Can you give antihistamines for chickenpox?

What’s the Treatment for Chickenpox?

Chickenpox usually runs its course in 5 to 10 days. But if you have the itchy rash caused by the virus, that can feel like a very long time. Fortunately, there are things you can do at home to ease your symptoms while your body heals itself.

Use Acetaminophen (Tylenol) for Pain and Fever

If you or your child has a high fever or achiness caused by chickenpox, reach for the Tylenol. It can even help relieve pain associated with sores that develop on your skin or in your mouth. It’s safe for most people, including pregnant women and children over 2 months old.

Avoid anti-inflammatory painkillers, like ibuprofen. If you have chickenpox, it can make you very ill. Never give aspirin to children under age 16. It can lead to a serious complication called Reye’s syndrome.

Don’t Scratch That Itch

Yes, it’s tempting. But scratching your rash can put you at risk for a bacterial skin infection. It could also cause scarring. Try these tips to calm your itchy skin:

  • Tap or pat -- don’t scratch -- your itch
  • Take a cool oatmeal bath (you can buy it at your local drugstore). Dab or pat (don’t rub) your skin dry.
  • Wear loose, cotton clothing so your skin can breathe
  • Dab calamine lotion on your itchy spots
  • Try an antihistamine, like Benadryl, to ease your symptoms

Keep Your Cool

Heat and sweat make you itch more. Use a cool, wet washcloth on super-itchy areas to calm your skin.

Stay Hydrated

Drink lots of fluids to help your body rid itself of the virus faster. It’ll also keep you from getting dehydrated.

Choose water over sugary drinks or sodas, especially if you or your child has chickenpox in the mouth. Sugar-free popsicles are a good choice, too.

Avoid hard, spicy, or salty foods that can make your mouth sore.

Prescription Medications

If you’ve been exposed to someone who has chickenpox but doesn’t have symptoms yet, your doctor may give you an injection of a treatment called immunoglobulin. It can help prevent severe chickenpox. Your doctor may consider this therapy if you’re:

  • Pregnant
  • A smoker
  • Living with HIV
  • Having chemotherapy (“chemo”) or taking high doses of steroid medication

Newborn babies under 4 weeks old are also at increased risk for complications from chickenpox.

If you’re at risk for severe chickenpox and already have symptoms, your doctor might prescribe an antiviral medication called acyclovir (Sitavig, Zovirax). It can help to make your symptoms less severe. You’ll take the first dose within 24 hours of developing the rash. Then you’ll take a tablet 5 times a day for 7 days.

Overview

Chickenpox is a common disease caused by the varicella virus. It causes an itchy rash and red spots or blisters (pox) on the skin all over the body. Your child also can have blisters on the scalp and in the eye.

Chickenpox is most contagious from 2 to 3 days before the rash forms until no new blisters form and all the blisters have crusted over. That may be 7 days or more after the blisters first appear. It may take up to 2 weeks for the scabs to go away. Most children feel better within a week. You can care for your child at home.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Help your child get plenty of rest.
  • Try to keep your child from scratching the chickenpox rash.
  • Give your child warm or cool baths with oatmeal bath products, such as Aveeno. This will reduce itching. You can also add a handful of oatmeal (ground to a powder) to your child's bath. After a bath, pat—rather than rub—your child's skin dry.
  • Wet a soft cloth with cool water or with cool water mixed with baking soda. Put the cool compress directly on the skin to cool your child's skin and relieve itching.
  • Use soothing lotions that can help dry chickenpox blisters, such as those that contain:
    • Phenol, menthol, and camphor, such as calamine lotion.
    • Oatmeal, such as Aveeno Lotion.
  • Try to keep your child from getting hot and sweaty. Getting hot will make the itching worse.
  • Be safe with medicines. Read and follow all instructions on the label.
    • Ask the doctor about giving your child an over-the-counter antihistamine to help calm the itching.
    • Give your child acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for fever and pain. Be safe with medicines. Read and follow all instructions on the label. Do not give aspirin to anyone younger than 18. It has been linked to Reye syndrome, a serious illness.
    • Do not give your child two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen (Tylenol). Too much acetaminophen (Tylenol) can be harmful.
  • Do not use lotions or creams that contain antihistamines.

When should you call for help?

Call your doctor or nurse advice line now or seek immediate medical care if:

  • Your child has a new or worsening cough and is short of breath.
  • Your child has a fever with a stiff neck or a severe headache.
  • Your child is sensitive to light or seems very sleepy or confused.
  • Your child has eye pain or drainage.
  • Your child has signs of an infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the chickenpox blisters.
    • Pus draining from the blisters.
    • A fever.

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse advice line if:

  • Your child does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter X359 in the search box to learn more about "Chickenpox in Children: Care Instructions".

What is the best antihistamine for chickenpox?

If your child is over the age of one, you can try giving them an antihistamine, such as chlorphenamine. You can buy this over the counter from a pharmacy. Chlorphenamine is more commonly known by brand names such as Piriton, Allercalm, Allerief or Hayleve.

What medicine should be avoided during chicken pox?

Do not use aspirin or aspirin-containing products to relieve fever from chickenpox. The use of aspirin in children with chickenpox has been associated with Reye's syndrome, a severe disease that affects the liver and brain and can cause death.

Can you use Piriton for chickenpox?

*Piriton Syrup may be used by children over the age of 12 months to relieve the itchy rash of chickenpox. Adults can also get chickenpox, so may also find Piriton helpful for relief of the itchy rash, however be aware that adults with chickenpox may experience more serious symptoms that should be treated by a doctor.

What helps relieve itching from chickenpox?

Both wet compresses and cool baths may be most effective at relieving itching when they're done every three to four hours for the first few days of chickenpox symptoms. Calamine Lotion Applying dabs of calamine lotion to chickenpox blisters may reduce itching. Just be careful not to get it in your eyes.