Topical steroids for acne

Some patients, especially those with moderate to severe papulopustular, phymatous, or ocular disease, should receive oral antibiotics, such as doxycycline 100 to 200 mg/day, minocycline 100 to 200 mg/day, or tetracycline 250 mg to 1 g/day. Submicrobial doses of doxycycline, (Oracea) 40 mg daily, have also shown promising results from the anti-inflammatory properties of the drug while minimizing the potential for antibacterial resistance. For phymatous rosacea, especially rhinophyma, surgical treatment with ablative laser, dermabrasion, or heated scalpel excision can help to restore the normal skin contours.

The doctor may suggest hospitalization simply because it may be necessary to break the cycle of chronic inflammation, or other problems that are exacerbating the illness. Frequently, five or six days of vigorous in-hospital treatment care can result in a dramatic clearing of the eczema. Food tests, allergy skin testing, and the development of an outpatient therapy plan can all be done during the hospitalization. Unfortunately, getting approval from insurers is often difficult. During an acute flare the number of 15-20 minute baths must be increased to three or four per day. Besides hydrating the skin, baths also increase the penetration of topical medication up to ten-fold if the medicine is applied immediately after the bath. Wet wraps after baths may also help hydration and medicinal penetration. Bedtime wet wraps are most practical, and can be done with elasticized gauze followed by ace bandages or double pajamas. (The first pair of pajamas is worn damp but not soaking wet, and a second pair of dry pajamas is worn over them. For a tighter fit, sometimes a plastic sauna suit is used instead of the dry pajamas.) For feet and hands, socks can be used. Additional blankets or increased room heat may be necessary during this three to seven days to prevent chilling.

Topical steroids for acne

topical steroids for acne


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