itching from chloraprep surgical scrub
Port placement 6/1/11 with pruritis (medical term!) around incisions but also under chin, over to middle of chest, armpit and top of shoulder. Took antihistamines Claritin and Benadryl, then applied hydrocortisone cream to outer areas - not near bandages. Minimal redness or rash. Fair skin usually shows any little irritation. Couldn't sleep 2nd night. Very annoying since chemo due to start in a week: need my rest. Steristrips not to be removed until they fall off "naturally".
Thought I might be allergic to adhesive or glue so called interventional radiology and was told to come in. They use a product containing 2% chlorhexidene which has been fine for me in the past. The rest of it is alcohol however. Manufacturer's website reports few cases of this type of reaction.
Finally got relief from topical diphenhydramine as suggested by hospital NP.
I think anyone else who experiences something similar should complain to the company that makes it. Then they can update their statistics and warnings. Can't imagine how this would feel on irradiated skin...
Comments
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I had a bad reaction to this after my last surgery. I had bad itchy rash under arm and in armpit PS said it was from not getting it washed off well enough after surgery. It took almost 2 months and 3 meds to get it cleared up. PS also said that when he does facial surgery he is very careful to make sure he gets it cleaned off as it can cause cataracts. Sorry you also had to have this unpleasant SE of the prep.
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I am also having reaction,had surgery 6/15 and rash started on 6/16, PS.BS and PCP not sure if antibiotic was causing rash but rash is localized to surgical scrub area, it did spread to my face and my eyes swelled up.Here is the real kicker,no one cleaned me up, I came home all orange,this is the worst part of my recovery right now.
I am taking benadryl,but that only knocks me out<. I am going to send my husband out to get me some cream.
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How extensive was your surgery? Sometimes iodine solutions will cause discoloration and allergic reactions. I was told to moisturize the area which seemed to help.
Since I had emptied my purse of all but "important" items in order to lessen the weight on the arm now at risk for lymphedema, I didn't have any lotion with me. Luckily, the hospital gift shop had unscented product in pump bottles for sampling. You should have seen me grabbing a squirt and then casually rubbing the side of my neck and into my shirt collar over to the shoulder, trying to avoid the actual incisions...
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I had UMX,right side,my surgeon said they used chloraprep.I was orange from my neck,down chest and down my right arm. It is so bothersome i had to take a xanax today to calm myself down.I am going to call them in the morning to see if there is anything else I can try, already using liquid benadryl,benadryl lotion and gold bond extra strength.
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I developed that rash after my biopsy and then all my med charts said ALLERGY CLORPREP. That's awful, so sorry it's happened to anyone with an extensive procedure, I was miserable but thankful that I didn't have to find out at my BMX. The rash went away after a couple of days for me.
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Jodeb, just read your bio - what a set of experiences you have had! It sounds like you changed medical providers? I went from my local hospital folks to an academic center shortly after diagnosis.
Diphenhydramine/Benadryl products are available in both regular and "extra strength". Be sure to tell them which you have been using. There may be a prescription steroid or perhaps topical doxepin which has antihistamine activity that they might let you try (I'm a pharmacist but not a cancer or dermatology expert).
Like beaglesgirl, it was good to only have a limited area exposed to the agent. It did get better for me after a few days also.
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I did switch, did not care for local PS,or local hospital path dept.I love my docs!! I am not taking anything for granted anymore,"oh I will be back to work in 4 weeks", I actually slept 6 hours straight last night.These crazy hot flashes just compund my uncomfortableness(not sure that is a word but it fits)
My benardyl cream is only original strength,so thanks for the advice.When I spoke to BS friday night he said he would like to avoid steroids, I seem to be a little better today but it tends to flare up at night.
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Skin prep, blood etc should normally be washed off after surgery before you wake up, so you get to see a nice clean dressing and no gore. That's in an ideal world. Also, Chlorhexidine comes in various formulations, alcoholic, aqueous, cream. ointment, and you would not normally choose to use an alcoholic preparation on damaged skin unless the alcohol is essential for added antisepsis. Would have expected interventional radiology to be used to clients with delicate skin.
Sorry you had a rough ride. However it is a useful substance, so maybe at a later date you could try a patch test without alcohol on some undamaged skin? Especially as you had it before with no ill effects.
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If you aren't allergic to Chloraprep, the benefit to leaving it on is that it provides antibacterial action for up to 48 hours. (Assuming all the gore is washed off!)
I was concerned after BMX to find orange skin since I am so allergic to iodine then found out that Chloraprep had been formulated to be that color so the OR staff could tell where they had prepped the patient.
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Had appt with PS yesterday, removed 2 drains(5 days out) yahoooooo !!! Still have 1.He took pics of my reaction,was def from chloraprep, has affected my incision,redness,irritation.You can see the stop lines(where they stopped the prep)up my neck across my stomach under my arm and doen my arm.He says they mandate him using it to reduce infection but he has NEVER had any infections.He says that sometimes it is harder to see if you have missed a spot with it and they leave it on because it keeps fighting after surgery but the reaction does not usually show up until pt is discharged and is home.It has def complicated my recovery, I cant get my first fill for another 10 days and it wakes me up during the night itching. There is an advantage of the incision being numb so I don't itch that while sleeping, if not for that I can't imagine the havoc.
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Gotta love the surgeons who claim THEY never have infections!
Chlorhexidene is indeed an excellent antiseptic. It just seems as though the Chloraprep formulation with alcohol is troublesome for more people than the manufacturer recognizes.
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My PS said same thing when he discovered I had the Chloraprep reaction....."no one EVER reacts...!" Before they saw the rash, they initially thought it was reaction to antibiotic and gave me new rx. The rash looked like a shirt on me...from under my chin down to by wasitline, ugh. NP at PS office told me to try bendrayl which helped but made me a little sleepy...I was lucky it started to clear a bit after several days....
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I had a biopsy on Wednesday and had a rash. I can definitely tell it was the Chloraprep. Their's was blue though. The rash starts and stops exactly where the Chloraprep was applied.
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I had a lumpectomy and reduction (oncoplasty) on 9/19/16. chloro prep rash started about 1 week later (surgeon thinks it was chlorprep because, as others have mentioned, the rash occurred where the prep was applied - neck, shoulders, chest and stomach). I was given a 5 day course of steroids but it still didn't get go away. I was then given a very strong topical steroid cream to use twice a day but that's also not working. The itchiness is unbearable and I'm now itchy everywhere, arms, legs etc. Dermatologist has me on12 day steroid. Monday is 4 weeks from surgery and 3 weeks From start of rash. Ugh
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I took photos of the rash and asked that they be put in my chart.
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Great idea, ksusan. I have my port accessed at least once a month, and my skin has gotten more sensitive. When I get home from an appointment, if I see a rash from a cleaning solution or adhesive, I take a picture. When I show it to the nurse the next time, that picture is worth a thousand words. A photo helped us figure out that chlorhexadine cleaner was the reason the area was staying red too long, and we found an alternative. Sas encouraged me to have that sensitivity noted on my chart.
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Finally went in for reconstruction of the remains of my breast, which had continued to retract and deform years after extensive radiation. Just six days out of surgery and three days home, I started noticing the corrugated texture of my skin, from under chin to waist to down both arms before I left the hospital. Felt like I was wearing an ugly itchy bumpy red sweater. The only spot untouched was where I had been irradiated.
Pre-op, I told my surgeon about a similar experience after they removed the cancer, thought to have been from the antiseptic wash, but he did not seem fussed. Today during my first post op check, doc and his PA remarked on this unwanted 'garment'. Said I could use creams and pills, benadryl. They knock me out, but still itchy. Thinking about requesting something stronger, but concerned about adding MORE to the chemical soup.
I had the idea the antiseptic was Betadine years back, but not sure. Doc says this time Chloraprep was used.
Anyone had experience with this allergic reaction, any suggestions for relief, how long the rash takes to go away?
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