A mild germ-killing molecule the body's own immune cells make, now sold as a gentle skin spray, eyelid rinse, and wound cleanser. Strongest evidence supports cleaning wounds and reducing eyelid inflammation; benefit for eczema is mixed and everyday skincare less proven. Low-risk, with mostly temporary stinging or irritation and no meaningful drug interactions. (Full Review)
| Marker | Target | Why |
|---|---|---|
| HbA1c | < 5.7% | Poor glucose control slows wound healing and raises infection risk in diabetic foot ulcers. |
| CRP | < 1.0 mg/L | Tracks systemic inflammatory or infectious response when a wound is not improving despite irrigation. |
| Wound swab / culture | No pathogenic growth or declining bioburden | Confirms whether bacterial load is falling and guides whether systemic antibiotics are needed. |
Cadence: Wound care: reassess at each dressing change, commonly every few days initially then weekly. Self-directed skin/eyelid use: assess tolerability within 24 hours (patch test) and symptom response over the first 1–2 weeks.