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The Best Diaper Rash Creams for Happy Baby Bottoms
The Best Diaper Rash Creams for Happy Baby Bottoms

Diaper rash can happen whether you’re using disposable diapers or going the cloth route, and while it’s no picnic for babies, it turns out it’s pretty common. Dr. Christina Johns, a board certified pediatrician who primarily works in the urgent care space says, “You would be amazed at the number of parents who bring their child in for diaper issues.” 

It can be hard to see your little one uncomfortable, but the good news is that a good diaper rash cream (and a few best practices we’ll dive into below) can help irritation and diaper rash by providing a barrier—and also help prevent it from developing in the first place. It’s something you’ll definitely want to include in your designated changing station and in your baby’s diaper bag

There are a lot of different diaper creams, pastes and ointments on the market, and it can be tricky for new parents to figure out what’ll work best for their baby, so we've rounded up the best diaper rash creams to help. Desitin Maximum Strength is our best overall pick thanks to its thick consistency, effectiveness and affordable price. But as with most things in the world of baby products, there isn’t one best pick for every baby—so we have a handful of other options to help you find one. (And a pro tip: diaper cream is one of a few baby products that are HSA/FSA eligible!)

How We Judged the Best Diaper Creams

Consistency
The primary purpose of a diaper cream is to create a protective barrier between your baby's skin and wetness. We evaluated each cream's thickness, spreadability and staying power.
Effectiveness
The diaper creams on this list come recommended by countless parents and pediatricians who’ve dealt with treating diaper rash.
Cost
Diaper cream prices can vary widely. We considered price per ounce, how much cream is typically needed per application, and how long a tube lasts with regular use.

Best Diaper Cream Overall

Desitin Maximum Strength Baby Diaper Rash Cream, 40% Zinc Oxide.

Desitin Maximum Strength Baby Diaper Rash Cream, 40% Zinc Oxide

From $7.97
Buy
Buy

Pros

  • Thick, paste-like consistency
  • Affordable
  • Parent favorite
  • FSA & HSA eligible

Cons

  • Tricky to wipe off
  • Light smell

Desitin Maximum Strength has earned its spot as many parents' secret weapon for treating diaper rash, which is why it’s our best overall pick. “This cream works wonders! It soothes my baby’s skin instantly and clears up diaper rash faster than any other brand I’ve tried,” one parent raved. With a powerful 40% zinc oxide formula, this ultra-thick cream creates a serious barrier against moisture, helping to soothe and protect irritated skin. It's incredibly effective, often showing improvement within just a few diaper changes, and a little goes a long way. “I generally trend towards very thick ointments as opposed to thinner creams,” says Dr. Johns, citing that ointments provide a thick layer and stay put. 

That same thick texture can make it tricky to apply and wash off, though. It also has a faint medicinal smell, and some parents mentioned that it can stain clothes. It may be a bit more protection than you need for everyday use if your baby isn’t super rash-prone (check out Aquaphor below for a good everyday option) but it's invaluable when dealing with serious rash flare-ups.

Best for Severe Diaper Rash

Triple Paste Diaper Rash Ointment - 2 Oz.

Triple Paste Diaper Rash Ointment - 2 Oz

From $9.68
Buy
Buy

Pros

  • Thick protective barrier
  • Parents say it works quickly
  • FSA & HSA eligible

Cons

  • Hard to clean off
  • Pricey

It was tough to choose a best overall diaper cream for this guide since it really depends on your baby’s specific needs. Triple Paste is our pick for this category because it provides the same soothing, thick protective barrier as Desitin but has a little extra “oomph” when it comes to how quickly it works. One Babylist parent shared, “Triple Paste has been a lifesaver in our house!” 

Any parent who's faced a raging case of diaper rash (and a very unhappy baby) wants one thing: instant relief. Thanks to the fast-acting formula (which was developed based on prescription diaper creams), Triple Paste is a saving grace for sore bottoms. The zinc-based, extra-thick cream is fragrance-free, hypoallergenic and provides a protective barrier for irritated skin so it can heal. 

Parents’ biggest gripe with Triple Paste is that it’s hard to clean off of your fingers and baby’s bum if you wanted to. “It was very difficult to rub the cream into her skin and constantly left white residue,” one Babylist parent cautioned. But the benefits outweigh that issue, and you typically don’t need to remove the paste completely during each change. (By the way, the brand also offers a bundle that comes with a jar of Triple Paste and an application tool.) It’s also a bit expensive compared to other options.

Best Organic Diaper Rash Cream

Earth Mama Organic Diaper Balm - 2 Fl Oz, 2.

Earth Mama Organic Diaper Balm - 2 Fl Oz, 2

From $25.94
Buy
Buy

Pros

  • Organic ingredients
  • Multi-purpose skin salve
  • A little goes a long way

Cons

  • Pricey
  • Thinner consistency

Many new parents are nervous about the products they use on their babies’ skin. If you’re looking for an organic diaper cream, Earth Mama is a great option. Although it's called a diaper balm, this herbal remedy helps heal all sorts of ailments, including rashes, burns, cuts, scrapes and bug bites. 

“When I tell you this diaper balm is our favorite, I mean we have a tub in every room, diaper bag and backups in the cabinet! I love the non-toxic formula and organic ingredients! It also smells heavenly which is an added bonus!” one Babylist parent raved in their review. 

It’s made with organic oils, herbal extracts and botanicals, and has a thinner, non-sticky consistency. It’s completely zinc, petroleum and fragrance free and certified organic by the USDA. Although it's a small container, a little goes a long way in relieving and warding off diaper rash. Many parents also appreciate that it’s cloth diaper-friendly, meaning it won't stain. Another parent shared, “I use cloth diapers and this is the BEST. Most other diaper creams ruin cloth diapers and make them water repellent.”

One thing some parents note in their reviews is that it’s not as effective on a full-blown diaper rash, so it’s better as an everyday, preventative layer. The balm doesn’t provide as thick of a barrier as a diaper cream with zinc would, which is sometimes what irritated skin might need to heal. One Babylist parent wrote in their review, “When our newborn developed a bad diaper rash (think raw, broken skin), I found this product seemed to help soothe the area, but I had to use a diaper paste over top of it to provide [more of] a moisture barrier. [This] just rubs off.” Like most baby products, you might need to try a few to find what works best for your baby’s skin. If their rash doesn’t go away in a few days or after applying treatment, be sure to reach out to your pediatrician.

Best Preventative Diaper Rash Cream

Aquaphor Baby Healing Ointment Advanced Therapy Skin Protectant.

Aquaphor Baby Healing Ointment Advanced Therapy Skin Protectant

From $12.99
Buy
Buy

Pros

  • Multi-use ointment
  • Unscented
  • FSA & HSA eligible

Cons

  • Can stain clothes

Sometimes the best way to prevent diaper rash is to treat it before it ever starts—and this petroleum-based ointment from parent-favorite Aquaphor does the trick from day one. It’s easy to apply (think Vaseline consistency) and offers a thin barrier to keep urine and stool away from baby’s skin. And the best part is that it’s multi-purpose. 

One Babylist parent wrote in our best baby products survey, “Can’t express how helpful it is. [It] cures all scratches, cuts, rashes and dry skin.” Many parents mention using it for other baby skin needs like chapped cheeks and drool rash or minor scrapes (it’s also good for adults, too! I still use it as a lip balm). If you want a bigger size, it’s also available in a jar (though parents say the jar isn’t convenient for on-the-go and can get messy).

One thing to note: Aquaphor’s “baby” ointment and regular ointment are essentially the same and you can use either for a preventative barrier. They do offer a 3-in-1 Diaper Rash Relief Cream that contains 14 percent zinc oxide if you want to try something a bit thicker, but not as thick as, say, Desitin or Triple Paste.

A few parents mention it doesn’t work well on severe irritation, and they find using this in combination with a thicker paste-like cream, like Desitin, works better for moderate to severe diaper rashes. You’ll also want to be careful not to smear it on any clothing, as it can be tricky to wash out and sometimes leaves a greasy stain.

Best Affordable Diaper Rash Cream

Parent's Choice Diaper Rash Ointment, 40% Zinc Oxide.

Parent's Choice Diaper Rash Ointment, 40% Zinc Oxide

From $2.08
Buy
Buy

Pros

  • Budget-friendly
  • Parents say it’s similar to Desitin
  • Talc-free
  • FSA & HSA eligible

Cons

  • Only available at Walmart
  • Hard to wipe off of fingers

Parent’s Choice, a brand exclusive to Walmart, is well-loved by parents for its affordable prices and good quality products. This diaper rash ointment is no exception, at about two dollars a tube. It’s got many of the same ingredients as other name brands on this list, but at a fraction of the cost. Many parents mention as much in their reviews: “Works just as well as the name brands at a fraction of the price. It's also just slightly more runny, so it's a little easier to apply in my opinion. Not overly runny! Just enough to make it smooth out a lot easier.”

With 40 percent zinc oxide as the main ingredient, it’s got a thick paste-like consistency that acts as a barrier to protect baby’s bum. In fact, quite a few parent reviews mention that this one is similar to Desitin. It’s also talc-free, which isn’t the case for most store-brand diaper creams.

While it’s great for clearing diaper rashes, parents mention it’s hard to clean off of their fingers after applying. Just note that since it’s a Walmart store brand, you can only buy it there. 

Best Sprayable Diaper Rash Cream

Boogie No-Rub Diaper Rash Spray - Green, 1.7 Oz.

Boogie No-Rub Diaper Rash Spray - Green, 1.7 Oz

From $8.79
Buy
Buy

Pros

  • No-touch, mess-free application
  • Sprays evenly
  • Nice consistency
  • FSA & HSA eligible

Cons

  • Small container
  • Sprayer gets clogged

There are a few perks to a sprayable diaper cream. You won’t get it under your nails or on your fingers, and it’s a gentle way to apply diaper cream to irritated skin. Babylist parents rave about how convenient this sprayable diaper rash cream from Boogie is, with quite a few calling it out in our best baby products survey. One wrote, “It seems silly but this has been a lifesaver!” And best of all, it actually works. Parents notice it’s effective at protecting, soothing and healing irritated bums. 

There are a few things parents don’t love, though. Their biggest gripe is the spray mechanism—many find that it either breaks or gets clogged. It’s also a pretty small tube, which is great for throwing it in your diaper bag or caddy, but many wish Boogie offered a refill bottle so they didn’t need to buy a new one each time. 

Best for Cloth Diapers

Esembly Rash Relief Cream, Organic and Cloth Friendly.

Esembly Rash Relief Cream, Organic and Cloth Friendly

From $14.49
Buy
Buy

Pros

  • Easy to wash off
  • A little goes a long way

Cons

  • Only to treat (not prevent)

This zinc-based cream not only heals and soothes painful diaper rashes, it’s designed with cloth diapers in mind. Esembly is a well-loved cloth diaper brand, so they know the ins and outs of cloth diapers. While other rash creams and ointments might leave stains or be hard to wash off, this one thoroughly washes off of reusable diapers. 

It’s a bit pricey, but Babylist parents agree that a little goes a long way. You only need a small amount, and Esembly recommends rubbing it in a bit like you would a lotion. One thing to note: unlike the other diaper creams on this list that double as prevention, this one should only be used for treatment (when a rash is present). For day-to-day skin protection that’s also cloth-diaper approved, check out the Esembly Everyday Balm.

Best Diaper Cream Sampler

Babylist Diaper Cream Box

From $19.99
Buy
Buy

Pros

  • Convenient “try before you buy” kit
  • Variety of options

Cons

  • Some say it’s expensive for what it includes
  • Smaller sizes

Choosing a diaper cream is a pretty personal decision; what works for one baby might not do anything for another, which is why Babylist parents love this sampler box. The Diaper Cream Box comes with four of the most popular diaper creams on the market (including three on this list) so you can figure out which formula and brand you prefer. “While not all items are large in quantity, you can try multiple products to find which will work best for your little one's rash,” one mentioned in their review. 

The biggest gripe parents have with this box is that the products are small, as they’re meant to be sampled, and they think it’s a bit pricey for what you get. Still, they appreciate the chance to try a few different options and say it’s perfect for adding to your registry. 

Other Diaper Rash Creams We Recommend

Finding the right diaper cream can take a few tries and what works for one baby's skin might not produce the same results for another's. Here are a few more diaper creams to check out if none of the ones on this list are the right fit:

Why Trust Babylist?

Babylist is the expert in baby; we know baby gear inside and out. We talk with parents face-to-face in our showroom and on our user panels and hear from thousands annually via our Best Baby Products online survey. We know what items millions of expecting parents are adding to their baby registries.

  • Firsthand professional and personal experience. In addition to being Babylist’s assistant editor, I’m also a mom of two children, one of whom had very sensitive skin as a newborn. I used insight from both of these areas of life when writing this guide. Jen LaBracio, Babylist’s senior gear editor, is the original author of this piece; I also leaned into her original research and insight.

  • Expert POV. For an expert POV, I spoke to Dr. Christina Johns, a board certified emergency physician and Senior Medical Advisor at PM Pediatric Care.

  • Diaper rash cream data. As an editor at Babylist, I regularly analyze which baby products our users are adding to their baby registries the most (and which ones they aren’t) and what our team of Merchandising experts—our buyers who are responsible for ensuring the Babylist Shop is stocked with the best and newest gear—is excited about. Studying this kind of data helped us choose which diaper creams to test and which ones to recommend to new and expecting parents.

  • Feedback and reviews. I reviewed comments and feedback from Babylist’s annual product survey of thousands of Babylist parents, read customer reviews from hundreds of Babylist users and spoke to parents on our Babylist staff about their real-life diaper cream experiences.

How to Choose a Diaper Rash Cream

Here’s the good news: most diaper rash creams fall into two types, and both are great at protecting your baby’s skin. It just depends on what you’re using them for.

  • For prevention or mild rashes, petroleum-based ointments (like Aquaphor) form a breathable, protective barrier to keep moisture out.

  • For treating rash, creams with zinc oxide (like Desitin or Triple Paste) are thicker and a bit better at healing irritated skin.

Dr. Johns recommends going for creams that are more like a paste than a lotion. A higher percentage of zinc oxide can also be more effective for tougher rashes.

Pro tip: You might want to keep one of each kind on hand—one for daily prevention, and one for when a rash shows up.

✨ Diaper creams come in different consistencies—from stiff pastes to smooth balms. These textures affect how they apply and stay on your baby’s skin. Below are some examples to help you match a product to your needs.

Wondering where your favorite cream fits? Here are some common brands by consistency to help you compare:

  • Pastes: Desitin Maximum Strength, Triple Paste, Boudreaux’s Butt Paste (Original), Tubby Todd Sweet Cheeks Paste 

  • Ointment: Aquaphor, A+D Ointment

  • Cream: Weleda Diaper Care Cream, Esembly Diaper Cream

  • Balm: Earth Mama, Coterie Bun Balm, Motherlove Diaper Balm

Types of Diaper Rashes (and How to Treat Them)

There are four types of diaper rash you may come across. According to Dr. Johns, irritant rash is the most common—but here’s how to spot (and treat) each one.

Irritant Diaper Rash

This is the most common type and happens when your baby's skin stays in contact with pee or poop for too long. It usually looks like pink or red patches where the diaper touches the skin.

How to treat it:

  • Change diapers often to keep moisture away.

  • Gently dry the skin completely before putting on a fresh diaper. Air-drying or patting with a cloth can help.

  • Use a thick diaper cream or ointment at every change to form a protective barrier.

  • If the rash looks really uncomfortable, giving baby some diaper-free time can help speed healing.

Yeast Infection Rash

Caused by an overgrowth of yeast that naturally lives in the digestive tract. This rash tends to be shiny and bright red or pink, with sharp edges. You might also notice small pink bumps or, rarely, cracked or weeping skin.

How to treat it:

  • Check in with your baby’s healthcare provider to confirm your baby’s rash is actually yeast-related.

  • Treatment usually includes a topical antifungal cream, or a combination of products to clear it up.

  • Keep the area clean and dry, and consider some diaper-free time if possible.

Bacterial Diaper Rash

Also called impetigo, this rash is caused by bacteria like staph or strep. You may see bright red skin, yellow crusting, small pimples or weeping skin.

How to treat it:

  • Call your pediatrician—they’ll diagnose and prescribe an antibiotic cream or ointment.

  • While you’re waiting for treatment, keep the area clean and avoid products with fragrance or alcohol.

Allergic Diaper Rash

This one’s usually a reaction to something like a fragrance or ingredient in your baby’s diapers, wipes or even the cream itself. It may look like general redness or irritation that doesn’t improve with regular diaper cream.

How to treat it:

  • Switch to fragrance-free or sensitive-skin diapers and wipes.

  • Try one change at a time (wipes, cream, diapers) to pinpoint the trigger.

  • It can take a few weeks to fully heal, so stay consistent, and check in with your pediatrician if it lingers.

If you’re ever unsure what kind of rash you're dealing with, or the rash isn’t improving after a few days of treatment, reach out to your baby’s doctor. And if your baby spikes a fever or seems off (like not feeding well), Dr. Johns says those are signs to call your pediatrician right away.

How to Prevent Diaper Rash

Sometimes the best thing you can do for diaper rash is to prevent it before it starts. Dr. Johns shared a few tried-and-true tips:

  • Limit exposure to irritating ingredients. “Number one, limiting the amount of substances—like wipes and diapers—that your baby comes into contact with that have any kind of fragrances or alcohols is really important,” says Dr. Johns.

  • Change diapers frequently. Prolonged contact with moisture is a big trigger for rash.

  • Give baby a little diaper-free time each day. This can be as simple as letting them go without a diaper for a few minutes after bathtime or during the first change of the day. (Pro tip: Put down a towel or disposable pad—just in case.)

  • Be gentle with wiping. Use a soft touch, and don’t over-wipe. It’s okay not to remove every last bit of diaper cream during a change.

Should you apply diaper cream at every change? “This is where the art and science of medicine and parenting collide,” Dr. Johns says. “It’s really individual—you kind of need to know your child and their skin.”

Some babies with sensitive skin might benefit from an application at every change. Others might only need it once or twice a day. And if you're using a thick zinc-based cream, there's no need to fully wipe it off each time—just pat around it.

Wondering what to use for daily prevention? Our favorite is Aquaphor Baby, it’s great as a barrier before rashes start and plays well with thicker creams if you need to layer up to treat irritation.  

Frequently Asked Questions

What does diaper rash look like?

While there are different types of diaper rashes, most diaper rashes will make your baby's skin look red, irritated, possibly bumpy and may make it feel warm to the touch. Diaper rash may appear on or between butt cheeks, on inner thighs and/or around the genital area.

What causes diaper rash?

No matter how absorbent your diapers are (and they’re pretty great at wicking away moisture these days) or how frequently you hit the changing table, baby bums are sensitive to moisture and the products you use on them. They can be caused by the diaper itself (either from chafing or fragrances, if there are any present) or by the acid that naturally occurs in urine and stool. Introducing new foods into your baby's diet or antibiotics can also trigger a rash.

Other causes of diaper rash include the overgrowth of a type of fungus found naturally in your baby's digestive tract, an allergy or, in rare cases, a bacterial infection. It’s hard to tell what type of rash your baby has just from looking at it, which is why Dr. Johns says she encourages parents to reach out to their pediatrician with any concerns.

How long does diaper rash last?

Most diaper rashes last two or three days if you're treating it at home by keeping the area clean and covering it with diaper rash cream. If it lasts longer than three days, try switching to a different diaper cream for a few more days and reach out to your baby’s doctor.

When should you call the pediatrician about diaper rash?

In some instances, your baby's diaper rash will last longer than a few days. You might need a prescription cream or other medication from your pediatrician. Here's how you'll know it's time to contact your child's doctor:

  • The rash isn't going away (or is getting worse) after about three days of treatment.

  • The rash includes pimples, peeling skin, blisters, pus-filled or oozing sores.

  • The rash is very painful.

  • Your baby develops a fever along with the diaper rash.

  • Your baby is on an antibiotic and you're seeing a bright pink or red rash with red spots along the edges.

Expert Sources

Babylist uses high-quality subject matter experts to provide accurate and reliable information to our users. Sources for this story include:

  • Christina Johns, MD, board certified pediatrician and Senior Medical Advisor at PM Pediatric Care.

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