Hard to squeeze out of the tube, but it sure does the job of protecting from moisture and is very soothing. I have used it for years. My husband happened to have spent a few days in the hospital and they provided him with the very same cream - a good recommendation. It is particularly good for anyone suffering from diarrhea or even those preparing for a colonoscopy. This spray works great for our stubborn toddler who is very anti-potty. The spray has not only helped clear up a variety of "diaper rash" skin irritations (some severe), but has also helped prevent new irritations. By cleaning the bacteria off completely with the spray on a wet wipe it prevents current rashes from becoming infected, as well as new rashes from forming. It also moisturizes the irritated skin and heals the raw, dehydrated, painful rashes.