Can Calamine lotion alternate steroids in a poison ivy rash?

Question

Hello doctor,

I am a medical student. I have severe poison ivy contact dermatitis. The rash started on my left arm and has spread over the last week. I have small papules that are all over my body but not on my face or genitals. Through the investigation I have done, I have been able to gather that I would most likely benefit from a course of oral steroids. I have read that this needs to be a tapering course for two to three weeks to prevent a rebound immune reaction. My concern is steroids have a negative impact on memory, focus, mood, and overall ability. Can I use Calamine lotion to treat these rashes?

Answer 1

Hi,

Welcome to icliniq.com.

If the reaction is in the spreading phase, you need a course of steroids orally. But taking a short course of steroids for only six days does not require tapering. Also, there will not be any rebound effect. I suggest you apply Betamethasone twice daily for 14 days. In addition, take the tablet Cetirizine 10 mg. Consult a specialist doctor, discuss with them, and take medications with their consent.