⚠ Evidence warning: Clinical trials or other evidence do not support the claims that colloidal oatmeal matches mid-strength steroid creams and that home-ground oat baths treat eczema. This page keeps it as a report of what people, websites or other media say.

Colloidal Oatmeal for Eczema and Itchy Skin

Colloidal oatmeal is oat ground so fine that it stays spread through water or a cream instead of sinking. It is sold in bath powders, creams, lotions and washes, and in the United States it is one of the listed active ingredients for over-the-counter skin protectants. This page covers how it is made, what the U.S. Food and Drug Administration (FDA) rule actually states, what the trials in eczema and dry, itchy skin found, including the null results and the gaps, and what researchers have reported about oat allergy in children with eczema. The chemistry of the oat compounds themselves is on the Avenanthramides page, and the disease itself is on the Eczema page.

Table of Contents

  1. What Colloidal Oatmeal Is and How It Is Made
  2. Avenanthramides and the Skin Barrier in Plain Words
  3. What the U.S. Food and Drug Administration Rule States
  4. Trials of Oat Creams in Eczema
  5. How Oat Compares With Steroid Creams
  6. Trials in Dry, Itchy Skin
  7. Oat Sensitization in Children With Eczema
  8. Home Oat Baths as Reported Practice
  9. Who Ran and Paid for These Studies
  10. What Is Not Known
  11. Key Research Papers
  12. Connections
  13. Featured Videos

What Colloidal Oatmeal Is and How It Is Made

A colloid is a mixture in which tiny particles stay suspended in a liquid rather than settling out. Oats have been put on irritated skin for a long time. A 2007 history from a skin-care company's scientific staff says oatmeal has been used for centuries against itch and irritation, and that a ready-to-use colloidal oatmeal became available in 1945, made by finely grinding the oat and boiling it to extract the colloidal material. The same paper notes that its preparation is standardized by the United States Pharmacopeia, and that it now comes as bath powders, shampoos, shaving gels and moisturizing creams.

Medical journals took an early interest. Grais wrote on colloidal oatmeal in the skin care of older people in 1953, Sompayrac and Ross wrote on atopic dermatitis in the young in 1959, and a 1970 case report in a physical therapy journal is titled "Total oatmeal immersion". The PubMed records for these three carry titles only, with no abstract, so this page reports that they exist and nothing about their results.

The 2007 history credits different parts of the oat with different jobs:

Not every oat skin product is colloidal oatmeal, and this matters when reading the trials. A second family of products uses an extract from the leafy parts of young oat plants, called plantlets. A 2018 paper with an author from the maker describes that extract as unrelated to oatmeal proteins and virtually free of oat protein, with high levels of compounds such as flavonoids and saponins. Several of the studies below tested plantlet or other oat extracts, and this page says so each time.

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Avenanthramides and the Skin Barrier in Plain Words

The outer layer of skin holds water in and keeps irritants out. In eczema that barrier leaks. A leaky barrier shows up in the laboratory as more transepidermal water loss, which is simply water escaping through the skin, and one trial paper below describes eczema skin as short of ceramides, the fats that help seal the barrier, and of cathelicidins, the skin's own germ-fighting proteins. The Eczema page explains the itch and scratch cycle that follows.

Research on how oat might act has three layers, and they are not equally strong.

In cells and in mice

Avenanthramides are compounds found in oats, and the Avenanthramides page covers their discovery and chemistry. In a 2008 study by skin-care company researchers, avenanthramides at concentrations as low as 1 part per billion reduced an inflammation signal, nuclear factor kappa B, in human skin cells in a dish. In the same paper, avenanthramides at 1 to 3 parts per million on the skin lessened inflammation in mice and reduced scratching in a mouse itch model. A 2015 paper found that extracts of colloidal oatmeal lowered inflammatory signaling molecules in laboratory tests. A 2016 paper found that the extracts switched on genes tied to skin cell maturation, the seals between cells and fat handling in laboratory tests, buffered acidity, and helped recovery of barrier damage in a laboratory model of atopic dermatitis. A 2014 review from the field repeats the mouse findings and discusses studies of colloidal oatmeal as a treatment and as an add-on in eczema.

On skin bacteria

Healthy skin carries its own bacteria, and eczema skin often carries too many of the Staphylococcus type. In a 2021 laboratory study, colloidal oat in a dish raised the growth rate of Staphylococcus epidermidis, a common harmless skin resident, compared with Staphylococcus aureus, and raised lactic acid production. The same paper reports that a 1% colloidal oat lotion used for 6 weeks raised lactic acid on dry human skin. In people with eczema, a 2020 randomized study found only trends toward less Staphylococcus and more bacterial diversity at the patches.

In people, measured on the skin

Barrier measurements in people are mixed but mostly favorable. In a single-arm study of 30 people with eczema, water loss fell and hydration rose over 14 days. In the 2020 randomized study of 61 people who finished, a 1% colloidal oat cream improved skin acidity, barrier function and hydration from the start, while a standard moisturizer improved hydration. In a crossover study of 30 older adults using a plantlet oat emollient, dryness and hydration improved but water loss did not significantly change.

No trial found for this page isolated avenanthramides in a cream and tested them alone in people with eczema, so how much of the effect in people belongs to them, to the starches and beta-glucan, or simply to moisturizing remains an open question. Eating oats is a separate matter. A 2021 review of 23 randomized trials found no significant change overall in four blood markers of inflammation after eating oats, with small drops in two subgroups, and called the overall evidence poor. None of this tells us about the skin of people who eat oats.

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What the U.S. Food and Drug Administration Rule States

In June 2003 the U.S. Food and Drug Administration issued its final over-the-counter monograph for skin protectant products. A monograph is a rule that lists which ingredients may be sold without an individual drug approval and what the label may say. It is not a study and does not report trial results. The current wording sits in Title 21 of the Code of Federal Regulations, Part 347. It states:

The wording is about temporary relief of minor irritation and itching. It does not say that colloidal oatmeal treats, controls or cures eczema. A 2020 review, two of whose authors worked for a moisturizer maker, puts it more broadly, saying the U.S. Food and Drug Administration requires any moisturizer claiming to treat atopic dermatitis to contain colloidal oatmeal. The regulation's own text above is the primary source. The strengths also differ: the rule's minimum is 0.007 percent, while the cream trials below tested 1 percent.

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Trials of Oat Creams in Eczema

Atopic dermatitis is the most common form of eczema. Most oat trials enrolled mild to moderate cases, used a score such as the Eczema Area and Severity Index, and ran for weeks rather than months.

Studies with no comparison group

Studies against another cream

The Cochrane review

The independent Cochrane review of moisturizers for eczema (2017; 77 studies, 6,603 participants, search to December 2015, so before the Lisante trials) pooled four studies of oat-containing moisturizers against no treatment or a plain base. Its findings, all rated low or very low quality:

Across all kinds, moisturizers were linked to lower severity and fewer flares than no moisturizer. The authors concluded: "We did not find reliable evidence that one moisturiser is better than another."

A 2012 review of studies in people aged 3 months to 60 years describes improvement from baseline in severity, itch, dryness and quality of life with daily colloidal oatmeal products, with patients allowed to continue their prescribed medicines. Improvement from baseline, while also on prescribed treatment, does not show what the oat added.

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How Oat Compares With Steroid Creams

Accounts of these products sometimes describe colloidal oatmeal as matching mid-strength steroid creams. The searches behind this page, run through PubMed records in November 2026, found no randomized trial that placed colloidal oatmeal directly against a steroid cream in eczema. A trial these searches missed remains possible. What the published abstracts test is a different question, whether oat products added to or following steroid cream change how much steroid is used or how long control lasts.

Some review authors see a steroid-sparing role. A 2010 review says oat formulations "may allow for reduced use of corticosteroids and calcineurin inhibitors", and a 2014 review groups colloidal oatmeal with petrolatum and prescription barrier creams as options that can limit long-term continuous steroid use. These are the authors' readings. The 2014 review also states that steroid creams carry a risk of skin thinning with long-term use, and calls them appropriate treatments during flares.

For scale, a 2024 Cochrane network review of anti-inflammatory creams and ointments for eczema covered 291 studies and 45,846 people, with steroid creams listed for 172, and potent steroids ranked among the most effective on symptoms (odds ratio 5.99, 95% confidence interval 2.83 to 12.69, low confidence). That review left out moisturizers used alone and complementary therapies, so it does not rate oat at all. It does show how much larger the evidence for steroids is than the evidence for oat creams. The authors also found most of those trials were industry-funded or did not report funding, and high risk of bias in 89.0%.

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Trials in Dry, Itchy Skin

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Oat Sensitization in Children With Eczema

Sensitization means the immune system has learned to recognize something, which shows as a positive skin test. It is not the same as having symptoms. The central study came from a pediatric skin unit in Bordeaux, France.

Boussault and colleagues, 2007. The team tested 302 children with atopic dermatitis who had been referred for allergy testing between June 2001 and December 2004, and so are not a sample of all children with eczema. They reported:

The authors wrote that the finding may be the result of repeated applications of oat cosmetics on a predisposed, impaired skin barrier, and concluded: "We suggest avoiding topical-containing oat proteins in infants with [atopic dermatitis]." That is their published recommendation, and it is reported here as such. The design shows a link in a referred group. It cannot prove the cream caused the sensitization, and most sensitized children who were challenged did not react.

The reply and the counterevidence. A 2008 letter in the same journal is titled "Do we have to recommend not using oat-containing emollients in children with atopic dermatitis?" Its record carries no abstract. Other findings point the other way, though with their own limits:

Case reports. PubMed also lists reports titled "Anaphylaxis to oats after cutaneous sensitization by oatmeal in skin products used for the treatment of atopic dermatitis" (2016), "Contact allergic dermatitis from oatmeal" (1988), "Allergic contact dermatitis due to avena extract" (2000) and "Allergic contact urticaria to oatmeal" (2002). These are single reports with no abstracts on record, so they show reactions can happen and say nothing about how often. Anaphylaxis is a whole-body allergic reaction. Trouble breathing, swelling of the throat or tongue and collapse are signs hospitals treat as urgent.

The Cochrane finding of more adverse events with oat moisturizers came from one study of 173 people, and the abstract does not say which events drove it. Sorting out how many infants become sensitized because of oat creams would take a prospective study that follows children from before they start using them, and none turned up in these searches.

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Home Oat Baths as Reported Practice

Home recipes describe grinding rolled oats in a blender or food processor until they make a fine powder that clouds water, then stirring about a cup into a lukewarm bath for 15 to 20 minutes. Others describe tying oats in a cloth and squeezing it in the bath water. People use these for eczema, sunburn, poison ivy, insect bites and chickenpox itch. This is a report of common practice and tradition, not a tested treatment.

What is on record:

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Who Ran and Paid for These Studies

Much of the positive evidence for oat creams comes from people connected to companies that sell them. This does not make the results wrong, but it is part of how to read them.

The 2017 Cochrane review, from an independent group, found no significant difference on its severity measures where it pooled oat trials against a plain base or no treatment.

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What Is Not Known

Decisions about eczema treatment, including steroid creams and products for infants, belong with a clinician who can see the skin.

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Key Research Papers

  1. Kurtz ES, Wallo W. Colloidal oatmeal: history, chemistry and clinical properties. J Drugs Dermatol. 2007;6(2):167-70. PubMed PMID: 17373175
  2. Grais ML. Role of colloidal oatmeal in dermatologic treatment of the aged. AMA Arch Derm Syphilol. 1953;68(4):402-7. PubMed PMID: 13091378
  3. Sompayrac LM, Ross C. Colloidal oatmeal in atopic dermatitis of the young. J Fla Med Assoc. 1959;45(12):1411-2. PubMed PMID: 13654685
  4. Dunevitz B. Total oatmeal immersion. Phys Ther. 1970;50(2):193-4. PubMed PMID: 5414666
  5. Wollenberg A, Fölster-Holst R, Saint Aroman M, Sampogna F, Vestergaard C. Effects of a protein-free oat plantlet extract on microinflammation and skin barrier function in atopic dermatitis patients. J Eur Acad Dermatol Venereol. 2018;32 Suppl 1:1-15. PubMed PMID: 29533490
  6. Sur R, Nigam A, Grote D, Liebel F, Southall MD. Avenanthramides, polyphenols from oats, exhibit anti-inflammatory and anti-itch activity. Arch Dermatol Res. 2008;300(10):569-74. PubMed PMID: 18461339
  7. Fowler JF Jr. Colloidal oatmeal formulations and the treatment of atopic dermatitis. J Drugs Dermatol. 2014;13(10):1180-3. PubMed PMID: 25607551
  8. Reynertson KA, Garay M, Nebus J, Chon S, Kaur S, Mahmood K, Kizoulis M, Southall MD. Anti-inflammatory activities of colloidal oatmeal (Avena sativa) contribute to the effectiveness of oats in treatment of itch associated with dry, irritated skin. J Drugs Dermatol. 2015;14(1):43-8. PubMed PMID: 25607907
  9. Ilnytska O, Kaur S, Chon S, Reynertson KA, Nebus J, Garay M, Mahmood K, Southall MD. Colloidal Oatmeal (Avena Sativa) Improves Skin Barrier Through Multi-Therapy Activity. J Drugs Dermatol. 2016;15(6):684-90. PubMed PMID: 27272074
  10. Liu-Walsh F, Tierney NK, Hauschild J, Rush AK, Masucci J, Leo GC, Capone KA. Prebiotic Colloidal Oat Supports the Growth of Cutaneous Commensal Bacteria Including S. epidermidis and Enhances the Production of Lactic Acid. Clin Cosmet Investig Dermatol. 2021;14:73-82. PubMed PMID: 33500646
  11. Capone K, Kirchner F, Klein SL, Tierney NK. Effects of Colloidal Oatmeal Topical Atopic Dermatitis Cream on Skin Microbiome and Skin Barrier Properties. J Drugs Dermatol. 2020;19(5):524-531. PubMed PMID: 32484623
  12. Kim SJ, Jung CW, Anh NH, Kim SW, Park S, Kwon SW, Lee SJ. Effects of Oats (Avena sativa L.) on Inflammation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Front Nutr. 2021;8:722866. PubMed PMID: 34513905
  13. Hebert AA, Rippke F, Weber TM, Nicol NH. Efficacy of Nonprescription Moisturizers for Atopic Dermatitis: An Updated Review of Clinical Evidence. Am J Clin Dermatol. 2020;21(5):641-655. PubMed PMID: 32524381
  14. Lisante TA, Nunez C, Zhang P, Mathes BM. A 1% Colloidal Oatmeal Cream Alone is Effective in Reducing Symptoms of Mild to Moderate Atopic Dermatitis: Results from Two Clinical Studies. J Drugs Dermatol. 2017;16(7):671-676. PubMed PMID: 28697218
  15. Kosmoski G, Friscia D, Mack MC, Brooks LM, Cobb CW, Draelos ZD. 1% Colloidal Oatmeal Cream/Baby Wash Regimen Improved Atopic Dermatitis in Pediatric Patients From First Use. J Drugs Dermatol. 2025;24(10):979-987. PubMed PMID: 41037526
  16. Mack MC, John G, Friscia D, Perna C, Bion D, Ailsworth M, Peddy K, Tierney NK. A colloidal oat-containing baby wash is gentle and effective for atopic-prone skin. Int J Cosmet Sci. 2026;48(1):30-39. PubMed PMID: 40709409
  17. Lisante TA, Nuñez C, Zhang P. Efficacy and safety of an over-the-counter 1% colloidal oatmeal cream in the management of mild to moderate atopic dermatitis in children: a double-blind, randomized, active-controlled study. J Dermatolog Treat. 2017;28(7):659-667. PubMed PMID: 28366039
  18. Lisante TA, Kizoulis M, Nuñez C, Hartman CL. A 1% colloidal oatmeal OTC cream is clinically effective for the management of mild to moderate atopic dermatitis in Black or African American children. J Dermatolog Treat. 2023;34(1):2241587. PubMed PMID: 37592879
  19. van Zuuren EJ, Fedorowicz Z, Christensen R, Lavrijsen A, Arents BWM. Emollients and moisturisers for eczema. Cochrane Database Syst Rev. 2017;2(2):CD012119. PubMed PMID: 28166390
  20. Fowler JF, Nebus J, Wallo W, Eichenfield LF. Colloidal oatmeal formulations as adjunct treatments in atopic dermatitis. J Drugs Dermatol. 2012;11(7):804-7. PubMed PMID: 22777219
  21. Grimalt R, Mengeaud V, Cambazard F; Study Investigators' Group. The steroid-sparing effect of an emollient therapy in infants with atopic dermatitis: a randomized controlled study. Dermatology. 2007;214(1):61-7. PubMed PMID: 17191050
  22. Mengeaud V, Phulpin C, Bacquey A, Boralevi F, Schmitt AM, Taieb A. An innovative oat-based sterile emollient cream in the maintenance therapy of childhood atopic dermatitis. Pediatr Dermatol. 2015;32(2):208-15. PubMed PMID: 25529232
  23. Sobhan M, Hojati M, Vafaie SY, Ahmadimoghaddam D, Mohammadi Y, Mehrpooya M. The Efficacy of Colloidal Oatmeal Cream 1% as Add-on Therapy in the Management of Chronic Irritant Hand Eczema: A Double-Blind Study. Clin Cosmet Investig Dermatol. 2020;13:241-251. PubMed PMID: 32273745
  24. Cerio R, Dohil M, Jeanine D, Magina S, Mahé E, Stratigos AJ. Mechanism of action and clinical benefits of colloidal oatmeal for dermatologic practice. J Drugs Dermatol. 2010;9(9):1116-20. PubMed PMID: 20865844
  25. Harcharik S, Emer J. Steroid-sparing properties of emollients in dermatology. Skin Therapy Lett. 2014;19(1):5-10. PubMed PMID: 24570291
  26. Lax SJ, Van Vogt E, Candy B, Steele L, Reynolds C, Stuart B, Parker R, Axon E, Roberts A, Doyle M, Chu DK, Futamura M, Santer M, Williams HC, Cro S, Drucker AM, Boyle RJ. Topical anti-inflammatory treatments for eczema: network meta-analysis. Cochrane Database Syst Rev. 2024;8(8):CD015064. PubMed PMID: 39105474
  27. Kalaaji AN, Wallo W. A randomized controlled clinical study to evaluate the effectiveness of an active moisturizing lotion with colloidal oatmeal skin protectant versus its vehicle for the relief of xerosis. J Drugs Dermatol. 2014;13(10):1265-8. PubMed PMID: 25607563
  28. Theunis J, Chaussade H, Bourgeois O, Mengeaud V. Efficacy of a [named plantlet] Oat Extract-based emollient on chronic pruritus in elderly French outpatients. J Eur Acad Dermatol Venereol. 2017;31 Suppl 1:1-7. PubMed PMID: 28120350
  29. Gunt HB, Levy SB, Lutrario CA. Clinical Improvements in Very Dry Skin from a Natural Ingredient-Based Moisturizing Cream Compared With a Leading Colloidal Oatmeal Control. J Drugs Dermatol. 2018;17(7):758-764. PubMed PMID: 30005098
  30. Dhurat R, Sharma A, Surve R, McCoy J, Kovacevic M, Goren A, Tan Y, Zou Y, Goldust M, Situm M, Stanimirovic A. Novel yeast extract is superior to colloidal oatmeal in providing rapid itch relief. J Cosmet Dermatol. 2021;20(1):207-209. PubMed PMID: 32359021
  31. Vié K, Cours-Darne S, Vienne MP, Boyer F, Fabre B, Dupuy P. Modulating effects of oatmeal extracts in the sodium lauryl sulfate skin irritancy model. Skin Pharmacol Appl Skin Physiol. 2002;15(2):120-4. PubMed PMID: 11867969
  32. Ke YT, Kuo CC. Effects of Colloidal Oatmeal Lotion on Symptoms of Dermatologic Toxicities Induced by Epidermal Growth Factor Receptor Inhibitors. Adv Skin Wound Care. 2017;30(1):27-34. PubMed PMID: 27984271
  33. Talsania N, Loffeld A, Orpin SD. Colloidal oatmeal lotion is an effective treatment for pruritus caused by erlotinib. Clin Exp Dermatol. 2008;33(1):108. PubMed PMID: 18021275
  34. Boussault P, Léauté-Labrèze C, Saubusse E, Maurice-Tison S, Perromat M, Roul S, Sarrat A, Taïeb A, Boralevi F. Oat sensitization in children with atopic dermatitis: prevalence, risks and associated factors. Allergy. 2007;62(11):1251-6. PubMed PMID: 17919139
  35. Goujon-Henry C, Hennino A, Nicolas JF. Do we have to recommend not using oat-containing emollients in children with atopic dermatitis? Allergy. 2008;63(6):781-2. PubMed PMID: 18445193
  36. Goujon C, Jean-Decoster C, Dahel K, Bottigioli D, Lahbari F, Nicolas JF, Schmitt AM. Tolerance of oat-based topical products in cereal-sensitized adults with atopic dermatitis. Dermatology. 2009;218(4):327-33. PubMed PMID: 19223682
  37. Criquet M, Roure R, Dayan L, Nollent V, Bertin C. Safety and efficacy of personal care products containing colloidal oatmeal. Clin Cosmet Investig Dermatol. 2012;5:183-93. PubMed PMID: 23204849
  38. Fowler JF, Ma L, Bergman J, Horowitz P, Lavender T, Eichenfield LF, Draelos Z, Danby SG, Cork MJ. Is colloidal oat an effective emollient ingredient for the prevention and treatment of atopic dermatitis in infants? J Dermatolog Treat. 2025;36(1):2487945. PubMed PMID: 40256827
  39. Radhakrishna N, Prickett S, Phan T, Rolland JM, Puy R, O'Hehir RE. Anaphylaxis to oats after cutaneous sensitization by oatmeal in skin products used for the treatment of atopic dermatitis. J Allergy Clin Immunol Pract. 2016;4(1):152-3. PubMed PMID: 26282159
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PubMed Topic Searches

  1. Colloidal oatmeal and atopic dermatitis
  2. Colloidal oatmeal, dry skin and itch
  3. Oat sensitization in children with atopic dermatitis
  4. Avenanthramides and skin

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Connections

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