Rash due to Chemotherapy

Chemotherapy can cause many side effects, including weakness, hair loss, numbness of the hands and feet, nausea, vomiting and rash, especially with drugs such as Tarceva (erlotinib) and Erbitux (cetuximab). Frequently the rash is mild and chemotherapy delays and dose reductions can be avoided. It is important, however, to make sure that you doctor or NP is made aware of the rash and/or progressive rash during the course of your treatment. Be sure that you discuss with him/her at every office visit so that it can be evaluated.

What you can do to treat your rash:

  • Wear loose, non-irritating clothing
  • Use mild soap without added fragrances or perfumes
  • When washing or drying the skin gently pat the area instead of rubbing with a towel or washcloth
  • Use sunscreen or protective clothing when out in the sun, even on cloudy days (SPF 15 or higher, preferably containing zinc oxide or titanium oxide)
  • Avoid tanning booths
  • Use thick, alcohol-free emollient cream on dry areas, such as: Udder Cream, Eucerin or Aqua-phor, Vaseline Intensive Care Advanced Healing Lotion
  • Facial rash (acneform rash) is generally reversible over time
  • Make up: dermatologist approved brands only (is Dermablend) preferred, makeup should be removed with mild cleanser, such as Neutrogena or Cetaphil, Dove sensitive skin foaming cleaser, Basis sensitive skin bar
  • Do not treat facial rash like acne: no acne solutions or topical agents
  • No long hot showers, take short lukewarm showers no more thank once a day and apply lotion to skin that is sill damp

Drugs that may be prescribed by your doctor or physician extender

  • Antihistamines
  • Corticosteroid creams
  • Antibiotics
  • Analgesics (pain medications) if the rash is painful

When to call your doctor or physcian extender

  • Unexplained or worsening rash
  • Any blistering, peeling, or open areas of the skin
  • Itching, pain or other troubling symptom associated with the rash
  • Possible allergic reaction, including chest pain or difficulty breathing.
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