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2015;3:1. They are part of manufacturers’ response to the continuing challenge of health. Adkinson NF, et al. Those who are sensitive to nickel, or are suspected to be so, are often advised to go on a low-nickel diet. Nickel and chromium are also potent sensitisers therefore; allergic reactions may not be due solely to cobalt but also to simultaneous specific allergy to nickel and chromium . American College of Allergy, Asthma and Immunology. Try covering buttons, snaps, zippers or tool handles with duct tape or with a clear barrier, such as Nickel Guard. A single copy of these materials may be reprinted for noncommercial personal use only. For example, metal objects almost always also contain nickel and in the cement industry nickel and chromium are present. Nickel allergy in adults in the US: 1962 to 2015. The FDA announced that certain ranitidine heartburn medications, including Zantac, may contain traces of a cancer-causing chemical called N-nitrosodimethylamine (NDMA). Once nickel is detected, protect yourself with Nickel Guard™! Once you develop a nickel allergy, however, you'll always be sensitive to the metal and need to avoid contact. Oct. 23, 2016. Your immune system's sensitivity to nickel may develop after your first exposure or after repeated or prolonged exposure. Fonacier L, et al. However, medications also contain other substances called inactive ingredients. #### What you need to know Medicinal products contain not only active drugs but also other ingredients included for a variety of purposes and collectively known as excipients.1 Here, we provide an overview of several dietary conditions and the pharmaceutical issues that need to be considered by healthcare professionals advising on the suitability of a medicine. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Extremely small quantities of this element are required in the human body for optimal health but according to the MELISA Foundation, nickel consumption or exposure triggers more allergic reactions than any other element, and approximately 15% of the human population suffers from a nickel allergy. American Academy of Dermatology. As with other allergies, nickel allergy develops when your immune system views nickel as a harmful, rather than harmless substance. Accessed Oct. 25, 2016. Lusi EA, et al. Clinics in Dermatology. However, some multivitamins apparently contain small amounts of nickel. What is an inactive ingredient? Additionally, herbal remedies, herbal teas, and some OTC multi-vitamins contain high levels of nickel and have the potential to provoke a reaction when ingested in sufficient quantities. Available for Android and iOS devices. Dermatitis. Antibiotics Antibiotics may be necessary for secondary infection of nickel dermatitis ( impetigo ). Accessed Oct. 25, 2016. https://www.uptodate.com/contents/search. This content does not have an English version. Nickel is a mineral. You can sometimes come in contact with nickel through items such as tools, keys, pens, coins, hairpins, belt buckles and jewelry. Common items that may expose you to nickel include: Certain factors may increase your risk of developing a nickel allergy, including: Working with metal. This site complies with the HONcode standard for trustworthy health information: verify here. Allergic contact dermatitis occurs when … Nickel allergy: How to avoid exposure and reduce symptoms. If your hands have to touch nickel, wearing gloves may help. Signs and symptoms that might indicate an infection include: Nickel allergy is a condition in which contact with items containing nickel causes an itchy rash and possibly blisters at the site of contact. In order to deal with the irritation and reduce a rash due to a Nickel allergy reaction, your doctor can prescribe medications. Treatments c… All rights reserved. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Avoiding physical contact with items containing nickel Surgical-grade stainless steel may contain some nickel, but it's generally considered hypoallergenic for most people. He or she may refer you to an allergy specialist (allergist) or a skin specialist (dermatologist) for this test. That means anytime you come into contact with nickel, your immune system will respond and produce an allergic response. Nickel allergy signs and symptoms include: If you have a skin rash and don't know how you got it, talk to your doctor. Purchase jewelry that's made of materials that aren't likely to cause allergic reactions. A nickel allergy occurs when a person has an adverse reaction to a food or object containing nickel. It is found in several foods including nuts, dried beans and peas, soybeans, grains, and chocolate.The body needs nickel, but in very small amounts. This blog, which is all about … Hello! This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. However, it's not always easy to avoid nickel because it's present in so many products. 2. Look for jewelry made from such metals as nickel-free stainless steel, surgical-grade stainless steel, titanium, 18-karat yellow gold, or nickel-free yellow gold and sterling silver. Medications include corticosteroids, wet compresses, moisturizing creams, and antihistamines. Accessed Oct. 23, 2016. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 2015;3:S1. Journal of Allergy and Clinical Immunology: In Practice. Getting piercing done safely. American Academy of Dermatology. An inactive ingredient is a component of a medication that is added during the manufacturing process. Prednisone. A nickel allergy occurs when someone has an adverse immune response to a product containing nickel. Dry patches of skin that may resemble a burn, Blisters and draining fluid in severe cases, Other jewelry, including rings, bracelets, necklaces and jewelry clasps, Clothing fasteners, such as zippers, snaps and bra hooks, Watchbands made of leather, cloth or plastic, Zippers or clothing fasteners made of plastic or coated metals. A: The American Academy of Dermatology recommends avoiding ingestion of food that contain high amounts of nickel in individuals with severe T-cell mediated contact dermatitis to nickel confirmed by patch testing. Check with your state or local health department to find out what rules apply to your area and be certain to choose a studio that follows these rules. High prevalence of nickel allergy in an overweight female population: A pilot observational analysis. Now, having said that, I haven't been able to find any evidence that any antibiotics (or, really, any drugs at all) contain nickel. Sensitivity to nickel may, in part, be inherited. The reaction tends to occur only where your skin came into contact with nickel, but sometimes may appear in other places on your body. Nickel Allergy Symptoms and Signs Mayo Clinic does not endorse companies or products. https://www.aocd.org/page/NickelAllergy. However, people who are sensitized and have nickel allergy can develop a reaction by eating several foods that contain nickel at the same time. The electronic cigarette: The new source of nickel contact allergy of the 21st century? We comply with the HONcode standard for trustworthy health information -, miscellaneous anxiolytics, sedatives and hypnotics, Benadryl Extra Strength Itch Stopping Gel, acetaminophen/dextromethorphan/diphenhydramine systemic, Acetaminophen/dextromethorphan/diphenhydramine systemic, acetaminophen/dextromethorphan/diphenhydramine/phenylephrine systemic, Acetaminophen/dextromethorphan/diphenhydramine/phenylephrine systemic, acetaminophen/diphenhydramine/phenylephrine systemic, Acetaminophen/diphenhydramine/phenylephrine systemic, acetaminophen/diphenhydramine/pseudoephedrine systemic, Acetaminophen/diphenhydramine/pseudoephedrine systemic, dextromethorphan/diphenhydramine/phenylephrine systemic, Dextromethorphan/diphenhydramine/phenylephrine systemic, diphenhydramine/magnesium salicylate systemic, Diphenhydramine/magnesium salicylate systemic, Search the entire Drugs.com site for diphenhydramine, Benadryl Dosage Charts (Infants & Children). When taken orally, diphenhydramine can be the only active ingredient in allergy medicines, or it can be combined with other ingredients in multi-symptom co… https://www.aad.org/public/diseases/rashes/nickel-allergy. Accessed Oct. 23, 2016. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Brand names: Ibuprofen PM, Advil PM, Motrin PMDrug class(es): analgesic combinationsDiphenhydramine/ibuprofen systemic is used in the treatment of: Brand names: FIRST BXN MouthwashDrug class(es): mouth and throat products. If yes, what should she be looking for and what food products or medications contain significant amounts of nickel. vitamins, herbal supplements, etc. Mayo Clinic is a not-for-profit organization. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Nickel allergy is a common cause of allergic contact dermatitis — an itchy rash that appears where your skin touches a usually harmless substance.Nickel allergy is often associated with earrings and other jewelry. Maridet C, et al. Most often topical creams or oral treatments that contain corticosteroids or … Your doctor can usually diagnose nickel allergy based on your skin's appearance, and a recent exposure to items that may contain nickel.If the cause of your rash isn't apparent, however, your doctor may recommend a patch test (contact hypersensitivity allergy test). An allergic reaction (contact dermatitis) usually begins within hours to days after exposure to nickel. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The following tips may help you avoid nickel exposure: Avoid jewelry that contains nickel. Belt bu Many foods contain at least trace amounts of nickel because it's found in the soil, but following a low-nickel diet can help limit symptoms of an allergy. Goldenberg A, et al. Depending on the dose and form, diphenhydramine can be used to treat hay fever and other allergies, help reduce occasional sleeplessness, or relieve skin irritations and itching. http://www.micromedexsolutions.com. pregnancy, upcoming surgery, etc. Accessed Oct. 25, 2016. If you already have a nickel allergy, the best way to prevent an allergic reaction is to avoid contact with the metal. If the studio uses a piercing gun, check to see if the part that touches the person getting pierced isn't used on other customers. Emollients Apply soothing emollient creams frequently to relieve itch and dry skin. 2015;26:216. However, if these treatments don't help, call your doctor. They are not comprehensive. These people may include bartenders, people who work in certain food industries and domestic cleaners. Test the metal items with which you often come into contact. The reaction may last as long as two to four weeks. Nickel allergy treatment. Philadelphia, Pa.: Saunders Elsevier; 2014. https://www.clinicalkey.com. Look for safer substitutes for common nickel-containing items: If you have to be exposed to nickel at work, creating a barrier between you and the nickel may help. It may take repeated or prolonged exposure to items containing nickel to develop a nickel allergy. Brod BA, et al. Some foods that contain high amounts of nickel include soy products—such as soybeans, soy sauce, and tofu—licorice, buckwheat, cocoa powder, clams, cashews, and figs. Avoid foods containing nickel if you are extremely sensitive to nickel. Other people who may have an increased risk of nickel allergy include metalworkers, tailors and hairdressers. The lower photo shows nickel allergy from metal in clothing, such as a belt buckle. 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