Best and Worst Cleansers for Sensitive Skin, Eczema & TSW

|Ren Karen Fischer

Each time you shave or cleanse your skin, you may be silently damaging your skin barrier and biome. Skincare companies often put profits before skin barriers—and it could be contributing to the sensitive skin epidemic we see today. 

In less than three minutes, this guide will teach you exactly how to read a cleanser label like a specialist, expose the hidden irritants lurking in popular brands and find what it takes to cleanse your skin safely, without irritation (it’s really easy). And if your favourite cleanser is not reviewed in this post, drop the brand and product name in the comments below and we will review it. 

It's important to "look behind the label" because if you have sensitive skin, eczema, rosacea, psoriasis, hives, dermatitis or TSW, what you put on your skin matters a lot. The wrong product could hamper moisturising lipids and reduce collagen and ceramide production, leading to prematurely aged skin and even skin inflammation that won’t budge. 

In this scientific blog we cover:

  • How to Read a Cleanser Label in 10 Seconds

  • The Gentle Cleanser Comparison Chart — how does your favourite cleanser stack up?

  • Essential Cleanser Tips For Glowing Skin

Let's dive right in.

As a published researcher and health practitioner (with very sensitive skin), I have spent more than 20 years treating the most severe cases of chronic eczema and dermatitis, from babies, to adults with 50+ years of suffering. Two decades in clinical practice has taught me that skin inflammation has many triggers like stress and incorrect diet, but the most common trigger is a poor wash routine. That’s because your skin cannot heal if your wash products are constantly destroying your skin barrier and microbiome. 

The Hidden Danger of Food Ingredients (According to Monash University)

Many 'sensitive skin' and natural brands pack their formulas with food ingredients like oats, goat's milk, coconut oil or almond oils under the guise of “eat your skincare”, however this myth could actually put some people in danger of anaphylaxis, especially if you have eczema or dermatitis. 

Clinical research from Monash University (Australia) confirms a dangerous biological mechanism: rubbing food ingredients into broken skin on a frequent basis can lead to the development of a severe allergic reaction the next time you eat that food (Anantharajah, 2021; Monash University, 2015; De Luca, 2022)

So if you have broken skin like eczema, dermatitis, psoriasis, hives, rosacea or TSW, avoid repeatedly using cleansers and skincare products containing almond oil, coconut oil, oats, wheat and milk, including goat's milk. This might just save you or your child from a potentially life-threatening allergy in the future.

How to Read a Cleanser Label in 10 Seconds

Look for words like "gentle" and "sensitive skin" on the front, then flip to the back and read the actual ingredients.  

Most people look at the front of a bottle to see if a product is safe. As a researcher, I also look at the back. Even organic brands who say their products are ‘100% natural and organic’ have synthetic ingredients like cocamidopropyl betaine and hyaluronic acid listed on the back. 

Is it independently certified or are they potentially greenwashing?

Is it independently certified clean beauty (e.g. by CertClean) or are their natural and organic claims verified with certification? If not, they might be greenwashing you into believing their product is gentle, safe and natural or organic, when it's not (see the table below for real examples). 

To protect your skin barrier, you only need to look for two things on an ingredient list:

1.Is it free of suspect ingredients? 

  • The Specialist Rule: If you see Betaine, Sulfate or Paraben anywhere on the bottle, put it back on the shelf. Your compromised skin cannot risk more barrier damage.
  • Allergy Rule: If you see Oats, Milk, Coconut, or Nuts (like Almond Oil) anywhere on the bottle, put it back on the shelf. This might just save you or your child from a potentially life-threatening allergy in the future.

2.Is the pH biome and barrier friendly - ie below 5.0? 

This is incredibly important so take note: Healthy skin functions properly when its surface pH is below 5.0 (Lambers, 2006). In contrast, eczema-prone skin typically has a pH between 5.5 and 6.5, coincidentally it's the same skin pH range as older people, who typically have dry and fragile skin (Rippke, 2004).

We have known this fact for many years, yet skincare companies and cosmetic chemists are still saying "pH balanced" is pH 5.5-6.0, when this pH actually signals damaged and aged skin. And your skincare could be silently damaging your skin as a result.


To expose how common retail options stack up, use this grading chart to see how many trusted brands convey ‘gentle’ or ‘natural’ on the front of the pack, but the ingredient label on the back tells a different story. Many claim to be ‘suitable for dry, itchy or sensitive skin’ but are they really?

Note I have contacted these brands regarding the pH of their products and I'm waiting for a reply. 


The Cleanser Comparison Chart

Brand & Product Name Natural/Synthetic & Key Problematic Ingredients Potential Health Impacts & Rating (Best/Risky/Worst)

Avene 

Tolerance Extremely Gentle Cleanser

Avene Cleansing Foam

Synthetic

⚠️ Sodium Cetearyl Sulfate

⚠️ Sodium Hydroxide*

⚠️ Fragrance

⚠️ pH unknown

Sodium Cetearyl Sulfate is a synthetic sulfate surfactant that strips skin of its natural oils, and may trigger rare but severe allergic contact dermatitis. 

Fragrance can trigger contact dermatitis (Heydorn, 2003).

*High alkaline pH adjusters are unsuitable for sensitive skin.

Verdict: High Risk


DermaVeen 

Soap-Free Cleansing Bar

Soap Free Wash

Partly Synthetic

⚠️ Disodium Lauryl Sulfosuccinate

⚠️ Coco Betaine

⚠️ Avena Sativa (Colloidal Oatmeal) Flour

⚠️ Cocamidopropyl Betaine (CAPB)

⚠️ pH unknown

Sensitisation Risk: synthetic betaine and sulfosuccinate surfactants may damage the skin barrier. 

Introducing raw food proteins (oats) directly onto broken skin risks future oat allergy development: A study involving 302 children with eczema reported 32% of oat skincare users showed oat sensitisation on atopy patch testing compared with 0% of non-users (Boussault, 2007)

pH is unknown so it may be above 5.0, which may hamper ceramide and collagen production in skin.

Verdict: Risky

Dr. Bronner’s

Pure Castile Soap

Organic Sugar Soap

🌱 Natural (% unknown)

⚠️ pH 8.7-9.9 (highly alkaline)

⚠️ Coconut oil (allergen)

⚠️ Olive oil (can damage skin barrier)

⚠️ Essential oils (can damage skin barrier)

The highly alkaline pH can damage the skin barrier and cause the microbiome to dislodge - this pH is not skin friendly or suitable for sensitive skin or eczema-prone skin.

Olive oil and essential oils can damage the skin barrier when applied topically (olive oil is fine to eat) (Danby, 2013; Trattner, 2008; De Groot, 2016).

Coconut oil should not be applied to open wounds like eczema due to future allergy risk. Coconut allergy is more common in users of skincare containing coconut oil than non-users (Kruse et al. 2021)

Verdict: Very High Risk ❌

Ego 

QV Face Gentle Cleanser

Baby Gentle Wash

QV Ceramides Cleanser

QV Gentle Wash

QV Intensive Moisturising Wash

Synthetic

⚠️ Sodium Laureth Sulfate (SLES)

⚠️ Lauryl Betaine 

⚠️ Guar Hydroxypropyltrimonium Chloride*

⚠️ Methylparaben & Propylparaben

⚠️ pH unknown (label says “pH balanced” so may be pH 5.5 which is too high)

QV Gentle Wash feels more like a moisturiser than a cleanser and people complain about this online

Contains synthetic betaines that can irritate the skin barrier. 

Parabens are hormone-disrupting synthetic preservatives found in many of their wash products. Research shows parabens may be cytotoxic, mess with estrogen levels and influence cancer cells and cortisol levels; there is elevated skin cell death when skin is exposed to sunlight after paraben exposure (Nowak et al. 2018).

Severe Strip Risk: SLES is a synthetic, high-stripping sulfate surfactant that can disrupt the skin barrier. 

*This guar derivative is an uncommon allergen that may increase itch and hair loss. 

Verdict: Worst

Goat Soap 

Goat Soap (Traditional Bar)

Goat Body Wash with Manuka Honey

Partly Synthetic

⚠️ Sodium Palmate / Cocoate (highly alkaline, stripping/drying on skin)

⚠️ Parfum (fragrance)

⚠️ Goats Milk Powder & Sweet Almond Oil

⚠️ Cocamidopropyl Betaine (CAPB) 

High Flare Risk: Highly alkaline surfactant (pH 9.0–10.0), which damages the skin barrier and microbiome. 

Fragrance can trigger contact dermatitis (Heydorn, 2003).

Introduces milk proteins and nut allergens into broken skin, risking future severe allergic reactions when the food is next eaten (Anantharajah, 2021; Monash University, 2015).

CAPB was voted Allergen of the Year in 2004 as there are a high number of allergic reaction reports. 

Verdict: Worst

Itchy Baby Co

Natural Shampoo & Body Wash

Partly synthetic (not as natural as the label claims)

⚠️ Cocamidopropyl Betaine (CAPB) 

⚠️Coconut Oil (allergen)

⚠️ pH unknown

CAPB is chemically modified and was voted Allergen of the Year in 2004, so this ingredient is risky on sensitive skin. 

It introduces coconut oil directly onto babies with eczema, risking future coconut allergy development when the food is later eaten.

Greenwashing: Claims it is natural with ‘naturally sourced ingredients’ even though 8 of 14 ingredients are synthetic and/or chemically modified. 

Verdict: High risk

MooGoo 

Milk Wash

Natural Ultra Gentle Cleanser* 

Baby 2 in 1 Bubbly Wash

Partly Synthetic (not as natural as the label claims)

⚠️ Cocamidopropyl Betaine (CAPB) (synthetic, may have impurities left behind during manufacturing)

⚠️ Piroctone Olamine (synthetic preservative)

⚠️ Fragrance (unknown)

⚠️ Almond oil (nut oil)

⚠️ Hydrolysed Milk Protein (common allergen linked to eczema)

⚠️ Guar Hydroxypropyltrimonium Chloride (allergen - may make scalp itchy)

⚠️ pH unknown

While marketed as natural it contains many synthetically-altered ingredients. *Of the 12 ingredients in their natural cleanser, 8 are partially or fully synthetic. 

CAPB - The American Contact Dermatitis Society named it Allergen of the Year in 2004.

Piroctone Olamine is a synthetic antifungal preservative that can irritate skin.

Repeated topical use of nut oils and milk proteins on broken skin may increase the chance of developing a severe allergy to those foods when later eaten (Allergy & Anaphylaxis Australia).

Contains unnamed synthetic fragrance that may be a hormone disruptor or irritate skin. A review of 39 studies reported a link between fragrance allergy and eczema (Heydorn et al., 2003).

Verdict: Very High Risk

SKIN FRIEND 

Natural Gentle Cleanser

Natural (100%, confirmed by biome specialist)

No problematic ingredients

🌱 Barrier Restoring: Skin-friendly low pH of 4.5, mirroring the pH of healthy skin (pH is clearly stated on the website and label).

🌱 Contains soapberry, an ancient Ayurvedic cleansing berry and natural soap alternative that replaces chemical foaming agents like CABP and sulfates. 

🌱 No food proteins, fragrance, essential oils, sulfates or parabens.

🌱 Tested for 6 months on people with eczema and TSW (very sensitive skin) before being sold to the public.

Verdict: Best 🌟

Find the Natural Gentle Cleanser at Skin Friend here





 

What Makes A Truly Great Cleanser?

1.The pH is crucial to healthy skin

Look for the pH. Is it below 5.0?

Note that water-free (or low water) products don't have a pH reading as it requires water to measure. For all other products, pH is incredibly important and it should be under 5.0, ideally around 4.5 as this supports the microbiome and barrier (see diagram below). 

In contrast, eczema-prone skin and damaged skin has a pH above 5.5. Tap water and poorly formulated cleansers and skincare can adversely affect your skin's pH and this may prevent skin inflammation from healing (see diagram, below). 

When your skin barrier pH is below 5.0 your skin naturally produces its own ceramides and collagen, but this process declines when your skin pH rides above 5.0. Research hows using low pH skincare (lower than pH balanced) can restore the skin's pH to within a healthy range and this increases collagen and ceramide production naturally (Narda, 2025; Blaak, 2011). 

Skincare companies would have you believe that using a ceramide cream is all you need, but if you are damaging your skin barrier with alkaline skincare, a ceramide cream won't help. Low pH skincare is the secret to creating healthier skin.


2.Soapberry Peel Extract

This is one of the best cleanser ingredients. It is also called soapnut but it's not a nut, it's a berry that has been used for thousands of years in traditional cultures like India, Nepal and China. It cleansed skin perfectly long before artificial soaps and cleansers were invented. However, many soapberry powders are dark brown, poorly refined and harsh when used on their own and these are not the soapberry I'm talking about here. 

Soapberry peel extract is from the fresh plant and it is a pale yellow colour, not the brown soapberry you will find online. Soapberry peel extract is smooth and gentle on sensitive skin, especially when teamed with cleansing oils like castor oil, camellia oil and apricot oil, which is the combination used in Natural Gentle Cleanser.

Finding a cleanser for sensitive skin should not be difficult, but it often is. If you are looking for a low pH cleanser that is actually suitable for sensitive skin, visit Skin Friend

References

Oscoz-Jaime S, et al. Allergic contact dermatitis caused by sodium cetearyl sulfate. Contact Dermatitis. 2018 Jun;78(6):426-427. doi: 10.1111/cod.12968. Epub 2018 Feb 21. PMID: 29464717.

Anantharajah A, Randall KL. Goat's milk allergy in a family following household sensitization to goat's milk soap. Asia Pac Allergy. 2021 Apr 20;11(2):e13. doi: 10.5415/apallergy.2021.11.e13. PMID: 34007823; PMCID: PMC8103011.

Nowak K, et al. Parabens and their effects on the endocrine system. Mol Cell Endocrinol. 2018 Oct 15;474:238-251. doi: 10.1016/j.mce.2018.03.014. Epub 2018 Mar 27. PMID: 29596967.

De Luca JF, et al. Goat milk skin products may cause the development of goat milk allergy. Clin Exp Allergy. 2022 May;52(5):706-710. doi: 10.1111/cea.14133. Epub 2022 Apr 6. PMID: 35384104.

Kruse L, et al. Coconut allergy: characteristics of reactions and diagnostic predictors in a pediatric tertiary care center. Ann Allergy Asthma Immunol. 2021;126(5):562–568.

U.S. Food and Drug Administration. Allergens in cosmetics. FDA.gov, U.S. Department of Health and Human Services. Retrieved 27 April 2026 from: https://www.fda.gov/cosmetics/cosmetic-ingredients/allergens-cosmetics.

De Groot AC, Schmidt E. Essential oils, part I: introduction. Dermatitis. 2016;27(2):39–42.

Trattner A, et al. Occupational contact dermatitis due to essential oils. Contact Dermatitis. 2008;58(5):282–284.

Heydorn S, et al. Fragrance allergy and hand eczema — a review. Contact Dermatitis. 2003;48(2):59–66.

Monash University. Food in skincare products linked to development of allergies. Monash University News, 18 September 2015. Retrieved 27 April 2026 from: https://www.monash.edu/news/articles/food-in-skincare-products-linked-to-development-of-allergies.

Allergy and Anaphylaxis Australia. Development of food allergy through food-based skincare products. 16 August 2024. Retrieved 27 April 2026 from: https://allergyfacts.org.au/development-of-food-allergy-through-food-based-skincare-products/

Boussault P, et al. Oat sensitization in children with atopic dermatitis: prevalence, risks and associated factors. Allergy. 2007;62(11).

Danby SG, et al. Effect of olive and sunflower seed oil on the adult skin barrier: implications for neonatal skin care. Pediatr Dermatol. 2013.

Christensen MO, et al. Prevalence of and association between atopic dermatitis and food sensitivity, food allergy and challenge-proven food allergy: A systematic review and meta-analysis. J Eur Acad Dermatol Venereol. 2023 May;37(5):984-1003. 

Narda M, et al. Glycolic acid adjusted to pH 4 stimulates collagen production and epidermal renewal. J Cosmet Dermatol. 2021. Brooks SG, et al. The skin acid mantle: an update on skin pH. J Invest Dermatol. 2025.

Blaak J, et al. Treatment of aged skin with a pH 4 skin care product normalises increased skin surface pH and improves barrier function. J Cosmet Dermatol Sci Appl. 2011.

1 comment

Hi

Can you help review these cleansers if they are safe to use for ezcema skin:

Dr TWL milk cleanser:https://drtwlderma.com/product/le-laittm-milk-cleanser/#toggle-id-7
Dr TWL honey cleanser: https://drtwlderma.com/product/miel-honeytm-cleanser/
Dr Hauska cleanser: https://drtwlderma.com/product/miel-honeytm-cleanser/
Ceradan wash: https://sg.ceradan.com/en/ceradan-moisturising-wash

Thanks
Ros

Rosalind

Leave a comment

The Eczema Toolkit

the holistic way to clear skin

The Eczema Detox is Karen Fischer's latest best-selling eczema manual designed to help you find relief. Through her work she found some patients needed a special program to identify personal triggers, so the FID Program was created. The Eczema Clear Skin Toolkit combines gut health and nutrition with soothing, barrier repair skincare and supplements to calm the itch and support skin repair, the immune system and more. If you’ve tried everything and nothing has worked, this is the skin calming toolkit you've been praying for.

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Eczema Friend

the itch buster  |  rash cream

The low pH eczema cream that helps to relieve itchy skin, red skin rash and mild eczema and dermatitis. Suitable for all types of rashes. It's the cream you'll wish you had tried first.

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Frequently asked questions

Does food allergy trigger eczema?

Food allergy and eczema are closely linked, and allergies can absolutely make eczema worse, but they're often not what starts it in the first place. In fact, research suggests the reverse may be more accurate: eczema itself may come first and increase the risk of developing food allergies, rather than the other way around (Tsakok et al. 2016). One study found that babies with eczema were up to six times more likely to become
sensitised to foods compared to those without eczema. In children with established eczema, up to 66% showed food sensitisation, with confirmed food allergy in up to 81% of cases (Tsakok et al. 2016).

If you or your child has a diagnosed food allergy, those foods should be avoided for now. For additional guidance, the Food Intolerance Diagnosis (FID) Program in The Eczema Detox book can help identify food intolerances that do not show up in allergy tests (see next FAQ).

Do food allergy tests help eczema?

Skin prick tests and other food allergy tests including blood tests and patch tests can be unreliable on their own, so an oral food
challenge (supervised by an allergy specialist if you are prone to anaphylaxis), is the most accurate way to confirm whether you or your child is reacting to a particular food. For additional guidance, the FID Program in The Eczema Detox book can help you to identify your personal triggers.

About the authors

Ren Karen Fischer is a nutritionist, mother of two, and award-winning author of seven books, including the bestsellers The Eczema Diet and The Eczema Detox. Fischer is also a peer-reviewed published researcher, and is currently undertaking eczema research as part of a Master's by Research at Bond University. Combining clinical research with real-world experience, she is dedicated to advancing evidence-based care for eczema.

Nutritionist Bonnie Taylor holds a Bachelor of Health Science degree and helps people with eczema identify their individual triggers through the FID Program. Taylor has worked alongside Fischer for many years and offers nutrition consultations by appointment.