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dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience:  30 years practice in general and cosmetic dermatology
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Hello, what can i take or use to clear up steroid induced acne

Customer Question

Hello, what can i take or use to clear up steroid induced acne from my face. please

Elizabeth.
Submitted: 3 years ago.
Category: Dermatology
Expert:  dermdoc19 replied 3 years ago.

dermdoc19 :

These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.

dermdoc19 :

Hello

dermdoc19 :

When were the steroids discontinued? Would you like prescription strength recommendations or over the counter recommendations? What were the steroids being used for and their dosage?

dermdoc19 :

Thank you.

JACUSTOMER-5sdumbji- : about 6 months now . the steroids were from my lightening Cream
JACUSTOMER-5sdumbji- : what ever recommendation works. I'm fine
dermdoc19 :

Generally, steroid acne is treated the same way as regular acne. Back in the day, I prescribed Tetracycline, but now try to avoid an anti-microbial dose. For that reason, I usually prescribe Periostat 20 mg. twice a day or Oracea 40 mg.. Thesare sub-microbial ( do not kill bacteria) and work by being anti-inflammatory.

dermdoc19 :

If you do not improve with either prescription or over the counter medications, you and your dermatologist should consider Pityrosporum folliculitis. This is an outbreak caused by a yeast-like organism and patients who have been placed on steroids are prone to develop this.

dermdoc19 :

It is usually treated with Diflucan or another anti-yeast drug. Topical creams tend not to work for this.

dermdoc19 :

I find a weak Retinoid very effective for treating steroid induced acne. Tretinex or Atralin would be the prescribed product. If you would like to try an over the counter Retinoid, Retinol which is found in Retriderm or Roc Retinol Wrinkle Correxion ( sic) NIght Cream would help. Use this at night.

dermdoc19 :

Steroid acne usually resolves on its own in 1-2 weeks, so if you want to do nothing, that is an alternative.

dermdoc19 :

I hope that helps and feel free to get back to me with any other questions or comments.