From the FDA Drug Label
Uses temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: eczema psoriasis poison ivy, oak, sumac insect bites detergents jewelry cosmetics soaps seborrheic dermatitis Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily
The treatment for an adhesive rash is to apply hydrocortisone to the affected area not more than 3 to 4 times daily for adults and children 2 years of age and older. For children under 2 years of age, a doctor should be consulted 1 1.
From the Research
The treatment for an adhesive rash involves first removing the adhesive product causing the irritation and gently cleansing the area with mild soap and water. Apply a topical corticosteroid cream such as hydrocortisone 1% three to four times daily for up to one week to reduce inflammation and itching, as suggested by 2. For more severe reactions, a medium-potency prescription steroid like triamcinolone 0.1% may be needed, according to 2. Some key points to consider in the treatment of adhesive rash include:
- Cool compresses can provide additional relief when applied for 15-20 minutes several times daily.
- Taking an oral antihistamine like diphenhydramine (Benadryl) 25-50mg every 6 hours or non-sedating options like cetirizine (Zyrtec) 10mg daily can help control itching.
- Avoid scratching the affected area to prevent secondary infection.
- If the rash is severe, spreads, shows signs of infection (increased pain, warmth, swelling, pus), or doesn't improve within a week, seek medical attention. These reactions occur because adhesives contain chemicals that can trigger allergic contact dermatitis or irritant contact dermatitis in sensitive individuals, with the skin's barrier function becoming compromised through repeated exposure, as discussed in 3 and 4. It's also important to note that while some studies suggest that perceived reactions to medical adhesive bandages may be due to irritant contact dermatitis rather than allergic contact dermatitis 5, the treatment approach remains focused on relieving symptoms and preventing further irritation. In cases where the diagnosis or specific allergen remains unknown, patch testing should be performed, as recommended by 2. Overall, the goal of treatment is to reduce morbidity, mortality, and improve quality of life by effectively managing the symptoms of the adhesive rash and preventing potential complications.