Facial Rash After Taking Menstrual Delay Medication - Obstetrics and Gynecology

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I have a rash on my face?


Hello, doctor.
Last Wednesday, I went to the pharmacy to buy a medication to delay my period because I felt it was about to start.
I planned to go to a hot spring on Friday, and the pharmacist recommended that I take it for five days, from Wednesday to Sunday.
The medication is taken once a day, two pills at a time (orange and small white pills).
By Sunday morning, I noticed that my entire face was covered in bumps (not red rashes).
I looked in the mirror closely, and it was like little swollen spots all over my face! My face looks red and feels itchy.
Doctor, could this be an allergic reaction or a side effect of the medication? I apologize for adding that my face feels very warm, but my temperature is normal, and my blood pressure is even 150/98 with a heart rate of 88, which startled me.
My face is very itchy.

sandy, 20~29 year old female. Ask Date: 2007/12/03

Dr. Dai Qihan reply Obstetrics and Gynecology


Please bring the remaining medication and visit the dermatology department nearby for consultation.

Reply Date: 2007/12/03

More Info


The symptoms you are experiencing after taking the menstrual delay medication could potentially be related to an allergic reaction or a side effect of the medication. It is important to understand the nature of the medication you took, as well as the common side effects associated with it.

Menstrual delay medications often contain hormones, such as progestins, which can affect your body in various ways. Common side effects of hormonal medications can include nausea, headaches, mood changes, and skin reactions. However, the facial rash you described—characterized by raised bumps, redness, and itching—suggests a possible allergic reaction. Allergic reactions can occur with any medication, and they can manifest in various forms, including hives, rashes, or more severe symptoms like difficulty breathing.

Given that your face feels hot and itchy, and you have elevated blood pressure readings (150/98), it is crucial to take these symptoms seriously. While the absence of fever suggests that it may not be an infection, the combination of facial rash, itching, and elevated blood pressure could indicate a systemic reaction to the medication.
In terms of distinguishing between an allergic reaction and a side effect, consider the following:
1. Timing: Allergic reactions typically occur shortly after exposure to the allergen (in this case, the medication). If your symptoms began soon after starting the medication, it may point towards an allergy.

2. Symptom Severity: Allergic reactions can escalate quickly and may require immediate medical attention, especially if you experience difficulty breathing, swelling of the face or throat, or a rapid heartbeat.

3. Previous Reactions: If you have a history of allergies to medications or similar substances, this could increase the likelihood that your current symptoms are due to an allergic reaction.

4. Duration: Side effects may persist as long as the medication is taken, while allergic reactions may resolve once the medication is discontinued.

Given your symptoms, it is advisable to stop taking the medication immediately and consult a healthcare professional. They can provide a thorough evaluation and may recommend antihistamines to alleviate the itching and rash. In some cases, corticosteroids may be prescribed to reduce inflammation.

In summary, while it is possible that the rash is a side effect of the medication, the characteristics of your symptoms lean more towards an allergic reaction. It is essential to seek medical advice promptly to ensure your safety and to receive appropriate treatment. Always inform your healthcare provider about any medications you are taking and any reactions you experience, as this information is crucial for your ongoing care.

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