Coconut Oil (Skin)
Specifically for Eczema
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Why it works for Eczema:
Occlusive + emollient barrier support. Coconut oil helps seal in water and soften the stratum corneum, which can reduce transepidermal water loss (TEWL) and itch—key problems in atopic dermatitis (AD). Clinical work shows improved TEWL and skin capacitance when VCO is used regularly. europepmc.org
Antimicrobial action against Staphylococcus aureus. VCO is rich in lauric acid, which is converted to monolaurin, an antibacterial lipid active against S. aureus—a common eczema colonizer that can worsen flares. Reviews and lab/clinical studies support this mechanism. National Eczema Association
Anti-inflammatory effects. In vitro and clinical summaries suggest VCO has modest anti-inflammatory activity, which can help calm irritated skin as part of a broader regimen. National Eczema Association
Endorsement as a moisturizer option (not a cure). Patient-facing guidance from the National Eczema Association (NEA) says coconut oil can help with daily maintenance and flare prevention (though it’s limited for treating active, moderate–severe flares). National Eczema Association
How to use for Eczema:
Use virgin, cold-pressed coconut oil—those extraction methods avoid residual solvents and preserve beneficial lipids. National Eczema Association
Patch test first. Apply a pea-sized amount to a small area of inner arm/elbow for 24–48 h to check for irritation or allergy. (See warnings below.) National Eczema Association
“Soak & seal” routine (ideal once daily):
- Soak in a warm (not hot) bath or shower for 5–10 minutes. Pat until slightly damp.
- Apply any prescribed topicals (e.g., steroid/calcineurin inhibitor) to active eczema patches first.
- Then seal the rest of the damp skin with a thin layer of VCO. This layering maximizes hydration and comfort. Practical, stepwise “soak & seal” instructions are here. National Eczema Association
Amount & frequency. In one pediatric RCT and in evidence summaries, ~5 mL (1 teaspoon) was applied twice daily to affected skin; in real life, use just enough to leave a light sheen without greasiness. Cambridge Media Journals
Where to use. Best for body (arms, legs, trunk). Be cautious on face if acne-prone (see warnings). SELF
Fabric/wraps (optional). For tough flares under clinician guidance, you can combine with wet-wrap therapy after soaking and medicating; moisturizer/oil is applied under damp then dry layers. National Eczema Association
Scientific Evidence for Eczema:
Randomized, double-blind pediatric RCT – VCO vs mineral oil (n≈117, 8 weeks).
International Journal of Dermatology (2014): VCO led to greater SCORAD improvement and better TEWL/skin capacitance vs mineral oil in mild–moderate pediatric AD. europepmc.org
Double-blind adult trial – VCO vs virgin olive oil (colonized AD skin).
Dermatitis (2008): VCO twice daily improved dryness and reduced S. aureus colonization more effectively than virgin olive oil. Read by QxMD
Pediatric RCT summary with dose detail.
Evidence brief summarizing an RCT in children with ~5 mL applied twice daily; graded recommendation to consider VCO for mild–moderate pediatric AD. Cambridge Media Journals
Mechanistic/adjacent evidence (barrier + antimicrobial).
– Narrative/experimental review on plant oils’ anti-inflammatory and barrier effects (includes coconut oil). ScienceDirect
– Review of topical treatments in AD discussing moisturizers and adjuncts. MDPI
– Monolaurin shows activity against S. aureus, including resistant strains; synergy data and recent clinical microbiology work support plausibility (adjunctive/bench-to-bedside). BioMed Central
Related RCTs in xerosis (dry skin) showing moisturizing superiority vs mineral oil—useful because baseline xerosis is central to AD. Acta Medica Philippina
Specific Warnings for Eczema:
Allergy & contact reactions. Although uncommon, coconut allergy and contact urticaria/dermatitis can occur; derivatives like cocamidopropyl betaine (a surfactant found in many cleansers) are well-known contact allergens. Stop use if burning, swelling, or rash worsens. AAAAI
Acne-prone or folliculitis-prone skin. Coconut oil is comedogenic for some people—generally avoid on acne-prone faces. SELF
Infection/oozing lesions. Do not rely on oils alone if skin is weeping, crusted, spreading, or very painful—seek medical care; you may need prescription anti-inflammatories/antimicrobials. (General AD care guidance.) American Academy of Dermatology
During active moderate–severe flares. NEA notes coconut oil is better for maintenance and prevention; treat real flares with appropriate prescribed therapies, then use VCO to support the barrier. National Eczema Association
Product choice matters. Use virgin/cold-pressed coconut oil; avoid fragranced blends or products with added potential irritants. National Eczema Association
General Information (All Ailments)
What It Is
Coconut oil is a natural oil extracted from the kernel or meat of mature coconuts harvested from the coconut palm (Cocos nucifera). It is composed primarily of saturated fats, particularly medium-chain triglycerides (MCTs), such as lauric acid, caprylic acid, and capric acid. In skincare, coconut oil is often used in its virgin (unrefined) or cold-pressed form because these retain more antioxidants and beneficial compounds compared to refined versions.
When applied topically, coconut oil acts as an emollient — a substance that softens and soothes the skin. It is widely used in moisturizers, creams, and natural remedies for its hydrating and antimicrobial properties.
How It Works
Coconut oil benefits the skin through several mechanisms:
- Moisturization and Barrier Repair: The medium-chain fatty acids in coconut oil help to restore and reinforce the skin’s natural lipid barrier. This reduces transepidermal water loss (TEWL), keeping the skin hydrated and supple. The oil forms a light occlusive layer that locks in moisture without excessive greasiness (though this varies by skin type).
- Antimicrobial and Anti-inflammatory Properties: Lauric acid, which makes up almost half of coconut oil’s fatty acid content, has well-documented antimicrobial effects. It helps combat bacteria such as Staphylococcus aureus, which can contribute to acne and skin infections. Coconut oil also exhibits mild anti-inflammatory effects, soothing irritation and redness associated with eczema, psoriasis, or dry skin conditions.
- Antioxidant Activity: Virgin coconut oil contains antioxidants like vitamin E and polyphenols, which help neutralize free radicals that contribute to premature aging, skin dullness, and inflammation.
- Wound Healing and Skin Protection: Some studies have found that coconut oil promotes faster wound healing by enhancing collagen cross-linking and improving tissue repair. Its protective layer also shields minor cuts and abrasions from environmental exposure and pathogens.
Why It’s Important
Coconut oil’s importance in skincare lies in its versatility and natural origin:
- For Dry and Sensitive Skin: It provides deep hydration and barrier protection, particularly beneficial for individuals with eczema or xerosis (very dry skin).
- Natural Alternative: Many prefer it as a clean, non-synthetic moisturizer free from parabens, mineral oils, and synthetic fragrances.
- Supports Skin Microbiome: By keeping the skin’s microbial balance in check, coconut oil can help maintain overall skin health and resilience.
- Accessible and Affordable: It’s widely available and relatively inexpensive compared to specialized creams or oils, making it an approachable choice for basic skincare routines.
Considerations
Despite its benefits, coconut oil is not universally suitable for all skin types or conditions:
- Comedogenic Potential: Coconut oil ranks relatively high on the comedogenic scale, meaning it can clog pores in some individuals, especially those with oily or acne-prone skin. Patch testing before regular use is recommended.
- Allergic Reactions: Although rare, some people may develop contact dermatitis or irritation. Always test a small area before applying broadly.
- Refined vs. Unrefined: Refined coconut oil has fewer nutrients and may contain residues from processing. Virgin (cold-pressed) coconut oil is typically better for skin applications.
- Application Method: It’s best applied to slightly damp skin after bathing to lock in moisture. Overuse, particularly on the face, may lead to buildup or breakouts.
- Medical Skin Conditions: While coconut oil may soothe mild eczema or dryness, it should not replace prescribed treatments for chronic or severe dermatological conditions without consulting a dermatologist.
Helps with these conditions
Coconut Oil (Skin) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Eczema
Occlusive + emollient barrier support. Coconut oil helps seal in water and soften the stratum corneum, which can reduce transepidermal water loss (TEW...
Dandruff
Moisturizes and supports the skin barrier. Virgin coconut oil (VCO) reduces transepidermal water loss (TEWL) and improves hydration in randomized tria...
Diaper Rash
Moisturizing + barrier support. Virgin coconut oil (VCO) is an occlusive emollient, helping reduce transepidermal water loss and support the skin barr...
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