocortisone

💊 Composition of the preparation Hydrocortisone

✅ Use of the drug Hydrocortisone

📅 Storage conditions Hydrocortisone

⏳ Expiration date Hydrocortisone

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Product description

Hydrocortisone
(Hydrocortisone)

Based on the approved prescribing information and prepared for the electronic edition of the Vidal 2011 handbook, last updated: 2019. 10.07

Marketing authorization holder:

SYNTHESIS JSC
(Russia)

ATX code:

D07AA02

(hydrocortisone)

Active substance:
hydrocortisone
(hydrocortisone)

Rec.INN

WHO registered

Dosage form

Hydrocortisone

Ointment for external use approx. 1%: tube 10 g

reg. No.: P N001666/01
from 22.07.08
– Indefinitely

Release form, packaging and composition
drug Hydrocortisone

10 g – aluminum tubes (1) – packs of cardboard.

Clinical and pharmacological group:

GCS for external use

Pharmacotherapeutic group:

Glucocorticosteroid for topical application

Pharmacological action

Hydrocortisone is a synthetic glucocorticoid for topical use. It has anti-inflammatory, anti-edematous, antipruritic effect. It inhibits the release of cytokines (interleukins and interferon) from lymphocytes and macrophages, inhibits the release of inflammatory mediators by eosinophils, disrupts the metabolism of arachidonic acid and the synthesis of prostaglandins. By stimulating glucocorticoid receptors, it induces the formation of lipocortin. Reduces inflammatory cell infiltrates, reduces the migration of leukocytes, incl. lymphocytes in the area of ​​inflammation. When administered at recommended doses, it does not cause systemic side effects.

Pharmacokinetics

After application accumulates in the epidermis (mainly in the granular layer).

Metabolized directly in the epidermis, and later in the liver.

Excreted by the kidneys and intestines.

Indications of the drug

Hydrocortisone

Inflammatory and allergic skin diseases of non-microbial etiology (including those accompanied by itching):

  • eczema;
  • allergic and contact dermatitis;
  • neurodermatitis;
  • psoriasis;
  • erythroderma;
  • pruritus;
  • insect bites;
  • seborrhea.

Open list of ICD-10 codes

L20.8 Other atopic dermatitis (neurodermatitis, eczema)
L21 Seborrheic dermatitis
L23 Allergic contact dermatitis
L24 Simple irritant contact dermatitis
L28. 0 Lichen simplex chronicus (limited neurodermatitis)
L28.2 Other scabies
L40 Psoriasis
L53 Other erythematous conditions

Dosing regimen

The ointment is applied in a thin layer to the affected areas of the skin 2-3 times / day. The duration of the course of treatment depends on the nature of the disease and the effectiveness of therapy, usually 6-14 days; with a persistent course of the disease, it can be extended up to 20 days. On limited foci, occlusive dressings can be used to enhance the effect.

When using the ointment in children aged 2 years and over , the total duration of treatment should be limited to no more than two weeks and measures leading to increased absorption of the steroid (warming, fixing and occlusive dressings) should be excluded.

Side effects

Hyperemia, swelling and itching at the site of application of the ointment.

With prolonged use, the development of secondary infectious skin lesions, atrophic changes in it, hypertrichosis is also possible.

With prolonged use of the ointment or the use of an occlusive dressing, especially in large areas of damage, symptoms of hypercorticism (hyperglycemia, glucosuria, reversible inhibition of the function of the adrenal cortex, a manifestation of Cushing’s syndrome) may develop, as a manifestation of the resorptive action of hydrocortisone.

Contraindications for use

  • wound, ulcerative skin lesions;
  • bacterial, viral and fungal diseases of the skin;
  • skin tuberculosis;
  • syphilitic skin lesions;
  • rosacea, acne vulgaris;
  • perioral dermatitis;
  • skin tumors;
  • children under 2 years of age;
  • pregnancy;
  • hypersensitivity to hydrocortisone or other components of the drug.

Caution with : lactation period, diabetes mellitus, tuberculosis (systemic lesion).

Use during pregnancy and lactation

Use during pregnancy is contraindicated. Use with caution during lactation.

Use in children

Adrenal suppression may develop more rapidly in childhood. In addition, there may be a decrease in the secretion of growth hormone. When using the drug for a long time, it is necessary to monitor body weight, height, plasma cortisol concentration. For children under 12 years of age, the drug is prescribed only under medical supervision.

Special instructions

In cases of using the drug in children, on the face or under occlusive dressings, the duration of the course of treatment should be reduced to 2 weeks.

Adrenal suppression may develop more rapidly in childhood. In addition, there may be a decrease in the secretion of growth hormone. When using the drug for a long time, it is necessary to monitor body weight, height, plasma cortisol concentration. For children under 12 years of age, the drug is prescribed only under medical supervision.

Avoid contact with eyes and mucous membranes. If after 7 days of use there is no improvement or worsening of the condition, the use of the drug should be discontinued and consult a doctor. If symptoms recur a few days after discontinuation of the drug, you should consult your doctor.

For long-term treatment and/or application to large surfaces, it is recommended to prescribe a sodium-restricted and high-potassium diet; get enough protein into your body.

It is necessary to control blood pressure, blood glucose, blood clotting, diuresis, patient’s body weight, plasma cortisol level.

To prevent infectious skin lesions, the drug is recommended to be prescribed in combination with antibacterial and antifungal agents.

Overdose

Acute overdose is unlikely, however, with excessive or prolonged use of the drug, chronic overdose is possible, accompanied by signs of hypercorticism: hyperglycemia, glucosuria, reversible suppression of the function of the adrenal cortex, manifestation of Cushing’s syndrome.

Treatment. Appropriate symptomatic treatment is indicated. In the case of chronic toxic effects, a gradual withdrawal of the drug is recommended.

Storage conditions of the drug Hydrocortisone

Store between 8° and 15°C. Keep out of the reach of children.

Expiry date of hydrocortisone

Shelf life – 3 years.

Terms of sale

The drug is approved for use as an over-the-counter drug.

Keep

If you want to place a link to the description of this drug – use this code

Hydrocortisone . Description of the drug in the reference book Vidal.

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  • Calming the skin of natural wheat flour

Zastosuvannya

Timing of the hour lighter toppling, calling out with small teasing shkiri, inflamed and hanging, associated with offensive causes:

  • Ekzem a
  • Milo, detergent
  • Seborrheic dermatitis
  • Bite Komakh Cosmetics
  • Psoriasis
  • Black ivy, abo sumac oak
  • Jewelry embellishment
  • If you can order a product: ask your doctor

Application recommendation

  • Apply to affected area no more than 3-4 times per day
  • Do not stop in children before 2 years of age; consult a doctor

Other ingredients

Warehouse
Active ingredient Meta
Hydrocortisone 1% Anti-sverbіzh

Inactive ingredients Aloe vera leaf barbadensis, Avina sativas (Vivsa) extract, Avina sativa (Vivsa) borosno, sativa (Vivsa) kernel oil, benzyl alcohol, ceteareth-2 0, cetearyl alcohol, cetyl palmitate, chrysanthemum parfenium (hot) extract Citric acid, cyclopentasiloxane, dimethicone/vinyl trimethylsiloxysilicate, dimethyl MEA, glycerin, isopropyl myristate, isostearyl neopentanoate, methyl paraben, PEG-40 stearate, potassium lactate, tocopheryl acetate, water.

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