Actually, just plain old prednisone. Let me tell you, that stuff is awesome. Eddie and I took 60 mg around noon and already our poison ivy is much less itchy. I’m waiting for the hallucinations to start, but so far everything seems fine. I was very reluctant to go on steroids, but after consulting with Eddie’s mom, my sister, and the internet, it seemed pretty clear that if you have poison ivy on your face, you should take prednisone. After further research, it seems a 10-12 day course is best so that you don’t rebound when you stop. Using my amazing math skills and more internet help, I decided on this taper for me and Eddie: 60 mg for 4 days, 40 mg for 4 days, 20 mg for 4 days. Woohoo. Wicked exciting. I begin to feel like a doctor. Of course, I can’t actually write any prescriptions yet, but Eddie’s mother was happy to oblige.
Interesting how reluctant I am to take steroids. Taking them for poison ivy does seem pretty silly. I mean, I always thought of poison ivy as so trivial. But, man, when you’re this itchy, it’s definitely not trivial. I will have more compassion when I treat kids with it in the future.
Of course, every drug has a risk/benefit ratio, and prednisone does tend to be a little riskier. Check out these side effects:
- headache
- dizziness
- difficulty falling asleep or staying asleep
- inappropriate happiness
- extreme changes in mood
- changes in personality
- bulging eyes
- acne
- thin, fragile skin
- red or purple blotches or lines under the skin
- slowed healing of cuts and bruises
- increased hair growth
- changes in the way fat is spread around the body
- extreme tiredness
- weak muscles
- irregular or absent menstrual periods
- decreased sexual desire
- heartburn
- increased sweating
Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately:
- vision problems
- eye pain, redness, or tearing
- sore throat, fever, chills, cough, or other signs of infection
- seizures
- depression
- loss of contact with reality
- confusion
- muscle twitching or tightening
- shaking of the hands that you cannot control
- numbness, burning, or tingling in the face, arms, legs, feet, or hands
- upset stomach
- vomiting
- lightheadedness
- irregular heartbeat
- sudden weight gain
- shortness of breath, especially during the night
- dry, hacking cough
- swelling or pain in the stomach
- swelling of the eyes, face, lips, tongue, throat, arms, hands, feet, ankles, or lower legs
- difficulty breathing or swallowing
- rash
- hives
- itching
I think my favorites are “inappropriate happiness” and “bulging eyes.” “Loss of contact with reality” is also a pretty good one.
Of course, for comparison’s sake, check out the side effects from ibuprofen:
- constipation
- diarrhea
- gas or bloating
- dizziness
- nervousness
- ringing in the ears
Some side effects can be serious. If you experience any of the following symptoms, or those mentioned in the IMPORTANT WARNING section, call your doctor immediately. Do not take any more ibuprofen until you speak to your doctor.
- unexplained weight gain
- fever
- blisters
- rash
- itching
- hives
- swelling of the eyes, face, throat, arms, hands, feet, ankles, or lower legs
- difficulty breathing or swallowing
- hoarseness
- excessive tiredness
- pain in the upper right part of the stomach
- upset stomach
- loss of appetite
- yellowing of the skin or eyes
- flu-like symptoms
- pale skin
- fast heartbeat
- cloudy, discolored, or bloody urine
- back pain
- difficult or painful urination
- blurred vision, changes in color vision, or other vision problems
- red or painful eyes
- stiff neck
- headache
- confusion
- aggression
Okay, I guess prednisone is definitely worse, but it’s amazing to me how dangerous OTC drugs can be.
On another note, ran 4 miles today and 4 yesterday despite the heat. Aiming for 25 this week!



