The Best Diaper Rash Cream 2021

Best Diaper Rash Cream 2021

Last Updated: Jun 26, 2020 @ 1:58 pmBest Diaper Rash Cream 2021. After testing 13 over-the-counter diaper rash remedies on actual baby butts and consulting with pediatricians who fight the diaper rash battle every day, we pick Balmex Diaper Rash Cream ($9.99 $9.94) as the Best Diaper Rash Cream. 

Scroll down for our picks for Best Budget-Friendly Diaper Rash Cream, Best Diaper Rash Cream for Severe Rashes and Best Eco Friendly Diaper Rash Cream.
New to diaper rash? Need some shopping tips? Read our 7 Things No One Tells You About Buying Diaper Rash Cream for advice and tips.

The best diaper rash cream creates a moisture barrier that keeps baby’s skin from being irritated (moisture + diaper + skin = diaper rash). After testing, we believe the best diaper rash cream is more creamy than sticky, making it easier to apply.

Our top pick Balmex contains one of the most effective moisture barriers: zinc oxide. Balmex has 11% zinc oxide as its active ingredient plus inactive ingredients like beeswax, mineral oil and microcrystalline wax. Balmex also claims one special ingredient: evening primrose extract, which the company claims helps “inhibit enzymes in stool that are known to irritate skin.”

The Best Diaper Rash Cream 2017 Balmex Diaper Rash Cream

Balmex is priced at as little as 81¢ per ounce in a 16 ounce jar or, if you prefer tubes, you can buy it for about $1.75 per ounce.

Does it work? Our readers swear by it, according to our message boards and email feedback. Parents tell us they like the creamy texture; it’s not as sticky as many other zinc oxide diaper rash cream—and we would agree with this after road-testing several diaper rash creams ourselves for this article. The scent isn’t bad either. Bottom line on the diaper rash bottom battle: the crown for best diaper rash cream goes to Balmex.

The Best Diaper Rash Cream

Balmex Diaper Rash Cream

After road testing 13 diaper rash creams, we crowned Balmex as the best of the bunch.

Also Great


Pediatrician recommended, Desitin is our runner up for best diaper cream. It’s available everywhere and coupons are easy to find.

Also Great: Desitin

Around for over 40 years, Desitin is a diaper rash cream that often tops pediatrician surveys for diaper rash creams. Our informal poll of pediatricians also confirmed Desitin is still among the top diaper rash creams recommended to parents.

Desitin comes in several varieties: Rapid Relief Cream, Maximum Strength Original Paste and Multi-Purpose Skin Protectant and Diaper Rash Ointment. Maximum strength has a whopping 40% zinc oxide, beating out Balmex and other zinc oxide options.

Desitin’s web site has helpful graphics that illustrate the different severity levels of diaper rash (see below). Also helpful: advice on how much to use on your baby and discount coupons.

Desitin 5 degrees of diaper rash best diaper rash cream

So why isn’t Desitin our top pick? Desitin isn’t called “paste” for nothin’! It is stickier than Balmex—and that makes it harder to apply, in our tests. And the smell? Well, let’s just say it funkier than Balmex. Those flaws aside, however, Desitin is a decent runner-up to Balmex.

Best Budget-Friendly Diaper Rash Cream

Vaseline Petroleum Jelly

We recommend Vaseline Petroleum Jelly as our top pick for budget diaper cream because it’s available everywhere, it’s cheap and it’s an effective moisture barrier.

Best Budget-Friendly Diaper Rash Cream

Yes, it’s old school but effective: Vaseline Petroleum Jelly is our pick for best budget-friendly diaper rash treatment.

The humble jar of Vaseline Petroleum Jelly in your bathroom has a long and storied history . . . all the way back to 1859. A British chemist, Robert Chesebrough, was traveling through Titusville, PA where petroleum was first discovered. While touring the petroleum fields, Chesebrough noticed that the grunts doing all the oil drilling were using a byproduct of the process to moisturize and heal cuts and burns. Light bulb!

Once the idea hit him, it took Cheseborough five years to get petroleum jelly to the state he wanted. He purified it three times: filtering it and distilling it to clean the substance, then de-aerating it to remove air bubbles. This triple process removes all impurities so it’s safe for everyone’s skin, including your baby’s. (Not all petroleum jellies are guaranteed as pure, hence our recommendation of the Vaseline brand.)

Vaseline triple purification seal best diaper rash cream

So how does petroleum jelly help with diaper rash? Petroleum jelly isn’t really a moisturizer for your skin per se. Instead, it’s very good at holding in moisture–or in the case of diaper rash, keeping moisture out, like pee and poop.

If your baby is suffering from diaper rash Vaseline should be your first line of defense. It’s cheap at a mere 31¢ per ounce and easy to find. And it will keep urine and poop off baby’s sensitive skin, allowing it to heal.

For our eco-friendly readers, we realize it is easy to diss Vaseline. If the thought of using a petroleum product on your skin is a non-starter, there are “un-petroleum” diaper rash remedies to consider (see above). Just remember, these other options may cost considerably more than Vaseline and aren’t necessarily any more effective!

Best Diaper Rash Cream for Severe Rashes

Boudreaux’s Butt Paste

Based on our tests, we recommend Boudreaux’s Butt Paste to help stop severe cases of diaper rash.

Best Diaper Rash Cream for Severe Rashes

Sometimes, you have to bring in the big guns. If your little one’s diaper rash goes from mild to severe overnight, we suggest the oddly named but effective Boudreaux’s Butt Paste ($16.99 ($1.06 / Ounce) $15.27 ($0.95 / Ounce)). Based on our testing, it works effectively to stop severe diaper rash. Boudreax is available in three formulas, including maximum strength with 40% zinc oxide.

Boudreaux’s ingredients are simple. The original formula contains:

  • Zinc Oxide (16%)
  • Castor Oil
  • Mineral Oil
  • Paraffin
  • Peruvian Balsam
  • White Petrolatum (petroleum jelly).

The Natural version switches out the mineral oil and petrolatum and adds aloe vera, beeswax, carnauba wax, citric acid, and hydrogenated caster oil. However, it’s considerably more expensive than the regular and maximum strength versions priced between 81¢ to $1.81 per ounce.

The only complaints we hear are that Butt Paste itself is an unappealing beige color (like putty) and a few babies have had a skin reaction to it, based on reviews posted to parenting message boards.

Also Great

Triple Paste

Another great option for tough-to-tackle diaper rash is Triple Paste, which previously was available only by prescription. It contains zinc oxide, petrolatum, corn starch, lanolin, stearyl alcohol, beeswax, bisabolo, cholesterol, glycerine, oat kernal extract and polysorbate 80. It’s expensive but our testers say it does the job. A few parents complained it was too thin and has an unpleasant smell. FYI: If your baby has a diaper rash caused by a yeast infection, we would recommend Triple Paste AF, an anti-fungal version.

Why Trust Us

We’ve been rating and reviewing baby products since 1994. We evaluate items like baby rash cream with hands on inspection and tests. When it comes to infant care products, we also consult with board-certified pediatricians to make sure our recommendations are in line with the best medical practices.

In addition to our own hands-on tests, we also look at consumer reviews posted to our own message boards as well as sites like Amazon.

Here’s another key point: we don’t take money from the brands we review. No free samples, no sponsors, no “partnerships.” Baby Bargains is your independent and unbiased source for expert baby product reviews.

How we picked a winner

Diaper rash cartoon best diaper rash cream

We evaluate diaper rash creams and ointments with hands on inspections—yep, we squirted this stuff on a boatload of baby butts. Since you have to spackle this stuff on like frosting on a wedding cake, the best diaper rash creams have to be easy to apply without being too sticky. Scent and consistency also played a role in our rankings.

We also gather significant reader feedback (our book, Baby Bargains has over 1 million copies in print). Besides interviewing parents, we also regularly talk with pediatricians and dermatologists to see which brands are most trustworthy. For example, our warning about possible allergic reactions to “all natural” diaper rash creams that contain lavender came after we discovered reports of such reactions among pediatricians.

7 Things No One Tells You About . . .

7 Things No One Tells You About Diaper Rash Cream!

1. Don’t let your baby sit in a dirty or wet diaper.

baby in dirty diaper best diaper rash cream

The most common cause of diaper rash is irritation from sitting in pee or poop. You can easily check a disposable diaper for pee by pinching it to see if it’s wet. And we all know babies usually poop pretty soon during or after eating. Stay on top of it, especially with toddlers who may not like to be interrupted during play. Better an interruption than a case of painful diaper rash.

2. There are a variety of causes for diaper rash besides just contact with urine and poop.

causes of diaper rash best diaper rash cream

These include bacterial or yeast infections, new foods in the diet, antibiotics, irritation from wipes or detergent, and already sensitive skin (eczema for example).

This is an important take-home message: while your garden-variety diaper rash is caused by a baby who sits too long in pee or poop, there can be more serious infections caused by bacteria or yeast. More on this in a minute.

3. Apply a barrier cream or ointment.

First, clean the area well with warm water or a diaper wipe. Allow baby’s bum to dry, then apply a thick barrier to the entire rashy area. Replace with a clean diaper. See above for our top picks for diaper rash cream.

A good piece of advice from the Mayo Clinic web site on diaper rash: “Don’t try to scrub off this protective layer completely at the next diaper change, as that could hurt the skin more. If you do want to remove it, try using mineral oil on a cotton ball.”

4. Air out your baby’s bum.

Don’t rush to put baby back in a diaper if you don’t have to. Let them hang out au naturelle for a bit. Some parents will even use a hair dryer on the coolest setting to dry baby’s skin before re-diapering.

5. Avoid powders.

nobabypowder best diaper rash creamYes, you may have seen babies get “powdered up” with talcum powder or cornstarch, but that practice is a thing of the past. Doctors warn that babies can inhale the powder, leading to breathing problems and other health concerns. Bottom line: no baby powder.

6. Some “natural” solutions do work.

Corona ointment best diaper rash cream

Try aloe vera or lanolin (you may have some left over from nursing). One suggestion: Corona Ointment, which is made of lanolin ($31.65 for 36 oz. jar). Dr. Ari Brown, pediatrician and co-author of Baby 411, notes that even though Corona Ointment is made for horses, the ointment’s active ingredient (lanolin) has worked well for her patients. It’s relatively inexpensive, compared to a brand like Lansinoh HPA Lanolin. Corona’s wide mouth jar is also handy, compared to lanolin designed for babies that usually comes in tiny tubes.

7. If over-the-counter remedies don’t work, see your doctor to call in the big guns.

“Not working” means your baby’s rash doesn’t get better after a few days using an over-the-counter cream like the ones we recommend above. Or the diaper rash gets more severe, bleeds or oozes, causes pain when baby pees or poops—or if baby has a fever. You can see what “more severe” diaper rash looks like on our Rash-O-Rama visual library online (look for different diaper rashes in both the infectious and non-contagious slide shows).

When treating diaper rash, the natural assumption is baby’s diaper rash is caused by pee and poop in contact with skin. But if barrier treatments don’t improve the situation, you should check in with your doctor to see if the rash is caused by yeast infection or bacterial infection. Your doc may suggest a prescription medication to clear it up.

The Best Diaper Rash Cream

Balmex Diaper Rash Cream

After road testing 13 diaper rash creams, we crowned Balmex as the best of the bunch.

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