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Thread: Ask Dr. Nase about steroids...

  1. #1
    Senior Member Brady Barrows's Avatar
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    Default Ask Dr. Nase about steroids...

    Geoffrey,
    Now that you are an authority on steroids (wow, 265 pounds!) I have this nagging question about steroids:

    I found two sources that say steroids are the prescribed treatment for Rosacea Fulminans (along with Accutane) >

    http://rosacea.derm.net.au/rosacea-s...fulminans.html

    http://www.ncbi.nlm.nih.gov/entrez/q...439&query_hl=3

    There are also research reports that indicate steroids are given to patients with perioral dermatitis. For instance >

    http://www.ncbi.nlm.nih.gov/entrez/q...404&query_hl=4

    Why do dermatogists prescribe steroids in these cases when the prevailing literature says don't?

    I re-wrote my editorial on steroids and would also appreciate your criticism of it at this url >

    http://www.rosaceans.com/html/steroids.html
    Brady Barrows
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    Because steroids are an easy short-term solution that doctors can prescribe to patients. About 90% of patients just want quick-fixes and steroids provide the answer both for the patient and for the doctor. The patient sees improvement in the short-term which is what they want while the doctor doesn't have to waste time speaking to them and can move them out of the office far quicker.

    Of course, in the long-term your skin troubles will have worsened even further at which point the doc is only left to say "there is nothing else I can give you to get rid of the redness/problem".

    It's the world we live in; the devil will give you whatever you want but remember it's not free, you need to sign your soul on the dotted line :evil: . Lol a bit exaggerated but you get the idea.

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    Default Re: Ask Dr. Nase about steroids...

    Quote Originally Posted by Brady Barrows
    Geoffrey,
    Now that you are an authority on steroids (wow, 265 pounds!) I have this nagging question about steroids:

    I found two sources that say steroids are the prescribed treatment for Rosacea Fulminans (along with Accutane) >

    http://rosacea.derm.net.au/rosacea-s...fulminans.html

    http://www.ncbi.nlm.nih.gov/entrez/q...439&query_hl=3

    There are also research reports that indicate steroids are given to patients with perioral dermatitis. For instance >

    http://www.ncbi.nlm.nih.gov/entrez/q...404&query_hl=4

    Why do dermatogists prescribe steroids in these cases when the prevailing literature says don't?

    I re-wrote my editorial on steroids and would also appreciate your criticism of it at this url >

    http://www.rosaceans.com/html/steroids.html


    Hi Brady,

    Trust me, dont want the steroids.

    One short pack of oral steroids sometimes really helps rosacea sufferers break an unbreakable inflammatory cycle, but more than this is almost always worse for rosacea.

    Fulminans needs steroids, accutane, dapsone and hospitalization -- that how serious that is.

    No idea why they would ever prescribe oral steroids for perioral dermatitis unless it was severe scarring pustular perioral dermatititis.

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    Senior Member Brady Barrows's Avatar
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    Default whoa...

    So what happened to your rosacea when you took the steroids? I am worried about you Geoffrey. Why did your physician order steroids? I don't want to get into your personal health problems, but you might want to explain why steroids are needed for a rosacean under such circumstances so that if this comes up we can make some sort of intelligent decision.

    Everything I have read says steroids are not a good idea. It disqualifies you out of the olympics and professional sports. When would a rosacean just let the doctor prescribe rosacea and take it?

    It would have to be extreme, right?
    Brady Barrows
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    Default Re: whoa...

    Quote Originally Posted by Brady Barrows
    So what happened to your rosacea when you took the steroids? I am worried about you Geoffrey. Why did your physician order steroids? I don't want to get into your personal health problems, but you might want to explain why steroids are needed for a rosacean under such circumstances so that if this comes up we can make some sort of intelligent decision.

    Everything I have read says steroids are not a good idea. It disqualifies you out of the olympics and professional sports. When would a rosacean just let the doctor prescribe rosacea and take it?

    It would have to be extreme, right?

    This goes back to the health and RRF stuff that is officially a "no driving zone". Oral steroids change my hormonal balance so much that they are now a horrible unrelenting trigger for me now. Just answering this to warn others just like you have, if you dont need to take them, then it would be best. Some do have success with one or two days of treatment, but this is a very individualized response.

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    Geoffrey I am just totally amazed that someone as experienced and knowledgeable as yourself regarding rosacea is putting their body through steroids. It's like doing chemical peels to get some temporary relief from P&Ps but you know that in the long run the problem will come back and hit you harder.

    I'm sure there are alternatives to taking steroids for whatever you are trying to treat especially since you are going on a reasonably short course. It just doesn't make sense and I am too slightly concerned.

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    I had a sinus infection that I couldn't get rid of 3 or 4 months ago. So the Dr had me take steroids for 1 week and Singulair for 2 weeks. My infection cleared up and my face looked great!

    I know the dangers of steroids but sometimes you have to use for a short time to get you over the hump.

    Dr. Nase I hope that you are better and will continue to improve.

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