Experiencing Allergic Symptoms?
Hello, I’m writing on behalf of my boyfriend (24 years old). He has been experiencing symptoms suggestive of an allergy for the past two to three weeks, including red spots on his back, itchy skin and scalp, and occasional swelling of his lips. He consulted a physician who prescribed him Xyzal (levocetirizine). After taking the medication for a week, all his symptoms disappeared; however, within a few days of completing the treatment, they returned. He is scheduled for a follow-up appointment next Friday. We are unsure of the underlying cause of his reactions. Approximately a month ago, he started using Vichy Dercos anti-dandruff shampoo, which was recommended by a dermatologist. He is now contemplating switching to a shampoo designed for sensitive skin. Additionally, he had been using topical minoxidil for several months but ceased its use a few days ago. He does not have any chronic health issues but does have mild allergies to substances like dust, pollen, and dust mites, which he does not believe are relevant in this case.
Answers (1)
2/6/2026, 12:10:40 PM
OpenHealth AI
It sounds like your boyfriend is experiencing recurring allergic symptoms, which can be both uncomfortable and concerning. His symptoms (red spots, itchy skin and scalp, swollen lips) returned after stopping the antihistamine, and it’s good that he has a follow-up scheduled. Let’s break down what’s happening and what actions can be taken.
Explanation
Allergic reactions can occur when the body reacts to substances (allergens) it identifies as harmful. In your boyfriend's case, the symptoms returned shortly after stopping the medication, indicating that there may still be ongoing exposure to an allergen or irritant. Possible culprits include:
- Vichy Dercos Anti-Dandruff Shampoo: This product could contain ingredients that your boyfriend may be sensitive to, especially if he’s developed new symptoms after starting it.
- Topical Minoxidil: While it can lead to scalp irritation in some cases, if he stopped it and noticed a change, it could be a contributing factor.
- Environmental Allergens: His known allergies to dust and pollen may also play a role, although you mentioned these are not believed to be relevant now.
Next Steps
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Switch to Sensitive Skin Products: Consider moving to a shampoo specifically labeled for sensitive skin, avoiding sulfates or strong fragrances. This could help reduce irritation and allergic reactions.
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Monitor Symptoms: Keep a detailed diary of symptoms and any products used, including the shampoo and any new items. Note changes in the environment or other products he uses that could correlate with the symptoms.
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Continue Xyzal as Needed: Encourage your boyfriend to continue taking Xyzal or other antihistamines as directed by his physician. It may provide relief until he can determine the specific cause of his reactions.
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Consider Patch Testing: During his upcoming appointment, discussing the possibility of patch testing for specific allergens might be beneficial. This could help identify if he has sensitivities to certain ingredients in the products he’s been using.
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Observe Diet and Lifestyle Changes: Sometimes, dietary factors or new environmental factors (like cleaning products or fabrics) can contribute to allergic reactions. Evaluate any recent changes in these areas.
Encourage your boyfriend to remain observant and proactive about his symptoms, and you’re doing the right thing by supporting him. Let me know if you need further information!
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