Rash (skin conditions)

Rashes are a common skin issue that can appear as red, inflamed, or itchy patches on the skin. They can be caused by a variety of factors, including allergies, infections, irritants, or underlying conditions like eczema or psoriasis. While most rashes are harmless and go away with simple treatments, some can signal a more serious health issue that needs medical attention.

 

  • Body location
  • Character of sensation (burning, itching, throbbing, sharp pain)
  • Flat or raised
  • Smooth or flaky
  • Fever or chills
  • Exposure (bacteria, plant source, water source or other)
  • OTC meds tried
  • Dermatology history (eczema, psoriasis, history of MRSA, history of shingles)

 

  • Antibiotics Oral
    • Cephalexin 500 mg 1 capsule QID x 7-14 days
    • Doxycycline 100 mg 1 tab PO BID x 7-14 days
    • Bactrim DS 1 tab PO BID x 7-14 days
    • Clindamycin 150 mg 2 tabs PO TID x 7-14 days
  • Antibiotics topical
    • Mupirocin 2% ointment apply TID to rash x 7-14 days #22 or 30 gram
  • Antifungal oral
    • Fluconazole 200 mg 1 tab PO weekly x 2-8 weeks (tinea pedis/corporis/cruris/versicolor)
    • Nystatin cream 100,000 U/gr apply to rash BID x 2-4 weeks #30 gram
  • Supplemental Rx medication
    • Prednisone 20 mg 2 tabs PO daily x 5 days or taper
    • Triamcinolone ointment 0.025% apply to rash BID x 14 days #80 gram
    • Triamcinolone ointment 0.1% apply to rash BID x 14 days #80 gram
    • Clobetasol ointment 0.05% apply to rash BID x 14 days #60 gram
    • Clobetasol foam 0.05% apply to rash BID x 14 days #100 gram
    • Protopic 0.1% (tacrolimus) apply BID x 2-6 weeks #30 or 60 ($$$)
  • OTC medications
    • Clotrimazole OTC cream apply to rash BID x 2-4 weeks
    • CeraVe moisturizing cream apply daily prn 

 

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