DIY: “Magic Butt Cream”

Two weeks ago my little guy came down with a horrible diaper rash. This diaper rash caused him great pain with every diaper change. :(

(Please note- I am all about treating things natural as possible first.) I tried switching to cloth diapers, using coconut oil, beeswax, and even natural over the counter diaper rash cream. After 10+ days of nothing healing him I decided to go the medical route and try the “Magic Butt Cream”* recipe.

Now, I don’t believe in magic but I’ll call it what this cream is known by in the West Michigan community. 😉 (Prescribed by many pediatricians and doctors to cure and help heal sore bums!)

“Magic” Butt Cream* Recipe

1  tube of Clotrimazole Cream USP, 1% – (antifungal)

1 tube of A&D Ointment

1 tube of Desitin Creamy with 40% zinc oxide

½ cup of  liquid Maalox (you may want to start out with a 1/4 cup and add more if desired.  With a full 1/2 cups the cream may be more runnier than typical “Magic Butt Cream”)


Mix together. Store in airtight container.

This is by no means a “frugal recipe”. You’ll spend anywhere from $15-$25 with all the ingredients added up. But if you are desperate for some “baby bum healing”, it ‘s worth every penny. :)

Why these ingredients:

The Clotrimazole- fights any yeast infection that your baby’s rash might be caused by. (My son did have a yeast infection rash)

The A&D Ointment- is the protective barrier on your baby’s bum.

The zinc oxide- is another skin protectant. Works by forming a barrier on the skin to protect it from moisture.

The Maalox- Eases the pain caused by the rash and acids from bowel movements.

*When you obtain a medical prescription for “Magic Butt cream” they will use equal parts Nystatin/Desitin/Maalox. Nystatin is an anti-fungal topical drug, which can only be prescribed by a doctor.

Please consult your doctor prior to placing any of these ingredients on your baby’s skin.

(recipe credit)

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  1. 1

    My doctor prescribed this very same recipe to me when my son was a week old, suffering from a horrible diaper rash from an allergic reaction to butt wipes. I cannot praise this remedy enough! It truly is a “magic butt cream”! After 2 days, his diaper rash was COMPLETELY gone! It is a bit pricey but using alittle of this goes a long way! I tell everyone who has a small child or baby about this cream. Worth every dime spent!! :)

  2. 2

    I just wanted to say, this may be ‘expensive’, but recently medicaid stopped covering magic butt cream, so a tiny bottle of it at the pharmacy would be $30 or more. With this recipe I’m guessing you’ll get 4 or 5 times as much as that little container from the pharmacy. Once I couldn’t afford it at the pharmacy I wasn’t sure what I was going to do when my boy has a really bad rash again (which happens once a month or so because he eats a lot of acidic foods), but now I will just make it my self!! Awesome!!

    • 3
      SavingAddiction says:

      This recipe does make a ton! About 5x the amount in the prescription bottle.

      • 4

        Ok so what size tubes! They come in different sizes or does it not matter? My son has bad diaper rash and the pharmacist told me to mix equal parts of hydrocortisone, the antifungal, and 40% zinc oxide diaper cream. Im trying to figure out a “Plan B” if this doesn’t cure it

  3. 5

    I noticed at the bottom it says doctors add in Nystatin…which one of these ingredients ‘replace’ that, and will this recipe work just as well without the Nystatin?

  4. 7

    When my kids have the ‘nasty’ diaper rash, we are big fans of the Magic Butt Cream. A Little goes a long way, but the price you pay for the prescription is probably $15-$20 or more (I haven’t bought it in a while). You only get a very small bottle of the cream too. This appears that it will make about 4x the amount as a prescription. I will be saving this recipe for future use!! Thanks for sharing!!

  5. 8

    Wouldn’t happen to know how to make the magic nipple cream one, would you?

    • 9
      SavingAddiction says:

      No I don’t. But next week I will be sharing my beeswax/coconut salve which is great for dry hands, chapped lips, nipples and more! :)

  6. 10

    could u make these handy thing emailable plz or tell me how to do it thx

  7. 11

    My doctor recommended jock itch cream. Sounds weird but worked like a charm.

  8. 12

    Would it work with all store-brand products? That would certainly be cheaper !

  9. 14

    I have used this for my two children since they were babies. I always try to have these ingredients on hand. It works amazingly.

    You can also try adding 1/4c-1cup of baking soda to their bath water (no soap), depending on if it is a large tub or baby tub, to help the Ph level in their skin (I think this is right). Then take milk of magnesia and spread it on their bottom after they are out of the water and all dry (the milk of magnesia helps break down the acid that is coming out in their stools and helps it not to hurt so badly). Dry the magnesia on by using a hair dryer on the cool setting and then smear a thick layer of A&D ointment over all of it. I do this at least once a day with bad diaper rashes and use the magic butt cream the rest of the time. One other thing, STOP using wipes when they have a diaper rash. It makes it worse and hurts their poor little bottoms. Use wet paper towels or a wet wash cloth or better yet, splash water on their bottoms till it is clean. These were the instructions I got from my doctors office on several occasions.

  10. 15

    any idea if this is safe to use with cloth diapers with a liner?

  11. 16

    When my son was a baby, we actually used just straight maloox. Take a cotton ball, put some on there, dab it on. Follow up with Bourdoux’s butt paste and *poof* diaper rash (even the kind that blistered) GONE within a day!
    We did exactly as Amanda stated- stopped using wipes and usually washed with a damp washcloth.

  12. 17

    Just wanted to say…if you need clortrimazole for this recipe, get it at Walmart! Walmart has tubes of clortrimazole 1% for 88 cents.

  13. 18

    I am sure to be going to a baby shower soon. I think I will right this receipe down and purchase all the ingrediants for it. What a wonderful gift.

  14. 19

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  15. 20

    Our pediatrician gave us the same recipe only we had to add neosporin as well 😀 Worked like a charm and we tried “everything” else and it hadn’t worked. It wasn’t overnight but it did work after a day or two. She had the worst diaper rash I have ever seen out of all 3 of our kids!

  16. 21
    michelle porreca says:

    I actually use this recipe on my pug who is prone to allergies and it works fabulous with her!

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  23. 28

    You say use a tube, but what size tube of A&D and Desitin is called for? They make tubes in 2, 4 oz??

  24. 29

    Having made this stuff myself so many times in the pharmacy as a technician…
    They actually use cholestiramine powder not nystatin either way.

    But I’m so glad too find this alternative!!
    Seeing that my baby is on day 3 of antibiotics and his butt is horribly red!!

    Thank you!!! :-)


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