From the Guidelines
The recommended treatment for contact dermatitis caused by new makeup is to discontinue use of the product immediately and apply over-the-counter 1% hydrocortisone cream to the affected area twice daily for up to 7 days to reduce inflammation and itching. This approach is supported by general dermatological principles, although specific guidelines for makeup-induced contact dermatitis may not be extensively detailed in every study, including the British Association of Dermatologists' guidelines for the management of contact dermatitis 2017 1.
When managing contact dermatitis, it's crucial to avoid further exposure to the allergen or irritant, which in this case is the new makeup. Therefore, stopping the use of the offending product is the first step. Following this, gentle skin care practices such as washing the affected area with mild soap and water can help remove any residual irritants.
For symptom relief, the application of 1% hydrocortisone cream is a common recommendation due to its anti-inflammatory properties. Cold compresses can also be beneficial in soothing the skin and reducing itching. In cases where itching is severe, oral antihistamines like cetirizine or diphenhydramine can be considered, but their use should be guided by the severity of symptoms and the patient's overall health status.
It's also important to prevent infection by avoiding scratching the affected area. If the reaction is severe or if there are signs of infection, medical attention should be sought promptly. Preventative measures for the future include using hypoallergenic makeup products and performing patch tests before applying new products to sensitive areas like the face.
Key considerations in managing contact dermatitis include:
- Discontinuing the use of the offending agent
- Gentle skin care to remove irritants
- Use of topical corticosteroids for inflammation
- Avoidance of scratching to prevent infection
- Consideration of oral antihistamines for severe itching
- Future prevention through hypoallergenic products and patch testing, as suggested by principles outlined in guidelines like those from the British Association of Dermatologists 1.
From the FDA Drug Label
Uses temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: ... cosmetics 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 recommended treatment for contact dermatitis caused by a new makeup is to apply hydrocortisone to the affected area not more than 3 to 4 times daily. It is essential to note that for children under 2 years of age, a doctor should be consulted before use. Key points to consider:
- Temporary relief of itching associated with minor skin irritations and rashes
- Apply topically to the affected area
- Dosage frequency: not more than 3 to 4 times daily 2, 2
From the Research
Treatment for Contact Dermatitis
The recommended treatment for contact dermatitis caused by a new makeup involves several steps:
- Avoiding the causative substance is the first step in confirming the diagnosis and treating the condition 3, 4
- Localized acute allergic contact dermatitis lesions can be treated with mid- or high-potency topical steroids, such as triamcinolone 0.1% or clobetasol 0.05% 3
- If the allergic contact dermatitis involves an extensive area of skin (greater than 20 percent), systemic steroid therapy may be required and can offer relief within 12 to 24 hours 3
- Patch testing should be performed if the treatment fails and the diagnosis or specific allergen remains unknown 3, 5, 6
Identifying the Causative Substance
Identifying the causative substance is crucial in treating contact dermatitis:
- Fragrances, preservatives, and hair dyes are common causes of allergy to cosmetics 7, 5, 6
- Other components, including natural ingredients, should also be considered potential sensitizers 7, 5
- Patch testing can help identify the specific allergen and guide the treatment 3, 5, 6
Preventive Measures
Preventive measures can help avoid contact dermatitis: