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[Sticky] Poison Ivy


Michael Gray MD JD
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Yes — poison ivy, poison oak, and poison sumac rashes are commonly evaluated and treated through telemedicine.

Most cases can be safely diagnosed from history plus a visual exam (often using photos or video), and treatment can be prescribed if appropriate.

✅ What telemedicine can usually do

During a virtual visit, the clinician can:

  • Review your symptoms & timing of exposure

  • Look at the rash (linear streaks, blisters, itching)

  • Check for signs of infection or complications

  • Discuss what you’ve already tried

  • Recommend home care and prescribe medication if needed

Typical treatments that may be prescribed via telehealth include:

  • Topical corticosteroids (mild–moderate cases on limited areas)

  • Oral antihistamines for itching

  • Oral prednisone taper for more severe cases
    (widespread rash, face/genitals involvement, extensive blistering)

These medications are not controlled substances and are usually eligible for telehealth prescribing when safe and appropriate.

👍 Good candidates for telemedicine

Telemedicine is often appropriate if the rash is:

  • Itchy, blistering, or streaky after outdoor exposure

  • On arms, legs, or torso

  • Mild–moderate and not spreading rapidly

  • Less than ~2–3 weeks old

The provider may ask you to upload photos to help confirm the pattern.

⚠️ When an in-person visit or urgent care is recommended

Seek in-person or urgent evaluation if you have:

  • Rash on eyes, inside mouth, or significant face swelling

  • Severe swelling of hands, genitals, or large body areas

  • Signs of infection (pus, warmth, fever)

  • Trouble breathing or swallowing

  • Persistent rash despite prior steroid treatment

Very young children, pregnant patients, or people with immune conditions may also need closer evaluation.

🧴 Supportive care commonly recommended

(Usually safe alongside prescribed meds unless told otherwise)

  • Cool compresses

  • Oatmeal or baking soda baths

  • Avoid scratching or popping blisters

  • Wash clothes, shoes, pets, and gear to remove oils

Calamine or hydrocortisone may help mild cases — but stronger meds are often needed for moderate or severe reactions.


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