Skin Allergy Medication Schedule and Management Plan

Patient Information

Name: _________________________ Date: _________________________ Allergist/Dermatologist: _________________________

Daily Medication Schedule

Morning (6 AM - 9 AM)

• Oral antihistamine: _________________ Dose: _______
• Topical corticosteroid: _____________ Area: _______
• Moisturizer application

Afternoon (2 PM - 4 PM)

• Moisturizer reapplication
• Additional antihistamine if prescribed: ___________

Evening (8 PM - 10 PM)

• Topical medication: _________________ Area: _______
• Moisturizer application

Rescue Medications

For Severe Itching or Flare-ups

• Medication: ________________________
• Maximum doses per day: _____________
• Special instructions: _______________

Important Notes

1. Always apply moisturizer to damp skin
2. Wait 15 minutes between medications
3. Record any new triggers or reactions

Emergency Contacts

Dermatologist: ____________________ Emergency number: ________________

Flare-up Action Plan

• Apply cool compress
• Use prescribed rescue medication
• Document triggers
• Contact physician if symptoms persist >24 hours

Weekly Progress Log

Week of: _______________