Outcome evaluation

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With adequate treatment, most cases of contact dermatitis should improve within 7 days. Complete resolution of symptoms may take up to 3 weeks.26 If a patient experiences severe symptoms associated with fever or difficulty breathing, they should be instructed to seek medical attention immediately. Furthermore, patients should return to their health care provider if any of the following occur:

• Rash has not improved or has worsened after several days of treatment

• Rash has increased in size or has spread to other locations

• Patient is experiencing adverse effects from the treatment regimen

Table 65-6 Topical Steroids to Treat Contact Dermatitis

Corticosteroids

Dosage forms

Strength (%)

USP Potcncy Ratings'

Va: Po

AJclometasone d ¡propionate

Cieam

0.05

Low

VI

Ointment

0.05

Low

V

Amcinonide

Lotion, oi it ment

0.1

High

II

Cream

0.1

High

III

Beclomethasone diproponate

Cream loiion ointment

0.025

Medium

Betamethasone benzoote

Cream, gel

0.025

Medium

Ill

Ointment

0.025

Medium

W

Betamethasone dipropiorwte

Cream AF (optimized vehicle)

0.05

Very high

1

Cream

0X15

High

III

Gel lotion, ointment (optimized vehicle)

0.05

Very high

1

Lotion

0.05

High

V

Ointment

0.05

High

II

Topical aerosol

0.1

High

Betamethasone valerate

Cream

0.01,0.05,0.1

Medium

V

Lotion, oiitment

0X15.0.1

Medium

III

Foam

0.12

Medium

w

Clobetasol propionate

Cream, ointment solution, foam

0.05

Very high

1

Clobetasol butyiate

Cream, ointment

0.05

Medium

Ckxoitolone pivalate

Cream

0.1

Low

Desonide

Cream kxion, ointment

0.05

Low

VI

Desoximetasone

Cream

aos

Medium

II

Cream ointment

0.25

High

II

Gel

0.05

High

II

Dexa methadone

Gel

0.1

Low

VII

Topical aerosol

0.01,0.04

Low

VII

Dexamethasone sodium

Cream

0.1

Low

VII

phosphate

Diftotasone diacetate

Cream

0.05

High

III

Ointment

0.05

High

II

Ointment (optimized vehicle)

0.05

Very high

II

mfliimffnlnnp valerate

rrpam. Ointrrwnr

01

Mivili im

riumellwsonc pivalatc

Cream ointment

0.03

Low

Fluocmolone acetonide

Cream

0.01

Medium

VI

Own

0,025

Mixliym

V

fkxxirvonlde flurandrenolide

Hutkasone propionate Hakinonide

Halobetasol propionate Hydrocortisone Hydrocortisone acetate Hydrocortisone butyrate

Hydrocortisone valerate

Cream

Ointment

Solution

Gel, «earn, ointment Solution

Cream, ointment

Ointment

Cream, lotion

Tape

Cream

Ointment

Cream

Ointment

Solution

Cream, ointment

Cream, lotion, ointment

Cream, lotion, ointment

Cream

Ointment

Cream

Ointment

0.025

0.01

0.05

0.05

0.0125

0.05

0.05

4 mcg/cnv'

0.05

0.05

0.05

All strengths All strengths 0.1 0.1

High

Medium

Medium

High

High

Medium

Medium

Medium

Medium

Medium

High

High

High

Very high

Medium

Medium

Medium

Medium

VI II

VII VII

UMtytpwdnfeolooL' Mctioe

Cum radium«* Oindmen!

Lolnia oini Twrt

Owraoiriirriein üeam. IcHknn, oirnlment

üiffrnwnt (¿Jhiocofi, Kenalog) Citiitri oXurnert Tbptcal aerosol

low Low

Medium Medium

Medium

Medium

Medium

Uijjh

Medium

High high

Medium

AJSP ratings are lew, medwm, highland vety lu^h.

"Wisoconirrk Ikxi po1cncy scjk1 »s l|higlM!sti to VII (lom.Hl; -denotes untnown vasoconiti fcliw propel tiev From Ref. U.

Table 65-7 Oral Antihistamines Used fo

Table 65-7 Oral Antihistamines Used fo

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