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Suggest remedy for dark upperlip post antibiotic allergy

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Posted on Wed, 22 Oct 2014
Question: Hello dr.,
Afetr my delivery I had reacted with oral antibiotic badly and got swelling on upper lips for few days. After that i have dark upper lip skin (looking like mustaches and have irritation to that area too) SINCE december'2014. Since 20 days I am using clearz XXXXXXX and vanusia cream mixture on affected area and sunsceen in day, no benefit. Also having acne and acne mark. Skin type sensitive.

wanna fair flawless skin without acne and mustaches like upper lip skin. Me Breastfeed my baby.
Help me out.
doctor
Answered by Dr. Nishad BN (1 hour later)
Brief Answer:
Dark upperlip skin after antibiotic allergy.

Detailed Answer:
Hi
Thank you for asking Health care magic forum.

I have gone through your query. As you had an antibiotic allergy it should be treated with anti histamines like Levocetirizine orally till the symptoms subside. Skin darkening of face can be related to pregnancy which is melasma or even antibiotic hypersensitivity.

Your darkening of skin on face and acne can be treated with creams with combination of hydroquinone tretinoin and corticosteroid like mometasone. But sunlight exposure should be avoided while using that. These should be taken under doctor's supervision. It is better to get a dermatology consultation for this.

Hope this may help you. Let me know if any thing is unclear.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Nishad BN (51 minutes later)
Thanks Dr.,
As i have already told u that I am currently using clearz max+vanusia (combination of HQ+hydrocortisone+tretinoin) and sun block, but not getting response. Hypersensitivity to antibiotic is subside only left post inflammatory hyperpigmentation on upper lips.

It wud be better if u suggest me name of cream or lotion (medicated) for upper lips darken skin, fairness and acne problem......that I was expecting from you. Which sunscreen wud be better for acne prone skin.

waiting for ur answer.
doctor
Answered by Dr. Nishad BN (35 minutes later)
Brief Answer:
medicated lotion and sunscreen

Detailed Answer:
Hi
Thank you for your follow up.
If you were my patient in such condition i advise creams which have hydroquinone and tretinoin with more potent steroid like Flucinolone acetonide than the one you use now hydrocortisone which will be more helpful. At least 8 weeks of duration of treatment is usually needed and sun avoidance or sunscreen application is necessary.

Regarding sunscreen better for acne prone skin i would recommend Sunscreens like Anthelios 60 which has good skin tolerance and anti oxidant property or Neutrogena clear face break out free.

Hope this may help you.Let me know if anything not clear.I am happy to help you.
Thanks

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Nishad BN (17 hours later)
Thank You Dr.,
I wud lyk to mrntion you that clear z XXXXXXX has same combination as u prescribed me (i am already Using it in nite). Shud i use it on whole face?
What about fairness and pimples..........
Sunscreen u mentioned are not available in XXXXXXX easily..........
Suggest some other sunblock.

Thanks.
doctor
Answered by Dr. Nishad BN (1 hour later)
Brief Answer:
About application, fairness cream, Pimples,sunscreen

Detailed Answer:
Hi
Thank you for your follow up.
You should apply the clear z XXXXXXX only on the darkened skin.For pimples i recommend nicomide cream or gel.

Regarding sunscreen lotions: you can use one suitable for oily skin.Usually available ones other than i mentioned before are sebamed suncare 50 (ph 5.5), Suncotel gel spf 30 or Proactive daily protection spf30. These all are available world wide.Even the neutrogena is available everywhere in XXXXXXX

For fairness you can use lactocalamine which most dermatologist prefer.or you can use over the counter available ones like Nivea visage spark glow, Loreal pearl perfect or neutrogena fine fairness. These all usually block melanin and provide fairness.
Hope this may help you.Let me know if any thing not clear.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5323 Questions

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Suggest remedy for dark upperlip post antibiotic allergy

Brief Answer: Dark upperlip skin after antibiotic allergy. Detailed Answer: Hi Thank you for asking Health care magic forum. I have gone through your query. As you had an antibiotic allergy it should be treated with anti histamines like Levocetirizine orally till the symptoms subside. Skin darkening of face can be related to pregnancy which is melasma or even antibiotic hypersensitivity. Your darkening of skin on face and acne can be treated with creams with combination of hydroquinone tretinoin and corticosteroid like mometasone. But sunlight exposure should be avoided while using that. These should be taken under doctor's supervision. It is better to get a dermatology consultation for this. Hope this may help you. Let me know if any thing is unclear. Thanks