Doctor insights on:
Experienced hairloss/thinning & cystic acne. Taking ocella (drospirenone and ethinyl estradiol) & spironolactone 25mg. Acne under control not thinning. Can i switch vitex for ocella (drospirenone and ethinyl estradiol)?
NO: Ocella (drospirenone and ethinyl estradiol) is a birth control pill which helps acne. Vitex is of no value ; is sold with false claims to take advantage of people: it will do nothing for acne ; it will not prevent pregnancy. The usual dose of spironolactone for acne is 50- 100 mg, sometimes 200mg. You will see improvement after 3 menst periods. Hair loss might improve with larger dose of spironolactone. See a dermatologist for help w. ...Read more
Helpful for acne.: Doxycycline is an antibiotic that is commonly prescribed for cystic or nodular acne. It is typically prescribed when topical medications are ineffective. It would be best to see your local dermatologist or plastic surgeon specializing in skin care to develop a comprehensive approach to your acne. ...Read more
Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.
Not the best use: Of an oral contraceptive. Many women do notice that their acne improved on oral hormones. I have seen more women using Yaz (drospirenone and ethinyl estradiol) for that which has had some unpleasant side effects surface. Speak with your physician or ob/gyn about this. You may also find that chinese medicine helps a lot more as it works on the core reason or imbalance for your acne and helps repair the problem- not just treat symptoms. ...Read more
Isotretinoin: Isotretinoin. For deep cysts, antibiotics may not be enough. Isotretinoin (amnesteem, claravis, sotret) is a powerful medication available for scarring cystic acne or acne that doesn't respond to other treatments. This medicine is reserved for the most severe forms of acne. It's very effective, but people who take it need close monitoring by a dermatologist because of the side effects 80% effectiv. ...Read more
No: Accutane is a form of vitamin A that reduces the amount of oil released by oil glands in the skin, and helps to renew itself more quickly. . Systemic antibiotics decrease P. acnes colonization and have intrinsic anti-inflammatory effects to treat acne separate from the action of Accutane. Doxycycline or erythromycin are the common antibiotics that are used not ampicillin ...Read more
No. But it can help: Reduce acne breakouts and more cyst formation that can lead to new scars. Accutane is powerful medicine that requires monitoring and absolute avoidance of pregnancy (causes birth defects). See dermatologist for advice and prescription if you are a candidate. ...Read moreSee 1 more doctor answer
Hyperhidrosis, irregular cycles, poor healing wounds, stretch marks since childhood now faded, irreg cycles, cystic acne, hirsutism, is it cushings?
May be endocrine: Your symptoms are certainly suggestive of a possible endocrine diagnosis even if not cushings. Polycystic ovary syndrome, pcos, could also cause those symptoms. Start with your primary who may be comfortable doing all the evaluation and treatment for pcos and may send you for consult if labs are more suggestive of cushings. ...Read more
My dermatologist prescribed 4%hydroquinone , tretinoin, mometasone furoate to treat erythema ab igni dt hot packs..Can this pigmentation fade completely?
Two different meds: Differen is a lower strength retinoid comparable to retin a (tretinoin) that may decrease oil gland activity among many other effects. Dalacin t is a topical antibiotic containing Clindamycin and similar to the older Cleocin t. Both can actually be used for acne breakouts, if prescribed and supervised by a qualified physician. ...Read more
Would Yaz (drospirenone and ethinyl estradiol) or Accutane be better to treat hormone related morderate-severe acne? Its mainly all pimples and black marks.
See your MD: Consider Yaz (drospirenone and ethinyl estradiol) trial for two months if your doctor approves. If you go on accutane, you must use some dependable method of birth control (pregnancy prevention) as Accutane may cause birth defects if you get pregnant...Please see your doctor for the best advice... ...Read more
Will birth control with a higher estrogen and lower androgen potency such as levora (ethinyl estradiol and levonorgestrel) cause acne?
How effective is tretnoin 0.025% and topical clindamycin 1% for fighting acne and pimples ( velac), will it manage acne better than tretinoin alone?
Effective: Combo better than solo.Get a more detailed answer ›
Will 65 mg Solodyn make my Yaz (drospirenone and ethinyl estradiol) birth control less effective?
No: Solodyn (minocycline http://www.drugs.com/solodyn.html) will not decrease effectiveness of any hormonal birth control (although you still need to take every 24hrs as directed). With that said, it's still a good idea to make him wrap it up each & every time. Check out my similar answer w/references at https://www.healthtap.com/#user_questions/650321-does-flagyl-antibiotic-mess-with-birth-control ...Read more
Best products for: What? Please clarify ; re-ask.Get a more detailed answer ›
Pretty safe: Accutane has some issues, especially birth defects if taken while pregnant, but most of the other popularized "dangers" are significantly overblown. Still, it must be prescribed by a doctor with experience in its use, and you must join a registry (ipledge) as an added precaution against pregnancy. ...Read more
Very good: Accutane is very drug useful for treatment resistant acne. However, there are several restrictions on its use. Patients need to be fully informed prior to taking the drug and agree to using at least two forms of birth control. This drug is not for everyone and can only be prescribed by physicians specifically trained in its use. ...Read more
Depends: Its hard to say without knowing more about you. However, Accutane is an exceptional medication for treating cystic acne, with marked results seen. There are unfortunately side effects as well as monitoring to be performed, so it is best to check with your doctor to determine whether or not to start. ...Read more
Rarely: It can, but pretty unusual (about 1% of patients experience eye symptoms such as impaired vision, corneal opacities, dry eyes (which make contact lenses uncomfortable), and decreased night vision (among others). If it affects your vision, talk to your doctor about stopping it vs just dealing with the side effects. ...Read more
Mostly birth defects: The birth defect risk is quite real; you cannot get pregnant while taking it. But with all respect to previous answerer, other dangers have been overblown, and no cause-effect has ever been proven for many of them. That doesn't mean they never happen, but in 30+ years of prescribing it I have never seen any of them. I agree it should only be prescribed by a dermatologist well trained in its use. ...Read moreSee 1 more doctor answer
The facts: It's the definitive, and often only effective, rx for severe acne. You must not become pregnant while taking it. It is not pleasant. You'll be monitored closely during the process. Acne is a very serious personal and professional liability. The people i know who have done it are very glad afterwards. ...Read more
Thousands: Accutane is the brand name for isotretinoin. This brand is no longer available. Only the generics are now used. This is by far the most effective remedy for acne. It must never be given to any pregnant woman. Blood tests are needed and there are always side effects, so it is used for those suffering severe, disabling acne. ...Read more
Dangerous drug: You will need to consult with a physician knowledgeable in the diagnosis and treatment of the skin problems you are experiencing. When or if this is considered appropriate for your case, you will be required to sign off on the information describing its potential toxic effects. Once you have been informed /the prescription can be written.Continuation will require followup. ...Read more
Time for a visit: Accutane is considered more dangerous than many other medications because of a variety of unusual side effects in some recipients. I do not use it in my practice preferring to let the dermatologists determine those most appropriate for its use and monitoring their case for the potential side effects.Schedule a visit and expect to sign release forms that document your understanding of the risks. ...Read more
Last resort : Accutane is a very powerful medication and should be used for stubborn acne (especially cystic) which has not responded to oral antibiotics or birth control pills. Possible side effects of Accutane include dry eyes, dry lips, headaches, bone pain, bone spurs, mood changes, liver problems, elevated cholesterol, hair loss, and possible increased risk of crohn's disease, an inflammatory bowel disease. ...Read more
Accutane: The patient should never increase or decrease the dose of their medicine without notifying their doctor and getting her or his permission. This is a hard and fast rule, and you had better follow it! talk to your doctor! ...Read more