My DS has been on Daytrana for a year and a half now. DS got to the point that he was bloody and his skin was literally one welt upon another. We would be called to school several times in a week as he had scratched his patch off. With help from other parents we found that the Nasonex/Flonase (a steroid) reduced the swelling. We tried other areas for the patch but the hip area was always the better area as it was absorbed better. We have found the following to be of great help:
1.) Remove the patch with baby oil gel
2.) Wash the patch area with soap and water. Better yet, have him take a bath. We use Boudreaux's Butt Bath (yes this really is the name).
3.) We spray Nasonex or Flonase onto the area where the patch was and on the other hip too and let dry
4.) Once the area is dry, we apply a generous amount of skin ointment (again we use a product from Boudreaux called Baby Butt Smooth). We also put a tiny bit on the opposite hip as well.
Hope this helps!
We have had great success with the Flonase prior to patch application. Spray a small amount on the area in which you are going to place the patch and let dry for several minute. Then, just apply the patch the same way you normally do. We have not had the problems with skin irritation since we began doing this.