Doctor insights on:
Sulfamethoxazole For Acne
What do you suggest if I was just prescribed sulfamethoxazole for my acne. When should I start to see results?
Kills bugs: It will kill off the bacteria responsible for acne. It's not a bad antibiotic for partial management of this annoying illness; there are other medicines that can augment its effectiveness. Today all acne can be managed successfully using scientific remedies. Good luck and thanks for asking. ...Read more
Not the best choice: An antibiotic must never be used as sole therapy for acne. Cystic acne may be helped by antibiotic treatment plus a topical agent such as benzoyl peroxide, but usually requires isotretinoin. You've heard the internet scare stories but most people who try this Rx -- which isn't for the faint-hearted -- are very glad. Acne's a grave personal / professional liability; ask if this is right for you. ...Read more
Get 2nd opinion: This drug has been used but from my reading, a tetracycline is preferred as much safer. An antibiotic should never be the sole treatment for acne, and people are recommending now that courses of antibiotics not be longer than three months. The fact that you asked also raises concern in my mind about your relationship to your physician. I suggest a second opinion. Let's find what's right for you. ...Read more
Acne sulfa: The drug sulfamethoxazole/trimethoprim would be able to treat acne but except in unusual cases it is not a good drug to treat acne. The main reason is that there are many other safer medications to use for long term treatment, particularly members of the tetracycline family. Rarely a person can have an adverse reaction to sulfa drugs that can be very severe. I have seen 4 people die from it. ...Read more
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
I was prescribed sulfamethoxazole-tmp for acne by my derm. I took it and feel slight nausea stomach pains. Is this normal? Will I get a rash?
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?
Is it common to take "sulfamethoxazole-tmp" pills for acne treatment (apparently its suppose to stop bacteria growth under the dark acne scar spots)?
See below: Smx-tmp is one of several antibiotics used to control cases of more severe acne (tetracycline family, clindamycin, some cephalosporins, Augmentin (amoxicillin and clavulanate) are also used). If acne is mild, use topical antibiotics to avoid side effects of systemic antibiotics: e.g., smx-tmp is a notorious photosensitizer, so use sunblock while taking it. Dermatologist can optimize regimen for acne. ...Read more
I am taking sulfamethoxazole and spironolactone for acne, but still have active jaw line acne. Could Synthroid (thyroxine) help in balancing my hormones too?
Absolutely not: Synthroid (thyroxine) should only be taken in cases of hypothyroidism and under the care of a physician, NP, or PA Taking it would increase metabolism; I doubt that this would have an effect on your acne (it's a different hormone pathway entirely) and might make it worse. See your doc or dermatologist if still having probes w/ur acne. Best of luck! ...Read more
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
I was prescribed Bactrim (sulfamethoxazole and trimethoprim) DS for acne which I started taking a few days ago. Can I still drink alcohol? There are a lot of conflicting answers.
Sulfa and ETOH: This should not be a major issue. You can drink moderately without fear of interaction. ...Read more
Can sulfamethoxazole (bactrim (sulfamethoxazole and trimethoprim) ds) make your acne worse before it gets better?
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
I am on the antibiotic sulfamethoxazole-TMP for over eight months for acne. I've been having major loss of appetite, is this something to worry about?
Drug: May be a side effect of the drug. See your primary care for a complete checkup to look for other causes of weight loss. Call the dermatologist to see if there are other antibiotics you can take. Also be sure you are taking a probiotic to replace the bacteria of your intestine in case the weight loss is due to malabsorption from a change in the bacteria of the intestines ...Read more
How long does it take to start seeing improvement in acne while using bactrim (sulfamethoxazole and trimethoprim) antibiotic?
Which of these antibiotics are better for treating dark acne spots on the face and why? (amoxicillin 500 mg capsule or sulfamethoxazole-tmp ds tablet)
Acne: Neither of those medications are useful for acne dark spots. Neither of them are very useful in treating acne at all. The sulfa drug can help acne but can have very serious side effects so it is not routinely used. Whenever the skin is inflamed it will get lighter or darker in color. See your dermatologist to get the acne under control so you don't get scars and dark spots. ...Read more
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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