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Edit: Some Day will get this whole thread organized - once enough articles have been added 
-mfm
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So here's a quick question:
I mentioned elsewhere that my flushing was triggered (read: likely caused) by using accutane. One part of me thinks that accutane made my body nearly incapable of producing acne, and instead it produces what could possibly be seb-derm, partially because my flushing follows a very splotchy pattern that looks more like a rash and extends far beyond my face onto my neck and chest - also, I guess you could say it resembles P&Ps but very mildly so.
Anyway, all my derms are completely in the dark about any connection between accutane use and resulting permanent flushing. However, they are open-minded to any suggestions I have as long as they are backed by medical journals to which they can get copies to review for themselves. So, I was wondering if I could get links to journals supporting all of the possible hypotheses that have popped up somewhere on this site, including:
1. SIBO causes rosacea, and you should use rifaximin if you breath-test positive for hydrogen, metronidazole if you test positive for methane).
2. Hydroxychloroquine and Quinacrine (aka Plaquenil and Mepacrine) are effective for flushing caused or triggered specifically by accutane use.
3. All of the other possible treatments that I've read about and forgotten, especially if they are specific to post-accutane flushing.
Part of the reason I want to ask these things is that I've yet to take beta- or alpha-blockers everyday as I already have poor circulation and prefer taking them intermittently, as they are still effective for that. Plus I'm really not a fan of taking pills everyday that affect how I feel, and I'd rather deal with inflammatory or fungal/bacterial issues than just stop my blood from pumping to my extremities (again, while I got red in the face regularly before accutane, never did it spread beyond that or look like a rash - even though my acne was widespread).
Regardless of my situation, I think anyone who doesn't have a Dr. Chiu (or Chen?) in their area would probably like to take all of these thoughts to their derms, as none of these hypotheses seem to be common knowledge. So, can we just put all of the more reputable Medical Journal articles in one convenient place so patients can take them out to docs?
-mfm
================================================== ========================================
So here's a quick question:
I mentioned elsewhere that my flushing was triggered (read: likely caused) by using accutane. One part of me thinks that accutane made my body nearly incapable of producing acne, and instead it produces what could possibly be seb-derm, partially because my flushing follows a very splotchy pattern that looks more like a rash and extends far beyond my face onto my neck and chest - also, I guess you could say it resembles P&Ps but very mildly so.
Anyway, all my derms are completely in the dark about any connection between accutane use and resulting permanent flushing. However, they are open-minded to any suggestions I have as long as they are backed by medical journals to which they can get copies to review for themselves. So, I was wondering if I could get links to journals supporting all of the possible hypotheses that have popped up somewhere on this site, including:
1. SIBO causes rosacea, and you should use rifaximin if you breath-test positive for hydrogen, metronidazole if you test positive for methane).
2. Hydroxychloroquine and Quinacrine (aka Plaquenil and Mepacrine) are effective for flushing caused or triggered specifically by accutane use.
3. All of the other possible treatments that I've read about and forgotten, especially if they are specific to post-accutane flushing.
Part of the reason I want to ask these things is that I've yet to take beta- or alpha-blockers everyday as I already have poor circulation and prefer taking them intermittently, as they are still effective for that. Plus I'm really not a fan of taking pills everyday that affect how I feel, and I'd rather deal with inflammatory or fungal/bacterial issues than just stop my blood from pumping to my extremities (again, while I got red in the face regularly before accutane, never did it spread beyond that or look like a rash - even though my acne was widespread).
Regardless of my situation, I think anyone who doesn't have a Dr. Chiu (or Chen?) in their area would probably like to take all of these thoughts to their derms, as none of these hypotheses seem to be common knowledge. So, can we just put all of the more reputable Medical Journal articles in one convenient place so patients can take them out to docs?
Hopefully it will be a big help to some people!
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