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Doctor insights on: Bactrim To Treat Acne

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Can sulfamethoxazole (bactrim (sulfamethoxazole and trimethoprim) ds) make your acne worse before it gets better?

Can sulfamethoxazole (bactrim (sulfamethoxazole and trimethoprim) ds) make your acne worse before it gets better?

Yes: I'd check with my physician first, though, since Bactrim (sulfamethoxazole and trimethoprim) itself is famous for producing a different kind of rash that can be dangerous. ...Read more

Dr. Ed Friedlander
2,177 Doctors shared insights

Acne (Definition)

A very common skin condition that starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the ...Read more


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I have been suffering from acne for a couple years and have been taking bactrim (sulfamethoxazole and trimethoprim) for 4 months. Acne has cleared so can I stop taking the medication?

I have been suffering from acne for a couple years and have been taking bactrim (sulfamethoxazole and trimethoprim) for 4 months. Acne has cleared so can I stop taking the medication?

Yes: You should not take an antibiotic as sole therapy for acne in any case, or any antibiotic for a long time. Your best move would be to stop this and continue whatever topical agent you are using, or topical benzoyl peroxide at least for a while; taper it and see what happens. If you recur, chances are a topical agent will clear you; if not get with your physician. ...Read more

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Accutane vs bactrim (sulfamethoxazole and trimethoprim) acne help!, what to do?

Accutane vs bactrim (sulfamethoxazole and trimethoprim) acne help!, what to do?

First try: "bactrim" isn't as good as some of the other antibiotics, especially the tetracyclines. Don't ever use an antibiotic as sole treatment for acne. Isotretinoin / Accutane is your last resort unless you have cystic acne, for which nothing else will probably work. It's not for the faint-hearted but is a remarkably effective medication. ...Read more

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Is Accutane or bactrim (sulfamethoxazole and trimethoprim) better for acne, what to do?

Is Accutane or bactrim (sulfamethoxazole and trimethoprim) better for acne, what to do?

How bad is it?: Isotretinoin is the strongest and most effective medication for acne and is not for the faint-hearted. Bactrim (sulfamethoxazole and trimethoprim) is an antibiotic and should never be used as sole therapy; a combination of topical benzoyl peroxide plus a course of systemic tetracycline often clears moderately severe acne. If you're female, the oral contraceptive pill if right for you may work; spironolactone's another rx. ...Read more

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How long does it take to start seeing improvement in acne while using bactrim (sulfamethoxazole and trimethoprim) antibiotic?

How long does it take to start seeing improvement in acne while using bactrim (sulfamethoxazole and trimethoprim) antibiotic?

Weeks: Nothing works overnight for acne, except perhaps steroid injections into individual lesions.

You might get lucky and see improvement in just a week, but you should be prepared to give it 6 weeks. ...Read more

Dr. Tony Ho Dr. Ho
2 doctors agreed:
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Hi my derm gave me bactrim (sulfamethoxazole and trimethoprim) ds for my moderate but resistant acne how likely is this to cause steven jonson syndrome?

Dr. Tony Ho Dr. Ho
2 doctors agreed:
Hi my derm gave me bactrim (sulfamethoxazole and trimethoprim) ds for my moderate but resistant acne how likely is this to cause steven jonson syndrome?

Rare: Bactrim (sulfamethoxazole and trimethoprim) is associated with sjs, but it is still a very rare complication. Monitor for rash, and discontinue the medication and talk to your doctor if you develop a rash. Bactrim (sulfamethoxazole and trimethoprim) remains a very safe drug when used appropriately with thoughtful monitoring. ...Read more

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I took bactrim (sulfamethoxazole and trimethoprim) for acne and it cleared up my acne completely, but I got allergic to it. Is there an acne antibiotic substitute that is as effective?

I took bactrim (sulfamethoxazole and trimethoprim) for acne and it cleared up my acne completely, but I got allergic to it. Is there an acne antibiotic substitute that is as effective?

Discuss with derm: Yes there are alternative therapies such as doxycyline, coral actives - a non antibiotic, and others. Your dermatologist can discuss alternatives. ...Read more

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Been taking Bactrim (sulfamethoxazole and trimethoprim) DS for cystic acne for 3 weeks and am still getting new cysts/skin seems worse. Should I rule out Bactrim (sulfamethoxazole and trimethoprim) as ineffective?

Been taking Bactrim (sulfamethoxazole and trimethoprim) DS for cystic acne for 3 weeks and am still getting new cysts/skin seems worse. Should I rule out Bactrim (sulfamethoxazole and trimethoprim) as ineffective?

Be Patient: Acne is a stubborn condition and is a slow responder to treatment for most people. You will need to give it at least 2 months before you rule Bactrim (sulfamethoxazole and trimethoprim) ineffective. Hang it there. Good Luck ...Read more

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I was told I had MRSA and put on bactrim ds for 10 days, twice a day. After wanting to confirm dx, the dermo did a culture and it showed nothiing! Dermo thinks its just back acne. He told me to finish bactrim then he will start me on doxycycline. Is that

I was told I had MRSA and put on bactrim ds for 10 days, twice a day. After wanting to confirm dx, the dermo did a culture and it showed nothiing! Dermo thinks its just back acne. He told me to finish bactrim then he will start me on doxycycline. Is that

Sounds good: Mrsa is a scary bug but there a great many different strains and many folks harbor them on their skin with no harm. A physician seeing someone with one or more pimples may feel obligated to biopsy for MRSA and treat it as such since it's by far more serious even if it's not really present. It sounds like your dermatologist made the right move. ...Read more

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I was on Minocycline for adult acne and it worked very well for 2 years or so. What's next? I suffer from ulcerative colitis. Is Bactrim (sulfamethoxazole and trimethoprim) an option?

I was on Minocycline for adult acne and it worked very well for 2 years or so. What's next? I suffer from ulcerative colitis. Is Bactrim (sulfamethoxazole and trimethoprim) an option?

Keep exploring: I trust you know not to use an antibiotic as sole therapy for acne, and that you are probably using topical benzoyl peroxide and/or retinoids acid. Meds to consider include spironolactone and the oral contraceptive pill; isotretinoin may make your migraines worse. Your physician is your best guide ...Read more

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I've started taking Bactrim (sulfamethoxazole and trimethoprim) yesterday and developed more acne overnight. Is this common? I'm also using Differin, cereve p.m. and burts bees acne.

I've started taking Bactrim (sulfamethoxazole and trimethoprim) yesterday and developed more acne overnight. Is this common? I'm also using Differin, cereve p.m. and burts bees acne.

How bad is the acne?: Differin is very effective for acne. Burts bees acne is salicylic acid, also good for acne. You can get CeraVe with salicylic acid (SA) and not need Burts bees. Bactrim (sulfamethoxazole and trimethoprim) can help acne but only after 2 or 3 months, usually at a small dose. You will never get worse using it. Acne waxes and wanes with menstrual cycles. Most effective acne therapy for adult women is SPIRONOLACTONE, with or without cert ...Read more

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I have some kind of lung infection. My doctor gave me bactrim (sulfamethoxazole and trimethoprim) 800-160 for 10 days and my symptoms persist. Acne on my back and ache in chest on right?

I have some kind of lung infection. My doctor gave me bactrim (sulfamethoxazole and trimethoprim) 800-160 for 10 days and my symptoms persist. Acne on my back and ache in chest on right?

Reword this question: "Some kind of lung infection" means nothing. Cough? Fever? What is the DR's diagnosis? Any other meds? Ache in chest due to cough? How long ill? Effective therapy of bronchitis is time + inhalers. Antibiotic therapy is not effective for viral infections. While Bactrim (sulfamethoxazole and trimethoprim) is not the first choice for acne, it can be effective. If the acne is improved after 3 months, continue the med. Usually just 1 a d ...Read more

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What's the next best antibiotic class for treating adult acne after doxycycline and bactrim (sulfamethoxazole and trimethoprim)? Is cephalexin or azithromycin a good option?

What's the next best antibiotic class for treating adult acne after doxycycline and bactrim (sulfamethoxazole and trimethoprim)? Is cephalexin or azithromycin a good option?

Acne treatment: Acne is treated by several different medications. Antibiotics aim to treat common skin bacteria that may precipitate acne formation, but antibiotics are not always the cure. Drying agents, washes, benzoil peroxides may be needed. Some severe cases may require dermatology evaluations and tx such as accutane. Best to see the skin dr. (derm) and get tx. Before using many antibx. Best wishes. ...Read more

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What causes back acne and is it completely treatable? Also, will scars eventually disappear?

What causes back acne and is it completely treatable? Also, will scars eventually disappear?

Treatable: Acne is caused by inheritance, plugging of pores and hormones. It is treatable. See a doctor for treatment options. ...Read more

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I have a MRSA infection that consists of itchy pimples on my arms, back, and belly. I am taking bactrim (sulfamethoxazole and trimethoprim) for 10 days. After 5, little improvement.

I have a MRSA infection that consists of itchy pimples on my arms, back, and belly. I am taking bactrim (sulfamethoxazole and trimethoprim) for 10 days. After 5, little improvement.

Infectious disease: I think after this much time and your recurring questions, it may be time to see an infectious disease specialist or to get an opinion from an expert in person. ...Read more

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Pimples/zits around pubic area, burning while urine, pain/pressure in testicles, somtimes cloudy urine std. Tested all, all negative. Bactrim (sulfamethoxazole and trimethoprim) helps, not kill?

Pimples/zits around pubic area, burning while urine, pain/pressure in testicles, somtimes cloudy urine std. Tested all, all negative. Bactrim (sulfamethoxazole and trimethoprim) helps, not kill?

Prostatitis?: Could be a prostatitis. Symptoms often times refer to testicles, penis, urethra. Often times under treated with short course of antibiotics. Usually need 4 to 6 weeks of antibiotics like Cipro, (ciprofloxacin) bactrim, or doxycycline to adequately treat. ...Read more

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I have small red pimples on penis and I get a pain on tip when I pee is this UTI or something else and can it be treatable?

I have small red pimples on penis and I get a pain on tip when I pee is this UTI or something else and can it be treatable?

See a doctor: Without being able to see these lesions there is no way in which to make a rational diagnosis. You need to go and be evaluated by a professional and treated accordingly. Good luck. ...Read more

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Please tell me how to treat back acnes?

See Dermatologist: There are several treatment options, in step-wise therapy. The most successful medication for this is accutane, but requires strict oversight. ...Read more

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How can I treat my acne?

How can I treat my acne?

Acne treatment: First of all, stop all nuts and peanust butter. Also no chocolate or other sugary foods. Over-the-counter surface medications like clearasil (benzoyl peroxide) can help, as well as washing with a soap like neutrogena acne wash. (no financial interest.) if these don't help see a dermatologist who may prescribe an oral antibiotic. ...Read more

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How is mild acne typically treated?

How is mild acne typically treated?

Start with: Good at-home skin care. Wash twice a day. Use benzoyl peroxide cream on active spots. See a dermatologist and consider Retin-A cream. ...Read more

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What is the best way to treat acne?

What is the best way to treat acne?

No one best way: There is no one best way - it depends on acne type, age of pt, underlying skin type, location of the acne - so many different things. The vast majority of patients can be treated with topical treatment, usually a combination of retinoids and additional things like benzoyl peroxide or topical antibiotics. Appropriate skin care is also essential. Best to talk about options with doc or dermatologist ...Read more

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How can I effectively treat acne seriously?

How can I effectively treat acne seriously?

Scientific Rx: Benzoyl peroxide is your best over-the-counter remedy. If not clear in two weeks, your physician can write for topical clindamycin, a topical retinoic acid derivative, or some systemic medication as appropriate. All acne can be managed successfully nowadays. Best wishes. ...Read more

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How do I treat acne?

How do I treat acne?

MANY options!: Acne can be treated by a variety of different methods. One is by applying topical creams with benzoyl peroxide or salicylic acid active ingredients that dry up the skin and temporarily relieve visible acne. However, the problem is below the skin and so many chose antibiotics. They kill the bacteria that causes acne and again temporarily relieve symptoms. Accutane is the most effective long term. ...Read more

Bactrim (Definition)

Trimethoprim and sulfamethoxazole, cotrimoxazole is a combination antibiotic that is used to treat a ...Read more


Dr. J. Lawrence Dohan
2,497 Doctors shared insights

Pimples (Definition)

A pimple is a small inflamed spot on the skin. Also known as zit, ...Read more