Poison Ivy - 5 Tips For efficient treatment

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Rashes due to poison ivy, poison oak, and poison sumac all look about the same - raised, reddened, blistering bumps in areas of exposure. All are caused by hypersensitivity to plants containing urushiol. The rash and itching begin 24 to 48 hours after exposure, worsening over the next several days. Assuming you've had a shower by the time the rash has appeared, poison ivy is not contagious. The only way to share it is if the plant oil is still on your skin and you touch another person. Blister fluid is not contagious.

Though in some cases citizen worry about their appearance, for most the itch is what drives them to seek healing care.

Here are 5 tips for quick relief.

1. Use an Otc antihistamine. Over-the-counter antihistamines are every bit as good as prescription antihistamines. The original advantage of using these is decrease in itching, though they may decrease swelling a little. The main side-effect is drowsiness with inevitable antihistamines, though this can be a advantage if the itch is holding you awake. The non-sedating antihistamines are Claritin (loratadine) and Zyrtec (cetirizine). The sedating antihistamines are Benadryl (diphenhydramine), chlorpheniramine, and doxylamine (found in sleep aids and Nyquil). If these are effective in decreasing your symptoms and the appearance of the rash is not a concern, an antihistamine may be all you require. The rash will go away on its own if you can wait it out - which normally takes 2 to 4 weeks.

2. Use an Otc topical preparation. Calamine lotion and oatmeal baths help relieve the itch but do not unmistakably decrease the rash. 1% hydrocortisone cream is effective at reducing the itch and healing the rash in mild cases. For a more severe reaction, prescription medication may be needed. Hydrocortisone decreases the body's reaction to the offending oil, production the rash appear less red and irritated. Any of these may be used in increasing to an antihistamine.

3. Call your doctor for a prescription. Your doctor may be willing to prescription you medication over the phone, or may want you to come in for an appointment to make sure your self-diagnosis is correct. prescription options comprise stronger steroid creams, steroid shots, and steroid pills. For small areas of rash, the creams are most appropriate. However, for larger areas or rash on the face (especially if the eyes are swollen shut) steroid injections or oral medications are appropriate. normally the rash begins to improve by 24 to 48 hours after initiating treatment. Don't make the mistake of stopping the rehabilitation as soon as the rash appears great - it will likely return if you quit too soon. A five day rehabilitation plan is the minimum, but often 10 to 14 days of medication is advisable.

4. Watch for secondary infection. Any open area of skin can become infected. If the area of flush is increasing, or especially if you see pus (not just clear blister fluid), see your doctor to learn if you need an antibiotic.

5. Do not use triple antibiotic ointment or Benadryl cream. When applied to the skin, both the neomycin in triple antibiotic ointment and the active ingredient in Benadryl cream (diphenhydramine) can cause a rash that looks just like poison ivy. Many a outpatient has made the question worse or confused the pathology by using these over-the-counter preparations. (Diphenhydramine (Benadryl) taken orally does not cause this problem.)

Lastly, an ounce of stoppage is worth a pound of cure. Avoid taste with the leaves, stems, and roots of the plants, all of which comprise urushiol. If you pull the plants out, use disposable gloves and throw both the plants and gloves away. Burning the plant can put the chemical in the air and cause a serious rash to whatever exposed to the smoke.

Copyright 2010 Cynthia J. Koelker, M.D.

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