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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Red, Itchy Rash On Chest And Neck. Prescribed Spironolactone. Taking Benedryl. Suggest

I am being treated for high BP and edema. Was perscribed Furosimide to get rid of fluids.. Had an allergic reaction of red, itchy rash on chest and neck. Stopped taking immediately and went back to original script for Hydrochlorozide. One wk. later, Dr. prescribed Spironolactone. I took one 50mg dose on Fri. am and today the ensuing rash is covering most of my body,particularly neck and face. Also, my face is swollen and lips tight..
I am uninsured so a trip to the emergency room is'nt my 1st choice. I have been taking generic Benedryl and that makes the rash less itchy so I can sleep..
I am a patient at a free clinic and they are only open on Thurs.
What do you suggest?
Thu, 20 Jun 2013
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Dermatologist,  's  Response
Hi, thanks for your query.
You seem to have had allergic reaction to furosimide as well as spirolactone.
The one which occurred later is associated with swollen face and tight lips actually requires a clinical visit because these symptoms could be a feature of a severe reaction called angioedema which is a clinical emergency.

Ideally you need to start oral steroids by prescription.
But considering that you have no insurance cover and that you are feeling better with benedryl, you may continue it till Thursday until you meet the doctor
In addition you may apply a topical steroid cream over the rash.

But if the condition worsens and you have difficulty in swallowing or puffy eyes you need to rush to a hospital immediately.

Hope this helps you.
Wish you a speedy recovery.
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Having Red, Itchy Rash On Chest And Neck. Prescribed Spironolactone. Taking Benedryl. Suggest

Hi, thanks for your query. You seem to have had allergic reaction to furosimide as well as spirolactone. The one which occurred later is associated with swollen face and tight lips actually requires a clinical visit because these symptoms could be a feature of a severe reaction called angioedema which is a clinical emergency. Ideally you need to start oral steroids by prescription. But considering that you have no insurance cover and that you are feeling better with benedryl, you may continue it till Thursday until you meet the doctor In addition you may apply a topical steroid cream over the rash. But if the condition worsens and you have difficulty in swallowing or puffy eyes you need to rush to a hospital immediately. Hope this helps you. Wish you a speedy recovery.