Poison Oak Treatment?

[Pharmseller]

How often is triamcinolone applied? Three, four times per day.

Mometasone is recommended once daily.

Fewer side effects.

The ultra high potency stuff isn’t necessary, especially if coadministered with orals.

Triamcinolone makes sense for pts who can’t afford better, I get it, but mometasone is pretty cheap too.

I think it’s a better molecule.

 

[willfrye027]

The only effective treatment is systemic steroids. And it has to be a long (14+ day course with a taper). Short course risks rebound with worse lesions than when you started the steroids. Topical may help with the itching, it does not result in any faster resolution/healing.

The benefits/risks of oral steroids is only worth it when it’s really, really bad.

TLDR: it sucks, you just have to wait it out.

 

[Bubblehide]

I haven't read the whole thread, but I have done a ton of research on poison oak, because I got it, way to many times, in the past. It's is the oil in the plat that gets you, as had been pointed out. The oil can float on the wind and land on you, far from the plant. The oil can be absorbed through the skin, and the travel in the blood stream. Once in the blood stream a breakout can happen at any skin irritation, including anywhere you scratch.

Typically, people do NOT developed a resistance to poison oak, the opposite is typically true, it get worse with each exposure; which has been my experience unfortunately. You can get poison oak from the skin-hair of game.

Research has proven that micro dosing (previously mentioned) in an incremental manner, is effective for many people. But if you get poison oak, don't waste time, just go to your doctor and get shot up, have the doctor gove you a steroid too.

If I'm in an area with poison oak, I simply do my best to avoid it. I have gone through micro dosing treatment, long ago. I haven't gotten poison oak in years, thank God.

Lastly, some people are immune to it, I wish I was one of them.

 

[NRA4LIFE]

And you'll need an ocean....... of calamine lotion. But yeah, Prednizone is your best bet, from you're doc.

 

[waspocrew]

How often is triamcinolone applied? Three, four times per day.

Mometasone is recommended once daily.

Fewer side effects.

The ultra high potency stuff isn’t necessary, especially if coadministered with orals.

Triamcinolone makes sense for pts who can’t afford better, I get it, but mometasone is pretty cheap too.

I think it’s a better molecule.

Triamcinolone twice daily. I think you’d be surprised at how well it works if you actually prescribed it to patients on a daily basis.

As I mentioned though, your topicals aren’t the heavy hitters in this case - oral corticosteroids are.

 

[breinhart18]

I also recommend Zanfel. Plus a 2 week steroid prescription. Had it bad last year after spring bear season and that was the only thing that helped once it broke out.

 

[mighteywhitehunter]

Once you have the rash there isnt a lot that will help it as you know, my advice to avoid getting it again is:
Wash your hands after taking your boots off or putting them on if you have been stomping around in poison oak. Boots seem to be a common point of exposure for people because as you are hiking along thrashing through the oak you get more of the rash causing oils on your boots and lower pantlegs. I have hunted and worked in and around poison oak for many years all over CA, I have had poison oak and it sucks, but keep you hands washed after touching your boots and lower pant legs, wear long sleeve shirts and you should be good to go.

 

[TX_Diver]

Medrol dosepaks are pretty similar to prednisone. 4mg of medrol is roughly equal to 5 mg prednisone, so your first day of a medrol dosepak is basically equal to 30 mg of prednisone.

I don't use them often for poison oak/ivy as the dosing is typically too low ( I prefer at least 60 mg of prednisone) and the course is usually too short (depending on severity). You can be prone to rebound flaring if your oral steroid is tapered too quickly. Everyone is different in their response though.

Guess we’ll see how it goes. There is zero poison oak where I’m at currently so it’s not something they are super familiar with. Rattlesnakes are much more common here

How does one use calamine and the ointment? Calamine first? Tried it after and that certainly didn’t work

 

[Backyard]

Guess we’ll see how it goes. There is zero poison oak where I’m at currently so it’s not something they are super familiar with. Rattlesnakes are much more common here

How does one use calamine and the ointment? Calamine first? Tried it after and that certainly didn’t work

From reading this overkill of a thread, I would guess there’s an entire long drawn out regiment of treatment. That takes so long to actually get through, that the rash has run its course and gone away long before you get done with seeing Doctors and washing and applying shit. But hey, the rash is gone.


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[TX_Diver]

Still have some red spots but nothing has itched for the last few weeks except my elbow.

What is the trick to go from 99% to 100% done with this…?

Pic from a few min ago

 

[TX_Diver]

Stomach and legs had the biggest spots, but Other arm had the worst blisters originally

 

[TX_Diver]

Other arm now. No itching for awhile now

 

[Pharmseller]

Dude

That’s syphilis.

 

[willfrye027]

Other arm now. No itching for awhile now

View attachment 988896

Looks like the reaction is still ongoing. Delayed hypersensitivity means it can still be churning days and weeks after the exposure. You’ll know it’s all over when the lesions are crusted over and not forming new blisters.

Poison oak freaking sucks

 

[NealS02]

Technu immediately after. Symptom control with topical and if needed oral steroids. Antihistamines, ice, and oatmeal baths could be considered as well.

 

[TX_Diver]

Looks like the reaction is still ongoing. Delayed hypersensitivity means it can still be churning days and weeks after the exposure. You’ll know it’s all over when the lesions are crusted over and not forming new blisters.

Poison oak freaking sucks

Everywhere but the elbow is slowly fading and isn’t itchy or swollen.

Thinking of washing every thing with tecnu (again…) and seeing what happens.

I’ve been kinda careless as I’ve had very minor and local reactions in the past. Won’t make that mistake again!

 

[willfrye027]

Everywhere but the elbow is slowly fading and isn’t itchy or swollen.

Thinking of washing every thing with tecnu (again…) and seeing what happens.

I’ve been kinda careless as I’ve had very minor and local reactions in the past. Won’t make that mistake again!

I don’t believe the technu will help at this point..the urushiol oils are absorbed pretty quickly so it’s not on the surface of your skin anymore. Probably still floating around to a small degree in your lymphatic system which is why it’ll pop up in random places that didn’t get exposed sometimes.

On the other hand it’s possibly still on your gear? I kept getting it on my back this year until I realized it was on my pack. Trekking poles are another place it can hang around.

Technu is fine but normal soap also works so unless you haven’t showered it’s not really on your skin anymore.

I’ll wipe gear down with isopropyl alcohol or something else that should denature the protein if it was a bad exposure.

 

[Jmhunt_13]

A logger taught me to spray it with rubbing alcohol to dry it out and use felsnaptha in the shower. Cuts oils better than anything else I've tried.


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[TX_Diver]

I don’t believe the technu will help at this point..the urushiol oils are absorbed pretty quickly so it’s not on the surface of your skin anymore. Probably still floating around to a small degree in your lymphatic system which is why it’ll pop up in random places that didn’t get exposed sometimes.

On the other hand it’s possibly still on your gear? I kept getting it on my back this year until I realized it was on my pack. Trekking poles are another place it can hang around.

Technu is fine but normal soap also works so unless you haven’t showered it’s not really on your skin anymore.

I’ll wipe gear down with isopropyl alcohol or something else that should denature the protein if it was a bad exposure.

I was going to wash a few clothes with tecnu again.

I agree probably doesn’t do much for my skin. Best I can figure there is still some oil somewhere on a piece of clothing