Doctor insights on:
Amnesteem Vs Accutane
Many Side-effects: This drug is highly effective for severe acne but has powerful side-effects. Those include increased skin dryness , rashes , sun-sensitivity , increases in cholesterol and triglycerides , hair loss and peeling skin. There are also concerns about worsening ibs/ us and depression. ...Read more
More commonly known as accutane, Isotretinoin is an oral medication that is incredibly effective for severe acne. It is especially useful to bring a halt to acne that is causing scarring. Isotretinoin has a variety of side effects including birth defects, liver damage, and problems with cholesterol, and careful monitoring ...Read more
Side effects: After december 31, 2005, only patients enrolled in the ipledge program may obtain and use isotretinoin. You will need to register with ipledge and view a video at your doctor's office before receiving your prescription. Only physicians enrolled in ipledge may prescribe isotretinoin, and only pharmacies enrolled in the program may dispense it. ...Read more
Depends: If you are a woman trying to conceive then absolutely not. Otherwise, it does have a significant number of potential adverse effects which need to be monitored. There are other, safer acne medicines but they may not be effective for you. It is not a medicine I use first line, but if the acne has not responded well to anything else, you have to weigh the risk vs. Benefit. ...Read more
Could antibiotic: Minomycin (in Australia), or minocycline hydrochloride, (prescribed as 3 month course - acne) cause suicidal tendencies/ depression?
Not likely, but: There've been some reported mood change effects - not common and severity is not mentioned. If you have a tendency toward this sort of intense depression, it might be wise to avoid this elective medication in favor of an alternative approach. Only you and your doctor know how crucial acne Tx is for you. One ting that may help is knowing it's not a meaningful depression - just short-term chemistry. ...Read more
Which acne medication is more effective with less side effects? Minocycline 100mg tablets or apo-doxy 100mg.
Excellent RX: This is one of the formulations for adapalene and it is one of the better medications. I prefer the cream only because it dissolves in the skin better. The efficacy is really good for people suffering with acne. I hope it helps you as well. Put it on at bedtime to avoid any sun sensitivities in the daytime. ...Read more
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 ›
Is long-term remission from Accutane more likely on patients with milder acne as opposed to severe acne? (assuming the same cumulative dose is taken)
One moment....: Accutane is best reserved for severe / deep / cystic acne, as it's unpleasant and there are some risks. I usually see good results with systemic antibiotics & topical therapy for the milder stuff. However, it's extremely effective, and a long-term remission is the rule. Being a teen / young adult is rough enough without acne, and i believe it's well worth as many courses as you actually need. ...Read more
Is long-term remission more likely for Accutane patients with milder acne? (assuming the same cumulative dose is taken)
Not Recommended : Both medications can cause pseudotumor cerebri, and when taken together the risk of this is much higher. It is reversible, but i still never prescribe both Accutane and Minocycline (solodyn is a version of minocycline) together. If an antibiotic is needed while on accutane, I use a different antibiotic that is not associated with pseudotumor. ...Read moreSee 1 more doctor answer
Which is a safer, lower side effect profile drug, topamax (topiramate) or oxcarbazapine (in general terms, obv individuals vary)?
Don't 2nd guess: Neither is w/o risk and they are Rx'd for different (w/ overlap) conditions. You need to work w/ your Dr on selecting the best for you - say clearly that safety is impt to you. Know what they expect it to for your condition. Side EFX are pretty similar for both - your other health issues might be the swing vote. ...Read more
Expert opinion please: could taking low dose isotretinoin ( Accutane ) for a month cause long-term side effects?
No: It should not be expected to cause any long term side effects at a low dose for a month, . ...Read more
Are behavioral side effects possible (irritability, anger, etc) on 200 mg of lamictal for bipolar ii? Is this possible on such a non-activating drug?
Uncommon, but yes: Yes, this is possible, if uncommon. Make sure you discuss with your prescriber, who will want to check blood levels. ...Read more
Is topical spironolactone (2%) safe for mpb? Is it effective? Can systemic absorption occur?(coz its 50-75 mg topical application in paraben vehicle)
Topical Spironolacto: The literature on systemic absorption of topical sprironolactone is a bit unclear. Small studies in lab rodents showed no absorption, but there are numerous anecdotal entries on hair loss blogs where users attest to side effects which point towards systemic absorption, including falling testosterone levels. Monitor your use carefully to see if you are an "absorber.". ...Read more
Any DETRIMENTAL EFFECTS of long term (TOPICAL) isotretinoin/erythromtcin use on the skin? Like premature aging? Been using it on/off 11 yrs for acne.
I have never heard: of topical isotretinoin(that is accutane) do you mean tretinoin (or retin A)? Topical retinoic acid will not hurt and can help as it stimulates new collagen and thickens the epidermis. Topcial erythromycin is just a topical antibiotic. It won't age your skin but may stop working. Hope that helps ...Read more
Is anyone aware of any results using doxycycline 100 mg. bid for 3 months for pulmonary fibrosis? Doxycycline affects matrix metaloproteinases in ipf
IPF: A key feature of IPF is the excessive deposition of extracellular matrix and basement membrane disruption that may be at least in part due to an imbalance between secreted matrix metalloproteinases (MMPs) and their inhibitors.Doxycyline, an MMP inhibitor, was observe to decrease fibrosis, inhibiting MMPs. 2 small studies done in India have favorable outcomes although not statistically significant ...Read more