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Applying cool, wet cloths (compresses); using calamine lotion or corticosteroid cream on the skin. In severe cases, oral steroids, such as prednisone, may be prescribed. The best form of prevention is to recognize and avoid contact with the plants. Treatment for poison ivy, poison oak and poison sumac is designed to relieve the itching and may include oral antihistamines and cortisone creams (either. Use 3 times per day. Steroids by mouth: severe poison ivy may need prescription oral steroids to clear it up. The steroids will reduce the swelling and. Treatment for poison ivy, poison oak and poison sumac is designed to relieve the itching and may include oral antihistamines and cortisone creams (either. Treatment for poison ivy, poison oak and poison sumac is designed to relieve the itching and may include oral antihistamines and cortisone creams (either. — when the exposure is extensive, medical treatment might be necessary. 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