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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Ease Heat Rashes All Over Legs?

Hi. I am taking methotrexate on holiday very hot weather and have come out in a heat rash all over my legs. Any suggestions to ease the rash? I have reduced my sun exposure and applied cold compresses but I really wanted to get a tan.. Is this not possible. Why my body reacted this way?
Thu, 26 Mar 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us

Photosensitivity is a rare but well known side effect of Oral Methotrexate.
Therefore it is advisable that you must not try getting tanned till the time you are on methotrexate.
Apart from restricting further sun exposure I would suggest you to use a broad spectrum sunscreen whenever outdoors.
As a treating doctor I would have also suggested you to use a topical moderately potent topical steroid e.g fluticasone propionate 0.05% Or mometasone furoate 0.1% cream, to be used twice daily, over the rash.
Steroids are anti-inflammatory and would help resolve the rash within a few days.

Regards
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How To Ease Heat Rashes All Over Legs?

Hello. Thank you for writing to us Photosensitivity is a rare but well known side effect of Oral Methotrexate. Therefore it is advisable that you must not try getting tanned till the time you are on methotrexate. Apart from restricting further sun exposure I would suggest you to use a broad spectrum sunscreen whenever outdoors. As a treating doctor I would have also suggested you to use a topical moderately potent topical steroid e.g fluticasone propionate 0.05% Or mometasone furoate 0.1% cream, to be used twice daily, over the rash. Steroids are anti-inflammatory and would help resolve the rash within a few days. Regards