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Diagnosed With Hidradenitis Suppurativa. Safe To Take Neotigason?

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Posted on Mon, 31 Dec 2012
Question: I have been diagnosed with hydradensis supporitiva. My dermatologist has prescribed Neotigason as a treatment, but my research says that steroids are a more appropriate treatment. What do you think?
doctor
Answered by Dr. Michelle Gibson James (2 hours later)
Hi, thanks for using healthcare magic

There are many different aspects of treatment of hidradenitis suppurtiva. Medication or surgical care is combined with the use of ordinary soaps and antiseptics, warm compresses, using loose fitting clothing, cessation of smoking and weight loss is necessary.

Treatment is a challenge and the course of treatment depends on the doctor's assessment of the state and the extent of the condition.

In alot of cases the first stage of treatment involves the use of antibiotics, injection of steroids, with systemic steroids used for flare ups.

In terms of your medication- neotigason is an oral retinoid and can be used however it may require a long time (up to 6 mts) for resolution.

You may want to consider speaking to your doctor if you have doubts about your first line medication

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (24 hours later)
Thank you for your answer. My condition is well advanced around the groin and buttocks and armpit areas with multiple pus cysts. It seems to me that steriods would be more useful, perhaps in combination with neotigason. Is neotigason perhaps reserved for advanced cases? I ask because I am seeking a second opinion on my treatment. Thank you.
doctor
Answered by Dr. Michelle Gibson James (10 hours later)
HI,

Steroids are usually first line, your doctor may have a specific reason that he or she decided against using them.
There was a study published in a British medical journal late last year which studied 12 persons using neotigason for severe HS- they used in for 9 to 12 months, all 12 acheived remission, 9 had no recurrences after 6 mths.


Feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (11 hours later)
Hi,
Thanks for that, could you give me the reference to that study?
doctor
Answered by Dr. Michelle Gibson James (19 minutes later)
Sure no problem- british journal of dermatology, XXXXXXX 2011; 164 (1): 170-175 Boer J,Nazary M

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Diagnosed With Hidradenitis Suppurativa. Safe To Take Neotigason?

Hi, thanks for using healthcare magic

There are many different aspects of treatment of hidradenitis suppurtiva. Medication or surgical care is combined with the use of ordinary soaps and antiseptics, warm compresses, using loose fitting clothing, cessation of smoking and weight loss is necessary.

Treatment is a challenge and the course of treatment depends on the doctor's assessment of the state and the extent of the condition.

In alot of cases the first stage of treatment involves the use of antibiotics, injection of steroids, with systemic steroids used for flare ups.

In terms of your medication- neotigason is an oral retinoid and can be used however it may require a long time (up to 6 mts) for resolution.

You may want to consider speaking to your doctor if you have doubts about your first line medication

I hope this helps, feel free to ask any other questions