Is it appropriate to request oral steroids to help clear up a rash from an allergic reaction? (Photo)

Question

For the first time ever, this past Friday I received Botox injections in my forehead and in between my eyebrows. Sunday morning (approx. 40 hours later) I woke up to a red, itchy, rash across my forehead. I called the dermatologist’s nurse who informed me that it was an allergic reaction to the numbing gel they used. She recommended hydrocortisone cream 3x/day and said it could take a week to clear up. I’m not sure I can handle this for a week.

Aldo Guerra, MD · Answer

It will take time to see improvement. If hydrocortisone cream does not help, there are prescription strength steroid creams or oral medications that may help.  If your rash gets worse or does not improve with your current treatment, contact your physician for an evaluation.  Best wishes,

Jason Emer, MD · Answer

I recommend following up with your Doctor. Benadryl and/or steroids can help give improvement. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your photographs and I am sorry to hear of your allergic reaction.  There are a number of steps to help address your rash and I would begin with gentle washing of the area, intake of benadryl, and then use of oral/topical steroids. Typically oral steroids are for more sever rashes but this is at the discretion of your injector.  Hope this helps.

Paul C. Dillon, MD · Answer

Our bodies do heal on their own time table.  Within one to two weeks you should improve from a contact dermatitis.  Follow up with your treating physician if you don't see any change in a week.  You may also inquire about a Medrol Dosepak.

Camille Cash, MD · Answer

If you haven't noticed an improvement after a few days, or if the rash is getting worse you may want to return to the dermatologist for an evaluation.  It may be that more time is needed, or perhaps a different treatment option.

Jean M. Casello, MD · Answer

The regimen that you are on is certainly appropriate as an initial treatment.  If this is not working for you or if the rash is severe you should speak with your physician.  A stronger steroid cream or a short course of oral steroids may be indicated.

Robert S. Schmidt, MD · Answer

Thanks for your question. You have dermatitis, which is itchy, inflamed skin. If hydrocortisone doesn't help, there are prescription strength steroid creams. Oral medications would work well too. Give your dermatologist another call. Good luck!

Melvin Elson, MD · Answer

Allergic reactions respond nicely to oral doses of cortisone taken over a few days so it is not inappropriate to request this

Leonard Grossman, MD · Answer

Receiving a short dose of prednisone to treat an allergic reaction is not a bad idea and you can definitely ask for it. But unless your itching is so severe, treating with hydrocortisone hydrocortisone cream should be sufficient. Good luck from New York City

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