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  • Doxycycline "purge"

    Okay, so my skin these past 4 or 5 days has been ridiculously bad in terms of breakouts: papules, pustules, also just itchy red blotches on my forehead. Now, I started zz cream at the same time as doxy, about 5 days ago, so assumed it was just that making my skin bad because, well, it's quite up front about that being part of the process. However I stopped z cream 3 days ago and I'm still getting loads of breakouts. Could this be the doxy? I've read about a purging effect, but wasn't sure if that was just for acne, not rosacea. Thanks.

  • #2
    Why did you stop ZZ Cream? You need to keep using it.
    How I was cured from Demodectic / Demodex Rosacea (Types 1 & 2 & nearing 3), Seborrhoeic Dermatitis and Eczema

    Got a smartphone? Then please post a non-revealing pic of your face/skin to www.imgur.com, instead of using walls of text to describe it to us. It may be the best thing you've ever done!

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    • #3
      Originally posted by RedRecluse View Post
      Why did you stop ZZ Cream? You need to keep using it.
      Truthfully, I had a bit of a panic when it got bad. I know it says it's normal to get worse, but it's easy to say that and I guess the fact it's basically just some random cream from china put me off. I know some people here say it's good, but, yeah, I just got scared. I've got some soolantra - going to start that tonight. If that's no good I'll go back to the zz cream.

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      • #4
        Soolantra takes eight to twelve weeks for clearance and again, it gets worse before it gets better, usually four weeks to see improvement, so if you get scared or panic again try morphine or whatever you can find to calm yourself. I found the ZZ cream better than Soolantra, but since so many rave about Soolantra, I just had to try it. Here is my review. Some find the MOA and Basis for Vehicle (the inactive ingredients) not to their liking. Here is my ZZ cream review.
        Last edited by Brady Barrows; 21 April 2020, 02:14 PM.
        Brady Barrows
        Blog - Join the RRDi


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        • #5
          Originally posted by ASordidGod View Post
          Okay, so my skin these past 4 or 5 days has been ridiculously bad in terms of breakouts: papules, pustules, also just itchy red blotches on my forehead. Now, I started zz cream at the same time as doxy, about 5 days ago, so assumed it was just that making my skin bad because, well, it's quite up front about that being part of the process. However I stopped z cream 3 days ago and I'm still getting loads of breakouts. Could this be the doxy? I've read about a purging effect, but wasn't sure if that was just for acne, not rosacea. Thanks.
          I think it's fairly unlikely to be the doxy. I can't recall seeing anyone report a breakout from doxy on here. I used doxy (on and off) for a significant period a few years ago and never experienced one. And from what little we know about rosacea P&Ps, a breakout from doxy doesn't seem consistent with doxy's mechanism of action.

          From what you've said, I would suggest your breakout is likely from the ZZ and would probably have been worse if you weren't on the doxy!

          If you are worried about the ZZ cream, once your skin calms down, try using it on a small patch (say, one side of your nose) and build up your confidence in its efficacy before using it on a larger area.

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          • #6
            Thanks for the replies. I guess I'm going to have to pick either zz cream or soolantra and stick with it. I'll try soolantra for a few days just to see how it feels/if it irritates. If it does, I'll go back to zz cream. That actually felt nice on my face; cooling. And I'm not quite sure what version I've got, but when I put it on it helped disguise some of the redness. It did make me look kind of ill, but I prefer that to red.

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            • #7
              Originally posted by ASordidGod View Post
              Thanks for the replies. I guess I'm going to have to pick either zz cream or soolantra and stick with it. I'll try soolantra for a few days just to see how it feels/if it irritates. If it does, I'll go back to zz cream. That actually felt nice on my face; cooling. And I'm not quite sure what version I've got, but when I put it on it helped disguise some of the redness. It did make me look kind of ill, but I prefer that to red.
              You should apply a small dab of Soolantra on your inside wrist to see if you are allergic to any of the ingredients. You will get a red rash in a matter of hours if you are allergic. I am assuming you mean that the ZZ cream 'actually felt nice on my face:cooling' and whether you have the original or the cosmetic, both have this effect due to mint/menthol in the composition ingredients. I too like this cooling effect. The original has 'Original' stamped on the jar at the first 'Z'.

              You might find Soolantra has the opposite effect which it did for me since it seems to clog my pores and has a 'heating' effect on me.
              Brady Barrows
              Blog - Join the RRDi


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              • #8
                Originally posted by ASordidGod View Post
                Truthfully, I had a bit of a panic when it got bad. I know it says it's normal to get worse, but it's easy to say that and I guess the fact it's basically just some random cream from china put me off. I know some people here say it's good, but, yeah, I just got scared. I've got some soolantra - going to start that tonight. If that's no good I'll go back to the zz cream.
                Both will cause a die-off. Soolantra will take much longer to act.

                https://rosaceagroup.org/The_Rosacea...rate!-(w-pics)
                How I was cured from Demodectic / Demodex Rosacea (Types 1 & 2 & nearing 3), Seborrhoeic Dermatitis and Eczema

                Got a smartphone? Then please post a non-revealing pic of your face/skin to www.imgur.com, instead of using walls of text to describe it to us. It may be the best thing you've ever done!

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                • #9
                  Originally posted by RedRecluse View Post
                  Both will cause a die-off. Soolantra will take much longer to act.

                  https://rosaceagroup.org/The_Rosacea...rate!-(w-pics)
                  Do you mean in a good way? As in, it will take longer to see the benefits of Soolantra? Or do you mean that the initial die off is something which happens sooner with ZZ cream?

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                  • #10
                    Originally posted by ASordidGod View Post
                    Do you mean in a good way? As in, it will take longer to see the benefits of Soolantra? Or do you mean that the initial die off is something which happens sooner with ZZ cream?
                    ZZ Cream is a much better product which is stronger, works faster, and which will keep you Demodex-free unlike Soolantra which works slower and becomes less effective over time. The fact that ZZ Cream produced a die-off for you within a few days is a great sign, but you need to keep going.
                    How I was cured from Demodectic / Demodex Rosacea (Types 1 & 2 & nearing 3), Seborrhoeic Dermatitis and Eczema

                    Got a smartphone? Then please post a non-revealing pic of your face/skin to www.imgur.com, instead of using walls of text to describe it to us. It may be the best thing you've ever done!

                    Comment


                    • #11
                      Originally posted by RedRecluse View Post
                      ZZ Cream is a much better product which is stronger, works faster, and which will keep you Demodex-free unlike Soolantra which works slower and becomes less effective over time. The fact that ZZ Cream produced a die-off for you within a few days is a great sign, but you need to keep going.
                      I am very tempted to go back to ZZ, I won't lie. I like the feel of it better than soolantra. But the fact that soolantra is "official", and, from what I can see, has many more success stories than zz cream is what swayed me. I really don't know what to do. I'm guessing both at the same time, one in am one in pm, is a bad idea?

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                      • #12
                        Originally posted by ASordidGod View Post
                        I am very tempted to go back to ZZ, I won't lie. I like the feel of it better than soolantra. But the fact that soolantra is "official", and, from what I can see, has many more success stories than zz cream is what swayed me. I really don't know what to do. I'm guessing both at the same time, one in am one in pm, is a bad idea?
                        Yes bad idea. Do 12 weeks of soolantra first. If you can tolerate it. Doing both you won’t know which is working.

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                        • #13
                          Originally posted by ASordidGod View Post
                          I am very tempted to go back to ZZ, I won't lie. I like the feel of it better than soolantra. But the fact that soolantra is "official", and, from what I can see, has many more success stories than zz cream is what swayed me. I really don't know what to do. I'm guessing both at the same time, one in am one in pm, is a bad idea?
                          Soolantra will have more success stories, it's backed by a massive pharmaceutical company and all of its dermatologist resellers. The active ingredient, Ivermectin, has been used for decades to treat Demodectic Rosacea, and people have befriended vets in order to get access to it. Soolantra is no revelation.

                          In contrast, ZZ Cream is a lesser known Chinese product, and we all have an ingrained fear of them and their products.

                          I could have prevented an extra 2 years of suffering if I had gotten over my scepticism of ZZ Cream.

                          So lucky I eventually found it.

                          ZZ Cream is all you need. And your favourite moisturiser if you get try can't tolerate it. Nothing else. Less is more.

                          But if you would prefer to go against the shortcut of advice of people on this forum, and figure things out yourself and take the long road, then you're entitled to do so.
                          How I was cured from Demodectic / Demodex Rosacea (Types 1 & 2 & nearing 3), Seborrhoeic Dermatitis and Eczema

                          Got a smartphone? Then please post a non-revealing pic of your face/skin to www.imgur.com, instead of using walls of text to describe it to us. It may be the best thing you've ever done!

                          Comment


                          • #14
                            Originally posted by RedRecluse View Post
                            Soolantra will have more success stories, it's backed by a massive pharmaceutical company and all of its dermatologist resellers. The active ingredient, Ivermectin, has been used for decades to treat Demodectic Rosacea, and people have befriended vets in order to get access to it. Soolantra is no revelation.

                            In contrast, ZZ Cream is a lesser known Chinese product, and we all have an ingrained fear of them and their products.

                            I could have prevented an extra 2 years of suffering if I had gotten over my scepticism of ZZ Cream.

                            So lucky I eventually found it.

                            ZZ Cream is all you need. And your favourite moisturiser if you get try can't tolerate it. Nothing else. Less is more.

                            But if you would prefer to go against the shortcut of advice of people on this forum, and figure things out yourself and take the long road, then you're entitled to do so.

                            The problem is, even on here you have people favouring soolantra over zz cream. Which makes it tough. Another issue is, I've looked at your pictures, and my skin isn't the same as yours. Hard to explain, and I don't want to post a pic, but the redness is nearer my nose, and the breakouts are more pustule/papule type than the white node things you have. So maybe what works for you won't work for me? To be honest I'm just thinking in print here. I appreciate your feedback, for sure.

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                            • #15
                              Originally posted by ASordidGod View Post
                              The problem is, even on here you have people favouring soolantra over zz cream. Which makes it tough. Another issue is, I've looked at your pictures, and my skin isn't the same as yours. Hard to explain, and I don't want to post a pic, but the redness is nearer my nose, and the breakouts are more pustule/papule type than the white node things you have. So maybe what works for you won't work for me? To be honest I'm just thinking in print here. I appreciate your feedback, for sure.
                              As far as I know your first post was on 23rd March 2020, 11:13 PM about your question regarding the energy drink. Just wondering now if your doctor has diagnosed you with rosacea? Just curious.

                              Your point about 'my skin isn't the same as yours' is well taken and your feeling 'what works for you won't work for me.' We have dubbed this the Rosacea X-Factor, something we came up with years ago. In the post on the X-Factor it is important to differentiate rosacea from all the other skin conditions that mimic rosacea which is a considerable list. Just because one presents with a chief complaint of erythema or pimples doesn't necessarily mean this person just has rosacea. There could be other skin issues from a list of diseases that maybe co-existing with rosacea or a completely different disease, other than rosacea. Misdiagnosis is not uncommon.

                              Sometimes what a dermatologist does is write down that the patient has rosacea for the diagnosis after an initial exam and history that takes five minutes, and hands a prescription for doxycycline and metronidazole, or more informed physicians who are keeping up with the latest rosacea treatments are now handing out a prescription for Oracea and Soolantra, and they tell their patients to come back in a month to see the results, sometimes not mentioning that it gets worse before it gets better, and you can imagine what may result from this experience, depending on the patient. The patient with the erythema and pimples who received the treatment plan may stop the treatment after a few days thinking 'this isn't working' or may follow the directions to the tee and come back after a month. If the dermatologist sees improvement, the treatment is continued, if not, usually depending on the dermatologist, either the treatment is continued or not depends on what the dermatologist sees on the return visit. Possibly another treatment is prescribed or further tests to rule out possible rosacea mimics. And what if after several visits to a dermatologist who has been treating a 'rosacea' patient that it is discovered that the patient had Lupus Erythematosus all along?

                              So you maybe correct about your feeling that what you are experiencing is different from RedRecluse. However, basically, the same way dermatologists go about treating rosacea is, 'try this' for thirty days and come back and lets see if this works or not, the same is with the ZZ cream, Soolantra, Metronidazole, Doxycycline, Monocycline, Photo Dynamic Therapy, and the list is quite extensive. One way to rule out a skin disease is treat it with certain treatment for that disease. If that doesn't work, lets try another treatment. The list is staggering what skin condition a patient with erythema and/or pimples could be. Rosacea could indeed be a 'catch-all' diagnosis.

                              Let us know your results with what you have chosen because that is why we are all here to post and help each other.
                              Last edited by Brady Barrows; 24 April 2020, 07:47 PM.
                              Brady Barrows
                              Blog - Join the RRDi


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