Hi all,
I hope this proves useful to someone.
I've read through the most recent posts here related to the iLex back-order or discontinuation, whatever the case may be, and I haven't seen anything conclusive regarding an iLex substitute. Due to what I know at this point, my goal isn't to find a perfect substitute for iLex but rather the best alternative.
I'm 55yrs old and got my jpouch in 2002. I've had little trouble since then besides the preference and/or need to use iLex on a mostly daily basis. I'm not sure whether or not most jpouch surgeries also include stripping the mucosa lining of the rectum, but I know mine did. And due to this I need relief/protection on both the anus and rectum. iLex worked perfectly for me.
USED/TESTED (in order of best to worst). For comparison purposes I give each product an effectiveness % rating, where iLex rates 100% effective on the scale.
Coloplast Critic Care Thick Moisture Barrier Paste: this is a moderately thick white paste. Does not become wet or runny. Though it doesn't completely dry either. Of the products I tested, this is the best of the bunch and one I would use until ilex becomes available again. Was 75%-80% effective for me. https://www.amazon.com/gp/prod...8&th=1&psc=1.
IMPORTANT NOTE: there are several Coloplast Moisture Barrier products out there. The other one I tried (below) is less effective in comparison to this one.
Dynarex White Petrolatum: this product is similar to the below CerVe Healing Ointment but it is less ‘greasy’. But it still doesn’t dry. 55% effective. https://www.amazon.com/dp/B00J...dt_b_product_details
Calmoseptine Ointment: I tested this back in 2002 after my takedown, it was around the same time I tried iLex. I realized that iLex was clearly superior and so went with iLex and never looked back. Since then I have not used Calmoseptine so unless the formula has changed I do not feel compelled to test it again. From what I remember, the product was 55%-60% effective when I used it. https://www.amazon.com/Calmose...706745977&sr=8-1
Coloplast Critic Care Clear Moisture Barrier Ointment: this has a thin, runny consistency, though not greasy; I apply then wipe off all excess. The effective duration is also much shorter than iLex. I had three tubes of this and threw them in the trash since I know I’m not going to use it. 40%-45% effective.
https://www.amazon.com/gp/prod...8&th=1&psc=1
Lantiseptic Moisture Shield Skin Protectant: this cream has a very light, thin consistency. Comparable to the Coloplast Clear Ointment, though I prefer the consistency of Coloplast product better. I estimate it was 35%-40% effective for me. https://www.amazon.com/gp/prod...le?ie=UTF8&psc=1
CeraVe Healing Ointment: this is like a more waxy form of Vaseline. I have little use for this product since it leaves a wet greasy residue. 35%-40% effective. https://www.amazon.com/dp/B016...dt_b_product_details