Insect bites and Stings
Over the counter medicated options
Getting insect bites or stings is a part of outdoor adventure, learn how to manage.
Insect bites and stings can trigger a range of uncomfortable skin symptoms, depending on the insect and your sensitivity. Most people experience sudden itching, redness, and mild swelling at the site, often accompanied by a raised bump or welt. Some bites may form small blisters, become irritated from scratching, or feel hot to the touch.
In people with stronger reactions, symptoms can spread beyond the bite area, causing larger patches of redness, hives, or more pronounced swelling. While most bites are mild, the discomfort can last hours to days and may interfere with sleep or daily activities.
For insect bite you may use some topicals cooling agents, numbing agents, hydrocortisone, calamine lotion and oral antihistamines if it spreads to a larger area or multiple bites.​​​
Pharmacist-recommended products​​
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Hydrocortisone 1% Cream
A mild corticosteroid used to calm inflammation, redness, and itching caused by insect bites, mild allergic reactions, and skin irritation. It works by reducing the local immune response in the skin. Best used for short-term relief (usually 3–7 days) on unbroken, intact skin. Avoid using on large areas, open wounds, or in children under 2 unless directed by a provider.
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Topical Antihistamines (Diphenhydramine / Benadryl® Cream)
These block histamine at the skin level, reducing localized itching, swelling, and redness from mosquito, flea, or minor allergic bites. They are helpful for small areas that itch intensely. Use sparingly, as frequent reapplication may increase the risk of skin sensitivity. These are not recommended for long-term daily use.
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Topical Analegesic-numbing agents(Lidocaine / Benzocaine)
Provide quick numbing relief for sharp pain, burning, or stinging sensations—especially useful for bee or wasp stings, fire ants, or painful scratching. They offer short-term relief within minutes. Avoid use on very large areas or deep wounds, and check labels if you have sensitivity to local anesthetics.
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Calamine lotion
A classic pink lotion that soothes itchy, irritated skin while absorbing moisture. It’s especially helpful for blistering bites (like chiggers) or for bites that ooze slightly after scratching. It leaves a light cooling layer on the skin and can be reapplied as needed throughout the day.
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Menthol/Camphor cooling gels
These provide a cooling or “counterirritant” effect that distracts from itching and reduces mild swelling. They’re found in many anti-itch balms, sticks, and gels. Good for people who prefer natural-feeling relief or want a cooling sensation without steroids or antihistamines.
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Oral Antihistamines​​ (Cetirizine, Diphenhydramine)
Useful when multiple bites are present or when itching is widespread. These can also help if swelling is part of the reaction.
• Cetirizine (Zyrtec®) works for 24 hours and is non-drowsy, making it better for daytime relief.
• Diphenhydramine (Benadryl®) is sedating and best for nighttime when itching interferes with sleep.
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For local itch and redness, start with hydrocortisone cream or a topical antihistamine.
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For sharp stings or burning pain, choose a topical analgesic such as lidocaine.
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For blistering or oozing bites, apply calamine lotion.
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Use oral antihistamines if you have multiple bites or generalized swelling.
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Always seek medical help if swelling spreads rapidly, breathing becomes difficult, or if you suspect a severe allergic reaction.
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