Simple Treatment Options For Pityriasis Rosea

Use Over-The-Counter Topical Medications

Dreamstime

Patients with mild cases of pityriasis rosea may wish to use over-the-counter topical medications as their first line of treatment. An array of anti-itch balms, sprays, lotions, and ointments is available at drugstores, and patients should consider several options. One of the most popular options is calamine lotion, and over-the-counter creams containing small amounts of hydrocortisone are often beneficial, too. When using any over-the-counter topical treatment, patients should always read the labels prior to use, and they may wish to perform a patch test on a small area of healthy skin before using any cream on their rash. Some creams may be harmful if used together, and patients considering using multiple products at once should ask a pharmacist about possible drug interactions. Certain creams may cause side effects, including a burning sensation, redness, and thinning of the skin. Patients who develop side effects or who continue to have symptoms after using over-the-counter products should consult a doctor or dermatologist for advice.

Consider Antihistamines

Dreamstime

For patients who do not get relief with oatmeal baths and other conservative treatments, it may be appropriate to consider antihistamines. These medications are taken orally or as a nasal spray, and they reduce both inflammation and itching. Some types of antihistamines are available over the counter, including loratadine, cetirizine, chlorpheniramine, and clemastine. Prescription antihistamines include hydroxyzine, azelastine, and carbinoxamine. While taking an antihistamine, patients should be vigilant for potential side effects, such as dizziness, nausea, vomiting, dry mouth, drowsiness, blurry vision, and problems with urination. Patients should report any unusual or troubling side effects to their healthcare team. If necessary, doctors can switch patients to another drug that is more tolerable.

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