This topic is about dealing with skin irritation caused by the tape or adhesive border of Hollister Moderma ostomy bags. Jane has been experiencing a painful rash in this area for two months, making it difficult for her pouch to stay on. The skin around her stoma is fine, but the irritation is specifically under the tape border. Here are some helpful tips and advice to address this issue:

1. Identify and remove the irritant:
- Some people are allergic to the tape-border wafers from Hollister. Consider requesting samples without a tape border or trying other brands like Coloplast, Convatec, or Nu-Hope.
- Change one product at a time, such as the bag, barrier film, or adhesive remover, to find out what might be causing the reaction. Note that Cavilon spray might be the irritant for some users.

2. Try alternative wafers, barriers, and rings:
- Use Hollister Moldable Barrier Ring or HolliHesive Sheet #7700 as a buffer between the skin and wafer.
- Consider Convatec's large 4-inch Cohesive Seal or solid wafer without tape.
- Use a Nu Hope belt-held O-ring barrier temporarily while the skin heals.
- Duoderm Extra Thin pads can help heal and prevent leaks by framing the stoma.
- Coloplast Prep Protective Skin Barrier and Brava adhesive strips might be useful.
- Warm Karaya or other rings with a hair-dryer for a better fit; Hollister 88400 is noted for easy cut-to-fit adhesion.

3. Use films, wipes, and protective coatings:
- Apply Skin Prep (non-stinging) or other protective barrier wipes over the tape zone.
- 3M Cavilon No-Sting Barrier Film might work for some, though others may react to it.
- Marathon Skin Protectant forms a fast-drying hard shell.
- Consider using Compound Tincture of Benzoin swabs, concentrated calamine lotion, or Bard Natural Care Gel as protective layers.

4. Consider medicated treatments for acute dermatitis:
- Prescription steroids like Betamethasone foam or Desoximetasone gel can be applied, allowed to dry, and then the pouch can be put on without barrier spray.
- Desitin Extra Strength or a Desitin + Nystatin paste can be left on for 5–30 minutes before wiping off.
- Stelara injections helped one user with eczema.
- Flonase nasal spray misted on the skin after cleaning reduced allergic reactions for one member.

5. Follow cleansing and routine tips:
- Clean the area with plain water or non-moisturizing soap like Ivory. Some use zinc shampoo, such as Head & Shoulders travel size, around the stoma with each change.
- Apply Boudreaux’s Butt Paste (maximum strength) for 5 minutes, wipe off, then add a skin barrier.
- Thoroughly dry the area using a hair-dryer through a thick wash-cloth, and warm the wafer adhesive before application. An electric heating pad can be used for 5–15 minutes after application.
- Use Uni-Solve to remove old adhesive, and apply stoma powder only if moisture can be fully sealed.
- Change appliances more frequently, such as daily or every two days, until the skin heals.

6. Explore miscellaneous aids and sourcing:
- Request free samples from Hollister, Coloplast, Convatec, Nu Hope, and others.
- Use waterproof tape to secure edges when using border-less wafers.
- Marathon is available through most ostomy-supply distributors, and Duoderm Extra Thin pads can be ordered on Amazon.