DR.SY USE OF CLOBETASOL .05 ointment and rosacea

February 1, 2000

Dr. Sy-I have very mild rosacea with no pustular or papular components.

I use only metrogel once a day and the supplements so recommended on

the group. I was diagnosed recently with scarring alopecia (3 distinct

spots on my head)-likely Pseudopelade. The treatment has been Kenalog

injections (10mg) once per month and now Paquenil to stop the active

area (two areas are dead and likely burned themselves out years

ago)-the active area is no longer inflammed and is stable......I have

been asked to also use clobertasol on the spot just a small amount each

night. I am concerned about the effect of this on the rosacea. I was

told it is so small it is not of concern and yet I read that clobetasol

is one of the higher potency cortisones. I am not sure that this is for

very long term use but I am advised to use it b.i.d. I have been doing

so for a month and no reactions that I can see. Can you advise me as to

the length you would recommend for this? Concerns you might see etc? I

feel that the doctor treating the alopecia is VERY qualified in his

field and has the situation under control but seems not too concerned

about the use of cortisone on a patient with rosacea likely due to the

mild nature of mine. I would not like to expose myself to unecessarily

contracting worse rosacea or from what I have read on the board drug

induced rosacea??? I would appreciate any comments and suggestions you

might have. Any concern re " paquenil? The shots are working fine and

caused the area to be static....no growth.

Thank you.

I do so appreciate the time you take to advise on this board. Also a

mere mention of oil of oregano while I am here. I had tried it for a

week and found that it was causing me to break out into pustules for

the first time on my forehead and in the scalp by the hairline. Once

stopped they went away. So, as you said it is powerful stuff. I have

discontinued its usage and am using only tthe recommended noted

supplements like Flax seed oil etc.

Rosemary

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