Dr. Saha : Hello,
Dr. Saha : Welcome to Just Answer.
Dr. Saha : Nasonex would not pose extra risk.
Dr. Saha : Why are you thinking about herpes simplex?
Dr. Saha : Is she taking chlorpheniramine regularly?
Customer: The reason for the herpes simplex worry was the reference in the Nasonex leaflet saying to take extra care if herpes simplex was suffered.
Customer: yes, she is taking the chlorphenine every four to six hours, but not during the night
Dr. Saha : How does the rash look like? Is there any blister?
Customer: No blisters - redness, hot, puffy in the face and round the eyes, neck looks like measles! (as did the rash when it first appeared)
Dr. Saha : As the doctor has examined the rash, it is likely to be allergic reaction.
Dr. Saha : In herpes, usually blisters are common.
Customer: But should it now be clearing rapidly, or will it take much more time? Is the stopping of the drugs she was taking the right advice?
Dr. Saha : The cause of the allergy needs to be removed.
Dr. Saha : So the doctors have stopped the medicines.
Dr. Saha : As new symptoms like puffiness of face, itching developed in spite of taking antihistamine, I feel you should take her to doctor again.
Dr. Saha : Steroid or other antihistamine like fexofenadine can be prescribed.
Customer: Very many thanks - I will indeed take her back to the Doctor tomorrow.
Dr. Saha : You are welcome.