Dermatitis (atopic, allergic, or contact)
Clinical basis & sources
- Primary source
- OCP Minor Ailments Prescribing
Sources used
- Minor Ailments: Drug Classes and Specified DrugsOntario College of Pharmacists · 2026
- Executive Officer Notice: Update to Funding for Minor Ailment Services in Ontario Pharmacies (Effective July 1, 2026)Government of Ontario · 2026-05-19
- Atopic Dermatitis: Diagnosis and TreatmentAmerican Family Physician · 2020-05-15
- Guidelines of care for the management of atopic dermatitis in adults with topical therapiesAmerican Academy of Dermatology / PubMed · 2023
- Diagnosis and Management of Contact DermatitisAmerican Family Physician · 2010-08-01
- Ontario Regulation 256/24: GeneralGovernment of Ontario · 2026
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Allowable drugs under Schedule 4 (9)
Drugs an Ontario pharmacist may prescribe for Dermatitis (atopic, allergic, or contact) under O. Reg. 256/24, Schedule 4. Choice still depends on the assessment, contraindications, allergies, and product availability — this is the eligible list, not a recommendation.
- Beclomethasone
- Betamethasone valerate
- Clobetasone
- Crisaborole
- Desonide
- Fluocinolone
- Hydrocortisone
- Prednicarbate
- Triamcinolone
Symptoms this assessment screens
- Itchy, red, dry, rough, or scaly skin
- Eczema or atopic pattern
- Product, plant, metal, workplace, glove, sanitizer, or detergent exposure
- Localized flare suitable for topical therapy
- Itch affects sleep, work, school, or daily function
- Prior emollient, steroid, or avoidance trial
Red flags — any positive means refer
- Fever, pus, spreading warmth/swelling, honey crusting, or painful infected-looking skin
- Blisters, punched-out erosions, eye involvement, or severe painful flare
- Widespread, rapidly worsening, recurrent severe, or high quality-of-life impact
- Severe face, eyelid, genital, broken-skin, or large-fold involvement
- Diagnosis uncertain, possible tinea/scabies/psoriasis/drug eruption/shingles, or treatment failure
- Trigger unclear after avoidance or allergen identification would change management
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