Poison Oak and Poison Ivy Dermatitis

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Overview

What you need to know

If you develop an itchy, red rash after spending time outdoors you may have brushed against a poison ivy or poison oak plant. What should you do? According to research or other evidence, the following self-care steps may be helpful:

• Cleanse exposed skin
• Wash the affected area with dish soap as soon as possible to limit the reaction; wash clothing, pets, and anything else that comes in contact to prevent re-exposure

• Apply plantain
• Reduce skin inflammation by covering the affected area with fresh crushed plantain leaves or using a 10% ointment

• Steer clear next time
• Learn what poison ivy and its relatives look like so you can avoid future contact

These recommendations are not comprehensive and are not intended to replace the advice of your doctor or pharmacist. Continue reading the full Poison oak dermatitis article for more in-depth, fully-referenced information on medicines, vitamins, herbs, and dietary and lifestyle changes that may be helpful.

About Poison Oak and Poison Ivy

Certain plants in the Toxicodendron (formerly Rhus) genus contain a potent resin called urushiol that, when it comes in contact with skin, can cause a severe allergic reaction in people who are sensitive to it-approximately 85% of the population, according to the American Academy of Dermatology.

Plants in this group include Western poison oak (Toxicodendron diversilobum), Atlantic poison oak (T. pubescens), poison ivy (T. radicans), and poison sumac (T. vernix).

Check list

Product ratings for Poison Oak and Poison Ivy

Rating	Nutritional Supplements	Herbs
		Plantain
		Blood root Calendula Chickweed Gumweed Holy basil Jewelweed Menthol (topical) Peppermint (topical) Virginia snakeroot
Reliable and relatively consistent scientific data showing a substantial health benefit. Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit. An herb is primarily supported by traditional use, or the herb or supplement has little scientific support and/or minimal health benefit.

Symptoms

What are the symptoms?

The skin rash caused by the plant resin urushiol is a form of "contact dermatitis." It is a red, swollen, blistering rash that is both painful and itchy. The blisters can become weepy, but the fluid from them does not spread the rash. Once developed, the rash is not contagious or spread by scratching. Scratching should nevertheless be discouraged to prevent the blisters from becoming infected. The rash can be severe but it is self-limiting, which means it will eventually resolve with no treatment. Most people seek treatment anyway for relief from the symptoms.

Lifestyle

Lifestyle changes that may be helpful

When it comes to poison oak and ivy, prevention is truly the best cure. An easy rhyme helps one avoid touching these plants when venturing into the forests and meadows where they grow: "Leaves of three, let them be."

Contact with poison oak, poison ivy, and poison sumac can be avoided by staying out of dense brush, wearing long clothes, and changing clothes after coming in contact with the plants. Dogs should be prevented from roaming freely through such areas, because they can pick up the resin on their fur and transmit it to people by direct contact or via furniture. Toxicodendron plants must never be burned because the oil can severely damage the lungs or be fatal if inhaled as smoke. The plant resin, urushiol, remains potent for years, even when the plant itself has died.

Herbs

Herbs that may be helpful

Jewelweed (Impatiens capensis) is the most popular herbal treatment for poison oak/poison ivy dermatitis.^{1, 2} It is widely believed that rubbing jewelweed on the exposed area within 15 minutes of exposure may prevent the rash by binding the resin. Custom advises crushing a few of the succulent leaves and stems and rubbing them on affected skin, or crushing and soaking the leaves in water and then bathing the area with the leaf-soaked water. However, most scientific studies have found jewelweed to be ineffective in treating poison oak/ivy dermatitis.^{3, 4, 5, 6} Nevertheless, the efficacy of the plant continues to be supported by numerous testimonials and anecdotal reports, and is recommended in several classic botanical reference guides.^{7, 8, 9, 10}

Gumweed (Grindelia spp.) is another plant popularly used to treat poison oak/ivy dermatitis. It has a long history of use, including by Native Americans, and in early-20th-century pharmaceutical preparations. ^{11, 12, 13, 14} There are case reports of gumweed's efficacy for poison oak dermatitis, but no published, controlled clinical trials.¹⁵ Apply gumweed tincture directly to the rash. It may also be mixed into marigold (Calendula officinalis) cream and applied several times a day.

Plantain (Plantago spp.) is another popular remedy for skin inflammation, and topical use of this plant may help soothe the rash caused by poison oak and ivy. In one preliminary clinical trial, all ten people given plantain for poison ivy dermatitis improved.¹⁶ There have been no controlled clinical studies to date.

A great many plants have been used historically to treat skin inflammations like poison oak and poison ivy dermatitis. Examples include calendula (Calendula officinalis), blood root (Sanguinaria canadensis), Virginia snakeroot (Aristolachia serpentaria), holy basil (Ocimum tenuifolium), and chickweed (Stellaria media). None of these remedies has been subjected to controlled clinical studies to determine if they are safe and effective for this use. Cooling essential oils, such as peppermint and menthol, have also been used topically to relieve burning pain and itch. Such oils should not be applied full-strength, but should rather be diluted (for example in lotion or gel) to avoid further skin irritation.

Are there any side effects or interactions?

Refer to the individual herb for information about any side effects or interactions.

Other Alternatives

Holistic approaches that may be helpful

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References

1. Moerman DE. Native American Ethnobotany. Portland, OR: Timber Press, 1998.
2. Kavasch EB, Baar K. American Indian Healing Arts: Herbs, Rituals, and Remedies for Every Season of Life. New York, NY: Bantam Books, 1999.
3. Gibson MR, Maher FT. Activity of jewelweed and its enzymes in the treatment of Rhus dermatitis. J Am Pharm Assoc 1950;39:294-6.
4. Guin JD, Reynolds R. Jewelweed treatment of poison ivy dermatitis. Contact Dermatitis 1980;6:287-8.
5. Long D, Ballentine NH, Marks JG Jr. Treatment of poison ivy/oak allergic contact dermatitis with an extract of jewelweed. Am J Contact Dermat 1997;8:150-3.
6. Zink BJ, Otten EJ, Rosenthal M, Singal B. The effect of jewel weed in preventing poison ivy dermatitis. J Wilderness Med 1991;2:178-82.
7. Sanders J. The Secrets of Wildflowers: A Delightful Feast of Little-Known Facts, Folklore, and History. Guilford, CT: Lyons Press, 2003.
8. Gibbons E. Stalking the Healthful Herbs. Putney, VT: Alan C. Hood & Company, Inc., 1989.
9. Duke JA. The Green Pharmacy: New Discoveries in Herbal Remedies for Common Diseases and Conditions from the World's Foremost Authority on Healing Herbs. Emmaus, PA: Rodale Press, 1997.
10. Robbers JE, Tyler VE. Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals. Binghamton, NY: Haworth Press, Inc., 1999.
11. Moerman DE. Native American Ethnobotany. Portland, OR: Timber Press, 1998.
12. Kindscher K. Medicinal Wild Plants of the Prairie: An Ethnobotanical Guide. Lawrence, KS: University Press of Kansas, 1992.
13. Sollmann TH. A Text-Book of Pharmacology and Some Allied Sciences. Philadelphia, PA: W. B. Saunders & Company, 1906.
14. American Pharmaceutical Association. The Pharmaceutical Recipe Book. 2nd ed. Washington, DC: American Pharmaceutical Association, 1936.
15. Caranvan D, Yarnell E. Successful treatment of poison oak dermatitis treated with Gindelia spp. (Gumweed). J Altern Complement Med 2005;11:709-10).
16. Duckett S. Plantain leaf for poison ivy. N Engl J Med 1980;303:583.

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Last Review: 01-21-2009

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The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires February 2010.

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