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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurrent Breakout Of Rashes On Face

i had breakout on my face 4 years ago, i tried all the medications prescribed by the dermatologist but nothing happened until one friend suggested to me to use dermovate...it really helps and cleared my skin. because of that i keep using it for 4 years .until last year due to stress and pressure in work, i had breakout again unfortunately dermovate is no longer helping...the breakout was too much that its affecting already my whole face...and the small rashers are too itchy...i went to the dermatologist and she prescribed to me clindamycin..it only reduce the problem but after a4 months of using it,it dd not clear my skin...i went to another derma she prescribed to me epiduo, but my skin gets irritated...what i wil do?...im using cethapil non irritating cleanser at morning, zeniac fort and bioderma spf 50 in the morning..at night, after washing my face with cethaphil, epidou...but im not using epiduo regularly as it irritates my skin...any suggestion of what am i going to do?
Tue, 23 Dec 2014
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

The cream which you have been using contains a potent topical steroid i.e mometasone furoate 0.1%.
I strongly advice you against using this cream on face!!
Potent topical steroids if used regularly on face can cause side effects like acne, skin thinning, dryness, easy flushing, persistent redness, sun sensitivity and hirsutism in females.
Moreover on stopping steroids after regular use you can expect certain side effects like flushing, redness, itching, dryness, acne eruption etc.
These side effects are together part of a condition known as "Steroid Rosacea"; it resembles rosacea and it is steroid induced.
The creams which have been prescribed by your dermatologist would definitely aid in the recovery of your skin.
Recovery is a gradual process and it may take time; during these times you may be tempted to use topical steroids but you should resist!!
Since you skin would be sensitive therefore, you may use a broad spectrum sunscreen throughout the day. Neutrogena's Dry Touch Ultrasheer Sunscreen (SPF 50) is available OTC and is quite good. You may continue with the sunscreen that you have been using. Reapply every 2-3 hours whenever outdoors.
Apart from sunscreen, topical's that have a beneficial role in steroid induced rosacea are 1% pimecrolimus, 1% metronidazole gel. You may use them once or twice daily.
For acne breakout I suggest you to use topical clindamycin 1% gel twice daily. I also suggest Oral antibiotics e.g Doxycyline; Oral antibiotics are necessary in your case because they would benefit both Steroid Rosacea as well as acneform eruptions/heat boils that accompany steroid abuse.
Use a gentle cleanser for face wash e.g cetaphil cleansing lotion, twice daily.
You need to be patient with this skin condition because it tends to first flare once steroids are discontinued, therefore this will take some time to recover. The focus should be to stay away from steroid.

Regards
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Suggest Treatment For Recurrent Breakout Of Rashes On Face

Hello. Thank you for writing to us at healthcaremagic The cream which you have been using contains a potent topical steroid i.e mometasone furoate 0.1%. I strongly advice you against using this cream on face!! Potent topical steroids if used regularly on face can cause side effects like acne, skin thinning, dryness, easy flushing, persistent redness, sun sensitivity and hirsutism in females. Moreover on stopping steroids after regular use you can expect certain side effects like flushing, redness, itching, dryness, acne eruption etc. These side effects are together part of a condition known as Steroid Rosacea ; it resembles rosacea and it is steroid induced. The creams which have been prescribed by your dermatologist would definitely aid in the recovery of your skin. Recovery is a gradual process and it may take time; during these times you may be tempted to use topical steroids but you should resist!! Since you skin would be sensitive therefore, you may use a broad spectrum sunscreen throughout the day. Neutrogena s Dry Touch Ultrasheer Sunscreen (SPF 50) is available OTC and is quite good. You may continue with the sunscreen that you have been using. Reapply every 2-3 hours whenever outdoors. Apart from sunscreen, topical s that have a beneficial role in steroid induced rosacea are 1% pimecrolimus, 1% metronidazole gel. You may use them once or twice daily. For acne breakout I suggest you to use topical clindamycin 1% gel twice daily. I also suggest Oral antibiotics e.g Doxycyline; Oral antibiotics are necessary in your case because they would benefit both Steroid Rosacea as well as acneform eruptions/heat boils that accompany steroid abuse. Use a gentle cleanser for face wash e.g cetaphil cleansing lotion, twice daily. You need to be patient with this skin condition because it tends to first flare once steroids are discontinued, therefore this will take some time to recover. The focus should be to stay away from steroid. Regards