How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Lisa, MSN, FNP-BC, CCRN Your Own Ques...

Lisa, MSN, FNP-BC, CCRN
Lisa, MSN, FNP-BC, CCRN, Nurse Practitioner
Category: Health
Satisfied Customers: 890
Experience:  Board Certified Family Nurse Practitioner
Type Your Health Question Here...
Lisa, MSN, FNP-BC, CCRN is online now
A new question is answered every 9 seconds

Good afternoon. I started using the Nicoderm CQ patches on

Resolved Question:

Good afternoon. I started using the Nicoderm CQ patches on about Feb 13. I stopped 4-5 days ago because I noticed that my skin remained irritated where the patches had been. As the days go by, my skin is becoming more and more itchy and irritated. Two locations are full blown hives now. So far the rashes and hives are mostly staying within the borders of where the patches were applied. Should I be concerned about spreading of the hives or other more serious things? Would an oral antihistamine product help? I have been using Benadryl spray for a couple of days with no success. Thank you so much!
Submitted: 4 years ago.
Category: Health
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

Hello;

 

Thank you for writing in today. It is not uncommon for people to have this type of reaction to nicotine patches. Essentially, the patch can cause a sort of contact dermatitis. The best thing for this would be a low dose topical steroid, such as hydrocortisone cream. Hydrocortisone cream is easily available over the counter. Generally, when a patient applies it twice a day after cleansing the area, he/she will some improvement within 2-3 days. Most people respond well to the topical steroid. However, given the online format and my inability to assess the area, I will have to mention that you should consult your provider to confirm a diagnosis. I hope this helps. If you have any additional questions or concerns, please let me know. Lisa

Customer: replied 4 years ago.
Relist: Incomplete answer.
Please answer. Thanks.
Customer: replied 4 years ago.
Ok. So, I probably have allergic dermatits or something. My question was really - will it spread. Since you didn't tell me to "go to the ER immediately!" I'm assuming that it won't spread and that I will live. Laughing I was worried because when a doctor asked a few years ago what allergic reaction I had had to penicillin as a child, and I told him or her "oh, just hives", the response was unexpected. I was told that it was a serious allergic reaction. I got a bit worried that this would be serious too. I can't afford to go to a doctor - and I'm guessing most of the guests of this site can't either.
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.
You are always welcome to ask follow up questions. No, this should not spread, unless the scratching starts to irritate the surrounding skin or introduces bacteria into the area. The topical hydrocortisone will likely be more beneficial than a systemic antihistamine. For future information, if you do develop hives, the important thing is to always assess for respiratory issues, such as wheezing. That the immediate danger associated with any allergic reaction. You could consider using the over the counter hydrocortisone cream (generic is usually $2-3) for a couple days. If your symptoms don't improve, get worse, or new ones develop, then definitely seek care. I will say that I would have responded sooner; however, since you relisted, I thought I would let other experts respond as well. One expert did agree; however, it doesn't appear that anyone had much to ad. I am responding now because your latest posting really did help to narrow down the additional information you were needing. Please know that anytime you ask a question here you are more than welcome to ask follow up questions as well. We really do want to help. If you need further clarification or more information, don't be afraid to let us know. Take care. Lisa
Customer: replied 4 years ago.
Thank you Lisa. I appreciate the follow up. Sorry if I sounded grumpy. The withdrawal grumpiness/irritability is one of the worst parts of quitting smoking for me!

Have a good day.
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.
No, I just want you to be satisfied. I really commend you for quitting. It is the absolute best decision you can make. Keep that in mind. It may get challenging, but it is worth it. Take care. Lisa
Lisa, MSN, FNP-BC, CCRN, Nurse Practitioner
Category: Health
Satisfied Customers: 890
Experience: Board Certified Family Nurse Practitioner
Lisa, MSN, FNP-BC, CCRN and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery