I bought this sometime around spring last year for a problem I have with patches of itchy skin, a bit like eczema, but not exactly. I found it quite effective and particularly helpful because it didn’t need refrigeration. The smell is a bit off putting but since I used it at night, which is when I get the most problem, it served its purpose. I don’t have to use it that often and it doesn’t work as well as a steroid cream I get from the doctor, which does need refrigeration. Therefore I depend on medcare when on holiday or away from refrigeration.