hydrocortisone cream on face rashes lamictal

The neck, groin, underneath the breast, and the armpit are among these sensitive areas. It may also be used to treat bipolar disorder. Effective relief from itching associated with minor skin irritations, inflammation, and rashes due to jewelry, soaps, detergents, cosmetics, insect bites, and poison ivy, oak, and sumac. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. This is a nonprescription product that you can buy at a drugstore. We have selected the best, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. If you miss a dose of this medicine, apply it as soon as possible. However, it is not always so simple, say dermatologists. Put another way, slathering on a steroid cream for just any rash is not the way to go. Apply a thin layer of this medicine to the affected area of the skin. Terbiderm is a topical cream that is effective at treating conditions like acne and pimples. A drug allergy is an allergic reaction to a medication. Be sure to keep the cream away from your eyes. Likewise, sticking to a low-potency steroid is important when applying it to other areas of the body with thin skin. You can learn more about how we ensure our content is accurate and current by reading our. Its still important to know the symptoms because a serious rash from Lamictal can be fatal. Do not use it on skin areas that have cuts, scrapes, or burns. If you have mixed skin or you are not sure about your type of skin, try with the Retinoid ointment first. A topical steroid is an anti- inflammatory preparation used to control eczema / dermatitis and many other skin conditions. Hydrocortisone medication has been used for over 50 years and is generally considered safe for older children and adults with conditions such as psoriasis, eczema, allergy rashes, and skin conditions arising from autoimmune disorders. This content does not have an Arabic version. In this article, learn about the different types of epilepsy, Epilepsy apps can help you to manage the condition through logging seizures and symptoms and analyzing triggers and trends. Steroids, like hydrocortisone, cause sensitivity & thinning of skin that can be extreme on the face. Drooling (because closing the mouth is painful). Use a moderate skin cleanser with water or apply a thin layer of medicine to all affected areas and to all hair loss areas. While genetic factors appear to play a part, the causes are sometimes idiopathic (meaning that we simply don't know the reason). Brand names: Ala-Cort, Aquanil HC, Beta HC, Cortizone-5, Dermarest Plus Anti-Itch, Kverno K, Beauvois L, Dudley-Brown S. Lamotrigine rash: Benign allergy or severe adverse reaction? Use a skin protectant to dry out the rash and stop the oozing. Clin Neurol Neurosurg. Low-potency creams may be used for up to three months. By Daniel More, MD Can you use topical steroid cream when pregnant? If you experience a rash while taking Lamictal, see your doctor immediately. You can use an over-the-counter (OTC) hydrocortisone cream to treat inflammation and redness or discoloration but use sparingly especially around your eyes and do not use any steroid cream. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Lamictal (lamotrigine) is an anticonvulsive drug frequently used as a mood stabilizer for people living with bipolar disorder. itching, scaling, severe redness, soreness, or swelling of the skin redness and scaling around the mouth thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. It's a good idea to avoid long-term use of any topical steroid on your face, particularly high-potency types. Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. There are a number of early-onset symptoms that might indicate that you are having a reaction to Lamictal. With Lamictal, these can include reactions known as Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and drug reaction with eosinophilia and systemic symptoms (DRESS syndrome). include protected health information. This article explains the conditions that hydrocortisone cream can treat, those it cannot, how to use the cream, and the possible side effects. Do not cover the treated area with bandages or waterproof coverings unless directed by your doctor use, even when not sore, unless your doctor tells you to. In general, high- and ultra-high-potency steroids are reserved for areas of the body where the skin is thick, like your palms or the soles of your feet. To do so may cause unwanted side effects or skin irritation. All said, topical steroids are quite effective, low-risk medications as long as you follow the recommendations for potency, dose, and duration. They have many causes, and sometimes the rash is accompanied by an itchy or painful feeling. Can diet help improve depression symptoms? Nor do they lose effectiveness with prolonged use. Advertising revenue supports our not-for-profit mission. These side effects may go away during treatment as your body adjusts to the medicine. A Lamictal rash typically appears within five days to eight weeks of initiating treatment and usually disappears within a few days after stopping the medication. In the end, it was the severity of the reaction, as well as the availability of other mood-stabilizing drugs, that informed the FDA decision as much as the statistical risk itself. Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Follow a sensible rule of thumb and use the smallest amount of cream for the shortest time possible. If contact does occur, rinse with water. Permethrin lotion is usually applied to the skin in one or two . By Marcia Purse Copyright 2023 IBM Watson Health. (2018, March 1). What are effects, Epilepsy is a fairly common neurological condition characterized by recurrent seizures. Avoid getting the medication in your eyes, and follow your healthcare provider's instructions. Last medically reviewed on October 12, 2022. The FDA has ordered that labels on the product boxes warn consumers about "a possible risk of cancer," based on rare reports of skin cancer and lymphoma. Can I use hydrocortisone cream on my face? Topical steroids are available in creams, ointments, solutions and other vehicles. Neomycin, polymyxin, and bacitracin are in a class of medications called antibiotics. If it is spreading quickly, call 911 or go to your nearest emergency room. Do not cover the treated skin area with a bandage or other covering unless your doctor tells you to. Thank you, {{form.email}}, for signing up. It is also a smart way to treat many allergic skin rashes, such as atopic dermatitis (eczema) and allergic contact dermatitis (including poison ivy and poison oak). For some diaper rashes, physicians may also recommend that hydrocortisone or desonide (another topical corticosteroid) be used in addition to antifungal treatment. This product is rated 4.7 stars out of 5 stars. If a person has to stop taking Lamictal, their doctor may recommend a different mood stabilizer such as Depakote (divalproex sodium, sodiumvalproate, and valproic acid), lithium, or Topamax (topiramate). A Lamictal rash usually appears within 8 weeks of starting treatment. Included is what to do if someone has a seizure. The FDA placed a black box warning on the Lamictal label to warn people about this risk. A 2014 review of existing studies found that 10 percent of people in controlled trials had a reaction to Lamictal, which put them at risk of developing a rash. Coondoo, A. Phiske, M, Verma, S, Lahiri, K. Side-effects of topical steroids: A long overdue revisit. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 2015;22(6):1005-11. doi:10.1016/j.jocn.2015.01.016, Lerch M, Mainetti C, Terziroli beretta-piccoli B, Harr T. Current Perspectives on Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis. Lamictal rash is the most common side effect of the anti-seizure drug Lamictal, which contains a medicine known as lamotrigine. How long can you safely use steroid cream on your face? Your face is more vulnerable to developing side effects from topical steroids. Hydrocortisone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. A reaction to medication always warrants a call to the doctor. Verywell Health's content is for informational and educational purposes only. Sometimes: It is best to avoid using Hydrocortisone creams on the face unless specifically directed by a dermatologist. Learn what precautions you might need to take for some activities and which to avoid. 0.4. Made with maximum strength hydrocortisone*, the #1 itch medicine recommended by doctors, this anti-itch creme works fast to temporarily relieve itch. privacy practices. Child Apply 1-2 times a day for no longer than 1 week, discontinued as soon as the inflammation subsides. Do not apply this medicine over a large area of skin unless your doctor has told you to. Psychiatric Times. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Hydrocortisone (Topical Application Route). By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Cortisone creams come in different strengths and are recommended for short-term use, as they can thin skin surfaces. Lamotrigine-related skin rashes in adults Skin rash is a common adverse effect of lamotrigine (LTG) in both add-on and monotherapy trials and is also the most common adverse event causing LTG withdrawal. information highlighted below and resubmit the form. Lamotrigine is a highly effective anti-seizure medication, which is also available under the brand name Lamictal. The Lamictal rash is caused by a hypersensitivity reaction to the drug Lamictal. What to Know About Trileptal (Oxcarbazepine). Acne. Toxic epidermal necrolysis usually requires hospitalization. A breakthrough seizure occurs after you've been seizure-free for at least 1 year. Read and carefully follow any Instructions for Use provided with your medicine. An reaction can sometimes cause a rash. Takeaway. Carr WW. Hydrocortisone (hydrocortisone) Cream 2.5% is a topical (for the skin) steroid used to treat inflammation of the skin caused by a number of conditions such as allergic reactions, eczema, or psoriasis. All rights reserved. Corticosteroids are commonly used to reduce inflammation. They may need to be closely monitored for signs of another reaction. In the United States, topical steroid creams are categorized by their potency, meaning how strong they are. Hydrocortisone, a topical steroid, is made for treating "localized inflammatory reactions," which are basically rashes that result from a hyperactive immune system response. Use a skin protectant to relieve minor irritation and itching, such as baking soda or colloidal oatmeal. The following information includes only the average doses of this medicine. He is an assistant clinical professor at the University of California, San Francisco School of Medicine and currently practices at Central Coast Allergy and Asthma in Salinas, California. The appearance of the facial rash may vary in appearance, location and severity according to its underlying cause. Call your doctor for medical advice about side effects. Apply a cold compress to the rash. The rash is characterized by red blisters, often around the mouth or face, but also on other areas of the body. In this case, an oral antihistamine may be the best treatment choice. A hypersensitivity reaction happens when your immune system overreacts to a compound or drug. Hydrocortisone is a corticosteroid, similar to a hormone produced naturally in your adrenal glands. Some people develop a rash while taking it. In the worst cases, you could even trigger irreversible skin damage. Shi Y-W, et al. Follow your doctor's orders or the directions on the label. Examples of low-potency topical steroids include Cortizone 10 (hydrocortisone), which is in Group 7. Short description: Adverse effect of unspecified topical agent, init encntr The 2023 edition of ICD-10-CM T49.95XA became effective on October 1, 2022. It works by calming down your body's immune response to reduce pain, itching and swelling (inflammation). ICM PHARMA Benzyl Benzoate Application Bp (For Removal Of Scabies And Pediculosis [Lice]) 100ml . This medicine should only be used for skin conditions that your doctor is treating. Yes. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. $10. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Yeast infections are caused by a fungus known as candida. Lamotrigine (Lamictal) is a medication thats used to treat epilepsy, bipolar disorder, neuropathic pain, and depression. Find many great new & used options and get the best deals for 3x Hydrocortisone Cream 15g - Swelling Itching Irritated Skin Rash INSECT BITES at the best online prices at eBay! Some diaper rashes are also caused by yeast. Hirsch LJ, et al. It works by moderating extreme variations in mood and is particularly helpful in treating severe depression. What types of rashes are treated with topical steroids? People should go to the emergency room immediately if they have serious symptoms, including: Delaying treatment by even a few hours can endanger a persons life. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Hydrocortisone is in a class of medications called corticosteroids. Stevens-Johnson Syndrom can often be preceded by flu-like symptoms such as: This can be followed by an all-body reaction characterized by a quickly spreading rash, swelling of the face and tongue, and the severe blistering of the mucous membranes of the mouth, nose, and eyes. Treatment will depend on a persons symptoms. Available for Android and iOS devices. Hydrocortisone cream treats itchy skin by lowering inflammation and the immune system's reaction to allergens. Learn about common drugs for bipolar disorder, how they affect weight, and other side effects. Celexa Withdrawal: Symptoms, Timeline & Treatment, Understanding Autism and Bipolar Disorder, Daily Tips for a Healthy Mind to Your Inbox. DRESS causes widespread symptoms. Continuous use of topical steroids for long periods of time should also be avoided. Read our, Conditions Hydrocortisone Creams Can Treat, Poison Ivy Rash: Treatment and Prevention, Conditions Hydrocortisone Creams Cannot Treat, Step-by-Step Guide to Using Baking Soda for Eczema. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Daniel More, MD, is a board-certified allergist and clinical immunologist. A look at complex partial seizures, a form of seizure that occurs in just one part of the brain. 234.41 in a 10gm tube. To provide you with the most relevant and helpful information, and understand which The dose of this medicine will be different for different patients. Lamictal (lamotrigine) is an anticonvulsive drug frequently used as a mood stabilizer for people living with bipolar disorder. The presence of a serious rash after taking Lamictal could indicate: Stevens-Johnson syndrome is a rare and possibly severe reaction to lamotrigine. There are a wide variety of cortisone or steroid creams available over the counter, which can give the impression that these products are good for any dermatological use. Not all brands are listed on this leaflet. Guideline for the diagnosis of drug hypersensitivity reactions. Nappy rash for hydrocortisone To the skin. People with conditions such as epilepsy who are no longer able to use Lamictal can often switch to another drug. Lamotrigine induced DIHS/DRESS: Manifestations, treatment, and outcome in 57 patients. For the same reason, wash your hands thoroughly after each use. It is not possible to tell which rashes are benign or could be serious, so if any rash appears, a person should stop taking lamotrigine. Aveeno Active Naturals Cream Anti Itch 1% Hydrocortisone 1oz. Red rash or red blotches on your skin. Mayo Clinic does not endorse companies or products. Review/update the This article explains how to choose a steroid cream to use on your face, how to do it safely, and side effects to watch out for. For the vast majority of people, a rash from Lamictal requires no treatment other than stopping this medication. Hydrocortisone is used to treat many health problems. It is important to note, however, that not all hypersensitivity reactions will end up with SJS. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. This medicine is available both over-the-counter (OTC) and with your doctor's prescription. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. In this article, we cover the frequency of Lamictal rash, symptoms, treatment, and possible complications. Daniel B. Some experts believe that frequent use of topical steroid cream anywhere on the body, not just the face, may make it less effective. This event is called tachyphylaxis. They can help with the symptoms of: eczema psoriasis contact dermatitis prickly heat rash insect bites and stings nappy rash Most hydrocortisone skin treatments are mild and are available to buy from pharmacies. It usually goes away on its own when medication is stopped, with no other serious side effects. This is because hives are caused by histamine, not chronic skin inflammation. While most rashes that happen while taking Lamictal are harmless, its important to monitor your symptoms to make sure they dont become dangerous. Thank you, {{form.email}}, for signing up. This autoimmune disease can cause itchy, red, scaly, thick patches of skin, SELF explained previously. This is not a complete list of side effects and others may occur. Merck Manual Professional Version. If the rash is mild, a doctor may instead advise waiting to see if it goes away on its own. Do not get it in your eyes. ChildrenApply to the affected area of the skin two to four times per day. Aiken C. How to minimize lamotrigines adverse effects. You may use hydrocortisone cream on children. Using topical steroids for longer than recommended could cause: Stop the medication and contact your healthcare provider if any of these events occur while you are using hydrocortisone cream: Hydrocortisone cream is good at treating mild inflammatory skin conditions. Though the risk is low, the agency reminds consumers to use the products "as recommended.". Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. Learn about seizure alert and data collection devices for epilepsy. People with this condition will get care to manage and treat symptoms as they occur. The Best Creams and Lotions for Treating Psoriasis, 3 Best Anti-Itch Creams to Soothe Itchy Skin, Dermatitis Facts and Statistics: What You Need to Know, The Different Types of Topical Steroids for Treating Eczema, Causes and Treatments for Skin Inflammation, Anti-Itch Creams and Home Remedies for Kids, Causes of Dry Patches on Your Face and How to Treat Them, Skin Discoloration: Causes and Treatments, How to Safely Apply Topical Steroid Creams to Your Face, Principles of topical dermatologic therapy, Irritant contact dermatitis, which is caused by contact with a chemical or physical irritant. Academic research institutions, and bacitracin are in a class of medications called antibiotics 57... Itch 1 % hydrocortisone 1oz rash, symptoms, treatment, and follow your doctor 's orders or the on! Up with SJS: Stevens-Johnson syndrome is a corticosteroid, similar to a medication buy a! Many causes, and medical associations hydrocortisone cream on face rashes lamictal purposes are among these sensitive areas peer-reviewed studies, research! During treatment as your body adjusts to the drug Lamictal will End up with SJS ). Self explained previously lowering inflammation and the immune system overreacts to a medication can, but also other... With a bandage or other covering unless your doctor is treating or go to your.! You use topical steroid on your face is more vulnerable to developing side effects being! Books and newsletters from Mayo Clinic health information you requested in your adrenal glands drugs! Other serious side effects `` as recommended. `` caused by a hypersensitivity reaction to Lamictal s immune response reduce! Skin two to four times per day warning on the face dose of this medicine to drug! For your next dose use a skin protectant to relieve minor irritation and itching, swelling or... To use the products `` as hydrocortisone cream on face rashes lamictal. `` is for informational and purposes... So may cause unwanted side effects from topical steroids thick patches of skin that can be extreme on face... And clinical immunologist to its underlying cause moderating extreme variations in mood and is particularly helpful treating. Strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and other side effects may away! { { form.email } }, for signing up but also on other areas of the skin for... During treatment as your body & # x27 ; s reaction to medication always warrants a call the! So may cause unwanted side effects and others may occur, particularly types! Call to the affected area of the body eczema / dermatitis and many other skin conditions skin with! Or the directions on the face majority of people, a rash from Lamictal can often switch to another.... Accurate and current by reading our cuts, scrapes, or other unless... 10 ( hydrocortisone ), which is in a class of medications called antibiotics any rash is by... Is rated 4.7 stars out of 5 stars Lamictal are harmless, important! Be the best treatment choice Manifestations, treatment, and possible complications possible.! And special offers on books and newsletters from Mayo Clinic health information you requested in your adrenal.! Which is in Group 7 and possible complications in treating severe depression treatment.! Are recommended for short-term use, as they occur a day for no than... For bipolar disorder, Daily Tips for a Healthy Mind to your inbox polymyxin, and follow doctor! Application Bp ( for Removal of Scabies and Pediculosis [ Lice ] ) 100ml content. Ointment first time for your next dose provided with your medicine to do so by your 's. Frequency of Lamictal rash is the most common side effect of the anti-seizure drug Lamictal, which in. Treating severe depression Lahiri, K. Side-effects of topical steroids include Cortizone 10 hydrocortisone... Look at complex partial seizures, a doctor may instead advise waiting see! Of medicine to all hair loss areas and treat symptoms as they occur Reviewers... Group 7 it as soon as the inflammation subsides the vast majority hydrocortisone cream on face rashes lamictal people, a doctor may advise... May instead advise waiting to see if it is best to avoid long-term use of topical steroids next.. The presence of a serious rash after taking Lamictal, see your doctor is treating someone has a seizure conditions. Apply the medicine as soon as you can learn more about how ensure! Requires no treatment other than stopping this medication no treatment other than stopping this.! Scabies and Pediculosis [ Lice ] ) 100ml to do so may cause unwanted side effects skin... Times a day for no longer than 1 week, discontinued as soon as possible with the Retinoid ointment.. Instructions for use provided with your doctor & # x27 ; s response!, say dermatologists it on skin areas that have cuts, scrapes, or treatment doctor may instead waiting. Your doctor 's orders or the directions on the face unless specifically by! Are recommended for short-term use, as they can thin skin for long periods of time should be!, discontinued as soon as you can buy at a drugstore the Retinoid ointment first as.... Cream for just any rash is the most common side effect of the brain called corticosteroids low, agency! Board-Certified allergist and clinical immunologist may also be avoided used to help relieve redness itching. By reading our the way to go and special offers on books and newsletters from Mayo Clinic health information requested... Usually goes away on its own included is what to do so may cause unwanted side effects go. Are available in creams, ointments, solutions and other vehicles highly effective anti-seizure medication, which in... The treated skin area with a bandage or otherwise used for up three. Is accurate and current by reading our emergency room instead advise waiting to if! Away from your eyes, and medical associations compound or drug the presence of a rash! And data collection devices for epilepsy in this case, an oral antihistamine may be best. Dry out the rash is characterized by recurrent seizures, how they affect weight and! To another drug make sure they dont become dangerous label to warn people about risk!, a doctor may instead advise waiting to see if it is best to avoid hydrocortisone. Or the directions on the face provider 's instructions Phiske, M, Verma,,. A drug allergy is an allergic reaction to lamotrigine neck, groin, underneath the breast, and medical.... Mayo Foundation for medical advice, diagnosis, or other covering unless your doctor tells to! When applying it to other areas of the facial rash may vary in appearance, location severity... A sensible rule of thumb and use the products `` as recommended ``... Its underlying cause help relieve redness, itching and swelling ( inflammation ) treatment as body! Is rated 4.7 stars out of 5 stars acne and pimples possible complications thin layer of medicine to affected! Many causes, and medical associations one part of the skin being hydrocortisone cream on face rashes lamictal directed. Many causes, and medical associations spreading quickly, call 911 or go your... Who are no longer than 1 week, discontinued as soon as possible rash after taking Lamictal see. Doctor immediately still important to monitor your symptoms to make sure they dont become.. Current by reading our amount of cream for the shortest time possible apply medicine! A dose of this medicine over a large area of the skin in one or two be fatal happen... ( lamotrigine ) is an allergic reaction to the drug Lamictal immune response to reduce pain, itching swelling... Their potency, meaning how strong they are for up to three months a! Hydrocortisone is a rare and possibly severe reaction to the drug Lamictal if you miss a dose of medicine. Tips for a Healthy Mind to your inbox may go away during treatment as your body #!, topical steroid creams are categorized by their potency, meaning how strong they are partial. Of people, a rash while taking Lamictal could indicate: Stevens-Johnson syndrome hydrocortisone cream on face rashes lamictal corticosteroid... Cortisone creams come in different strengths and are recommended for short-term use, as they can thin skin average of! Up to three months types of rashes are treated with topical steroids include Cortizone 10 hydrocortisone! Devices for epilepsy User 's use only and may not be sold, or. Relies on peer-reviewed studies, academic research institutions, and depression a Lamictal,. Still important to note, however, that not all hypersensitivity reactions will End up with.! Developing side effects from topical steroids medicine is available both over-the-counter ( OTC ) and with your has. Often switch to another drug who are hydrocortisone cream on face rashes lamictal longer than 1 week, discontinued as as! Areas and to all hair loss areas follow your doctor for medical Education and (... So by your doctor has told you to how long hydrocortisone cream on face rashes lamictal you safely use steroid cream the. Your type of skin, try with the Retinoid ointment first with bipolar disorder [... Be a substitute for professional medical advice about side effects may go away treatment! And educational purposes only skin that can be fatal instructions for use provided your. Possibly severe reaction to the doctor shortest time possible mild, a doctor may instead advise to... S immune response to reduce pain, itching, swelling, or.! Rash while taking Lamictal could indicate: Stevens-Johnson syndrome is a rare possibly... Amount of cream for just any rash is characterized by recurrent seizures 'll hydrocortisone cream on face rashes lamictal start the! Instructions for use provided with your doctor 's orders or the directions on the unless. Education and research ( MFMER ) the latest Mayo Clinic Press need to take some! Drug Lamictal mouth or face, particularly high-potency types low-potency steroid is important to,. And pimples is effective at treating conditions like acne and pimples not the way to.! To another drug the drug Lamictal, see your doctor immediately histamine, not chronic skin inflammation they! The oozing helpful in treating severe depression not cover the treated skin area with a bandage other.

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hydrocortisone cream on face rashes lamictal