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Thread: Update: New dermatologist + new medication -- BRACEYOURSELF

  1. #11
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    Arrow UPDATE after 1 month

    So it's been an entire month and as expected nothing has improved the symptoms.

    I've already stopped using the Epiduo entirely because I'd get red circles (1-2cm diameter) where I applied the gel and I don't think it did much to stop the acne either. I was going to just use it on my neck, like with Effederm, but that had the same inflamed response to it. What was annoying was that my skin only got red after several days of using the gel in a specific spot. So when I at first applied the gel it seemed harmless and that gave me enough confidence to put it everywhere... At least the inflammation caused by the gel goes away after a week.

    The Metronidazol/Abitima emulsion is neutral on my skin. The only positive thing about this cream is that it's a bit less oily than Soolantra.

    The Lactacyd gel doesn't seem to be doing anything really. And I hate applying it. Basically I have two choices in the morning: clean oily face with distilled water using a cotton pad, apply Lactacyd, and then wash off the gel with more distilled water/pad OR apply the gel first and then clean with the distilled water/pad. I do the latter so I don't use up loads of the distilled water every morning and also don't excessively dry out my face. The issue is that I'm applying the Lactacyd over a thick layer of grease and oil which is pretty nasty and limits the effectiveness of the gel being able to get into my skin.

    To be perfectly honest I would stop this fruitless regimen today, but I don't have an appointment until December so I'm stuck with it for now.

  2. #12
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    Arrow UPDATE – new treatment

    Okay so it's been a while and I'll keep it short because of how unimpressed I am with my regimens of the past and present. Yes, that means I'm not going to meticulously type all the active ingredients out.

    Stopped using all the past regimen's medication when I met the dermatologist, as planned, at the end of 2019.

    I am now onto Doxycycline (an antibiotic) for my acne and am using a Sebamed bar of soap with Skinoren for whatever the rest might be (nobody knows).

    I began with the Sebamed and Skinoren around Jan 3rd and the Doxycycline on Jan 11th.

    So far I see a mild drop in acne, which might be explained by the antibiotic, although it's still not good enough to stop it all. Redness has increased I'd say. Getting uncomfortably warm in the evenings more than I ever have and the nose tingling has morphed into a less painful yet more common problem. I might stop the soap soon and just wash my face with tap water instead. Saves time and might reduce some symptoms. I'm going to definitely continue with the Skinoren cream. It's so much less oily than Soolantra to the point where I can last maybe from the morning application until 17:00 until my face appears unquestionably greasy. Also the results are meant to show after 4 weeks so that should be around now. I'll update mid-February.

  3. #13
    Senior Member Brady Barrows's Avatar
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    Quote Originally Posted by BraceYourself View Post
    Okay so it's been a while and I'll keep it short because of how unimpressed I am with my regimens of the past and present. Yes, that means I'm not going to meticulously type all the active ingredients out.
    Stopped using all the past regimen's medication when I met the dermatologist, as planned, at the end of 2019.
    I am now onto Doxycycline (an antibiotic) for my acne and am using a Sebamed bar of soap with Skinoren for whatever the rest might be (nobody knows).
    I began with the Sebamed and Skinoren around Jan 3rd and the Doxycycline on Jan 11th.
    So far I see a mild drop in acne, which might be explained by the antibiotic, although it's still not good enough to stop it all. Redness has increased I'd say. Getting uncomfortably warm in the evenings more than I ever have and the nose tingling has morphed into a less painful yet more common problem. I might stop the soap soon and just wash my face with tap water instead. Saves time and might reduce some symptoms. I'm going to definitely continue with the Skinoren cream. It's so much less oily than Soolantra to the point where I can last maybe from the morning application until 17:00 until my face appears unquestionably greasy. Also the results are meant to show after 4 weeks so that should be around now. I'll update mid-February.
    Thanks for the update. Many post and then never come back with updates.

    You said in your initial post that you were diagnosed with rosacea. Have you read what Skinoren is used for?

    Skinoren is a skin cream used to treat common acne (acne vulgaris).
    • Skinoren Cream should only be used to treat acne. You should not use this medicine for any other skin condition.
    Package Leaflet

    The Sebamed Cleansing Bar appears to also be for acne.

    Has your diagnosis changed to acne?
    Brady Barrows
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  4. #14
    Senior Member Brady Barrows's Avatar
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    BraceYourself,
    I caught up with you in this thread and now understand you have acne and rosacea, and possibly SD.
    Brady Barrows
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  5. #15
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    Quote Originally Posted by Brady Barrows View Post
    BraceYourself,
    I caught up with you in this thread and now understand you have acne and rosacea, and possibly SD.
    So I'm doing nothing wrong then. Right?

    Anyways, I'd heard that Skinoren works to calm inflammation down so wouldn't it in theory indirectly help with rosacea? Although I say "in theory" because the reality is different at the moment.

  6. #16
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    Quote Originally Posted by BraceYourself View Post
    So I'm doing nothing wrong then. Right?
    Anyways, I'd heard that Skinoren works to calm inflammation down so wouldn't it in theory indirectly help with rosacea? Although I say "in theory" because the reality is different at the moment.
    You are the best person to know if you are doing anything wrong. You should be aware that one of the differential diagnosis in rosacea is that treatment for acne usually aggravates rosacea. However, if you do have acne with rosacea, there are acne treatments that seem to help. You are the best judge of what you are treating yourself with no matter what the physician says. Sometimes you have to make some difficult decisions regarding treatment. Usually, when a physician says, 'try this and get back to me in a month and we will see if this works or not' means you need to decide whether the treatment in the next week or so is improving your skin or whether it is irritating it further. If you are experiencing worsening symptoms you may want to give your physician an update over the phone and ask whether to continue or not. Or you can simply stop the treatment. You ultimately make the decision, not the physician. You may want to read up on the difference between acne and rosacea.
    Brady Barrows
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  7. #17
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    Arrow UPDATE: 1st derm visit in 7 months

    So it's been a while since I last posted but this week I've begun using Treclin (called Treclinax here) which is a gel consisting of 10mg/g Clindamycin and 0.25mg/g Tretinoin. The Clindamycin is an antibiotic whereas the Tretinoin, which I have used in the past via Effederm, is a vitamin A retinoid agent. I was instructed by my derm to use it for 2 months before deciding what to do next.

    Effects so far? Noticeable redness. No improvements regarding acne or rosacea. I'll give another update in a month.

    FYI - I've stopped using Skinoren because it wasn't doing anything substantial. My skin is still terrible so I just had to move on for now. To clean my face I randomly switch between the Sebamed soap and the distilled water. This is because the Sebamed soap drys out my skin too much after prolonged, uninterrupted usage so I like to give my face a bit of a break from it every now and again. And if you're wondering about the Doxycycline? It's the only thing I've ever tried that's effectively stopped the production of new acne... for a month. That's right, it all came back after a month but also left some permanent pocket scars which react differently than anything I've ever seen in my years fighting acne. My verdict: never use Doxycycline ever. Not worth the damage for a month of relief.

    P.S. It's been 5 years since I was diagnosed with rosacea and it's depressing to look back knowing that NOTHING has even remotely helped cure or lessen my symptoms.

  8. #18
    Senior Member Brady Barrows's Avatar
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    BraceYourself,

    Glad you are back posting your updates. I too was initially diagnosed with rosacea sometime around 1985. About three years ago my dermatologist in Hawaii said I have SD on my forehead and rosacea on my face. Recently, my new dermatologist concurs with the same diagnosis and added that I have folliculitis on the back of my scalp. She prescribed Azelaic Acid Gel and Foam plus low dose doxycycline and I have been on it for six days and it appears to be working on the folliculitis. My dermatologist, who also happens to be past president of the AARS, Dr. Harper, said, that all three conditions 'are probably related.' Anyway, I didn't know much about Azelaic Acid so I updated this post about it. I am to return for a visit with Dr. Harper at the end of September, and am keeping an update in my rosacea blog.
    Brady Barrows
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  9. #19
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    Quote Originally Posted by BraceYourself View Post
    So I'm doing nothing wrong then. Right?

    Anyways, I'd heard that Skinoren works to calm inflammation down so wouldn't it in theory indirectly help with rosacea? Although I say "in theory" because the reality is different at the moment.
    Skinoren is 20% Azelaic Acid. This may help, but before you start putting this on your face, get a 10% Azelaic Acid over the counter. The Ordinary do one. Build up to it slowly.

    I've been back on 20% AA for about 4 weeks now and my skin is getting dry and red. I'm flushing a lot, not that I can feel it. I check in the mirror every few hours and my face is really really red.

    So I'll be backing off AA for about 2 weeks to give my skin a chance to recover. I have PIE on my baseline in addition to flushing, so I'll be focussing of hydration. AA is very drying.

    Edit - you need to give AA at least 3 months to work. 6 months if you use it every other day, I would think. Try not to jump around on treatments too much, or you'll never give any one thing a chance.
    Last edited by darren1; 2nd September 2020 at 06:39 PM.
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  10. #20
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    Quote Originally Posted by darren1 View Post
    Skinoren is 20% Azelaic Acid. This may help, but before you start putting this on your face, get a 10% Azelaic Acid over the counter. The Ordinary do one. Build up to it slowly.

    I've been back on 20% AA for about 4 weeks now and my skin is getting dry and red. I'm flushing a lot, not that I can feel it. I check in the mirror every few hours and my face is really really red.

    So I'll be backing off AA for about 2 weeks to give my skin a chance to recover. I have PIE on my baseline in addition to flushing, so I'll be focussing of hydration. AA is very drying.

    Edit - you need to give AA at least 3 months to work. 6 months if you use it every other day, I would think. Try not to jump around on treatments too much, or you'll never give any one thing a chance.
    Honestly Skinoren had a neutral effect on my skin and I liked in particular how it didn't add grease to my face. I used the cream once a day for a good 5 months without any added dryness or redness. But that of course wasn't good enough because my threshold redness (I also have PIE) needs to be reduced A LOT and not left where it's at.

    Yeah your last point about sticking to a treatment is important. I'm not a fan of the topical Treclin, which I'm currently prescribed for, but I'm going to persevere the full 2 months even if it kills me.

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