Skin Allergy Management Plan

Patient Information

Name: _________________________ Date: _________________________ Allergy Type(s): _________________________

Known Triggers

• Environmental allergens
• Contact substances
• Food allergies affecting skin
• Temperature/weather changes

Daily Management Protocol

Prevention Measures

• Use fragrance-free skincare products
• Wear protective clothing when necessary
• Maintain optimal indoor humidity (30-50%)
• Keep skin moisturized

Medication Schedule

Regular Medications:

1. Antihistamine: _________________ Dosage: _______
2. Topical treatment: ______________ Frequency: _____

Skincare Routine

Morning:

• Gentle cleanser
• Prescribed medications
• Moisturizer
• Sunscreen (SPF 30+)

Evening:

• Gentle cleanser
• Prescribed medications
• Heavy moisturizer

Emergency Action Plan

Mild Reactions

Symptoms:

• Mild itching
• Slight redness
• Minor hives

Actions:

1. Apply prescribed topical medication
2. Take oral antihistamine if needed
3. Document trigger if known

Severe Reactions

Symptoms:

• Widespread hives
• Severe itching
• Swelling
• Difficulty breathing

Actions:

1. Call emergency services immediately
2. Use emergency medications as prescribed
3. Contact dermatologist

Follow-up Care

• Schedule regular check-ups every _____ months
• Keep photo documentation of severe reactions
• Maintain trigger diary

Emergency Contacts

Dermatologist: _____________________ Emergency Number: ________________ Pharmacy: ________________________