Guest guest Posted April 4, 2002 Report Share Posted April 4, 2002 I am a new arrival to this site. Just found out I had Pre cea. About a month ago I noticed that my nose was red. Since I was drinking coffee at the time, I thought that it was because I was sticking my nose in my hot coffee cup while drinking it (meaning the steam from the hot coffee must have caused it). Then the redness just kind of stayed. A few days later I was diagnosed with a sinus infection and my doctor prescribed Z-pak (which is an antibiotic - zithromax) and did not see one sympton of the red nose whille taking the z-pak. After reading the post, I just realized that the redness returned after I finished my cycle of z-pak. My Derm prescribed MetroCream....will this eventually start to work? I am still at a stage where I am the only one who can see the redness. I am hopeing the cream works. (after reading most of these posts, I can see that the odds are that it will not :-( ) SO, I am wondering if the cream doesn't work, if oral antibiotics will. Yikes, I feel like this is going to be a battle. Lauri Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2002 Report Share Posted April 4, 2002 > Yikes, I feel like this is going to be a battle. This group is not the mainstream experience of rosacea. Several studies show that over 50% of patients with rosacea are clear (not cured, of course, but without bothersome signs/symptoms) and another 25% have a 70% or more improvement with standard medical treatment. Another sizable group do well with alternate medical treatment -- a different antibiotic, low dose accutane, two topicals instead of one, etc. Importantly, medical success varies depending upon whether rosacea is inflammatory, flushing, phymas, or a combination of the three. Critical to success is reliable longterm use of medications -- insuring good blood levels, etc -- and avoiding direct skin irritants most commonly found in skin care products and makeup. I also think personal qualities -- a sense of humor, healthy sense of self and life's priorities, loving family and friends -- play an important role in successfully managing the ups and downs characteristic of chronic conditions like rosacea. It would not be typical for rosacea redness to clear up while taking a five day course of zithromax, and then to immediately return when the course ends. Metrocream sounds like a reasonable treatment for your red nose, although it can take many weeks (up to two months) before you can determine the topical antibiotic's effectiveness. If I may tag on a general request: everyone please understand, I cannot reply to private emails. I will reply to general posts here as I am able. Marjorie Marjorie Lazoff, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2002 Report Share Posted April 4, 2002 > Yikes, I feel like this is going to be a battle. This group is not the mainstream experience of rosacea. Several studies show that over 50% of patients with rosacea are clear (not cured, of course, but without bothersome signs/symptoms) and another 25% have a 70% or more improvement with standard medical treatment. Another sizable group do well with alternate medical treatment -- a different antibiotic, low dose accutane, two topicals instead of one, etc. Importantly, medical success varies depending upon whether rosacea is inflammatory, flushing, phymas, or a combination of the three. Critical to success is reliable longterm use of medications -- insuring good blood levels, etc -- and avoiding direct skin irritants most commonly found in skin care products and makeup. I also think personal qualities -- a sense of humor, healthy sense of self and life's priorities, loving family and friends -- play an important role in successfully managing the ups and downs characteristic of chronic conditions like rosacea. It would not be typical for rosacea redness to clear up while taking a five day course of zithromax, and then to immediately return when the course ends. Metrocream sounds like a reasonable treatment for your red nose, although it can take many weeks (up to two months) before you can determine the topical antibiotic's effectiveness. If I may tag on a general request: everyone please understand, I cannot reply to private emails. I will reply to general posts here as I am able. Marjorie Marjorie Lazoff, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2002 Report Share Posted April 4, 2002 > Yikes, I feel like this is going to be a battle. This group is not the mainstream experience of rosacea. Several studies show that over 50% of patients with rosacea are clear (not cured, of course, but without bothersome signs/symptoms) and another 25% have a 70% or more improvement with standard medical treatment. Another sizable group do well with alternate medical treatment -- a different antibiotic, low dose accutane, two topicals instead of one, etc. Importantly, medical success varies depending upon whether rosacea is inflammatory, flushing, phymas, or a combination of the three. Critical to success is reliable longterm use of medications -- insuring good blood levels, etc -- and avoiding direct skin irritants most commonly found in skin care products and makeup. I also think personal qualities -- a sense of humor, healthy sense of self and life's priorities, loving family and friends -- play an important role in successfully managing the ups and downs characteristic of chronic conditions like rosacea. It would not be typical for rosacea redness to clear up while taking a five day course of zithromax, and then to immediately return when the course ends. Metrocream sounds like a reasonable treatment for your red nose, although it can take many weeks (up to two months) before you can determine the topical antibiotic's effectiveness. If I may tag on a general request: everyone please understand, I cannot reply to private emails. I will reply to general posts here as I am able. Marjorie Marjorie Lazoff, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2002 Report Share Posted April 4, 2002 > I am a new arrival to this site. Just found out I had Pre cea. About a > month ago I noticed that my nose was red. Since I was drinking coffee at the > time, I thought that it was because I was sticking my nose in my hot coffee > cup while drinking it (meaning the steam from the hot coffee must have caused > it). Then the redness just kind of stayed. A few days later I was diagnosed > with a sinus infection and my doctor prescribed Z-pak (which is an antibiotic > - zithromax) and did not see one sympton of the red nose whille taking the > z-pak. After reading the post, I just realized that the redness returned > after I finished my cycle of z-pak. As we all know, Zpacks are marketed, among other things, for the rheumatic fever prevention for the standard upper respiratory beta hemolytic streptococci... Therapuetic levels are maintained for maybe 10 days, just like if you were taking erythromycin for 10 days, only you only take the zpack for 5 due to the long half live and low MICs. Anyways, it would be conceviable that your rosacea could improve by taking a zpack, especially if you only have pre rosacea (Dr. Nase's definition). Inflammatory acne is improved quite quickly, sometimes within 2 weeks, on full dose zithromax so pre rosacea would be reasonable to respond within the time span of a zpack. And it's almost as if the zpack is working for 10 days, even though you're only taking it for five. That's why zithro is used so often for pulse dosing. Taking a zpack on the first and 15th of the month. Though we in this group don't recommend such pulse dosing until you are clear, we recommend full dose and then maintenence later.. You ought to take another zpack and keep on the 250 qd zithromax until you're clear and be doing the metro cream all through this. Then when clear, you can think about reducing the zithromax. Or, since you're not really commited to zithromax yet, taking a mere zpack, you could get on oral minocyline and do the same procedure. > My Derm prescribed MetroCream....will this eventually start to work? I am > still at a stage where I am the only one who can see the redness. I am > hopeing the cream works. (after reading most of these posts, I can see that > the odds are that it will not :-( ) > SO, I am wondering if the cream doesn't work, if oral antibiotics will. > Yikes, I feel like this is going to be a battle. > Lauri > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2002 Report Share Posted April 4, 2002 > I am a new arrival to this site. Just found out I had Pre cea. About a > month ago I noticed that my nose was red. Since I was drinking coffee at the > time, I thought that it was because I was sticking my nose in my hot coffee > cup while drinking it (meaning the steam from the hot coffee must have caused > it). Then the redness just kind of stayed. A few days later I was diagnosed > with a sinus infection and my doctor prescribed Z-pak (which is an antibiotic > - zithromax) and did not see one sympton of the red nose whille taking the > z-pak. After reading the post, I just realized that the redness returned > after I finished my cycle of z-pak. As we all know, Zpacks are marketed, among other things, for the rheumatic fever prevention for the standard upper respiratory beta hemolytic streptococci... Therapuetic levels are maintained for maybe 10 days, just like if you were taking erythromycin for 10 days, only you only take the zpack for 5 due to the long half live and low MICs. Anyways, it would be conceviable that your rosacea could improve by taking a zpack, especially if you only have pre rosacea (Dr. Nase's definition). Inflammatory acne is improved quite quickly, sometimes within 2 weeks, on full dose zithromax so pre rosacea would be reasonable to respond within the time span of a zpack. And it's almost as if the zpack is working for 10 days, even though you're only taking it for five. That's why zithro is used so often for pulse dosing. Taking a zpack on the first and 15th of the month. Though we in this group don't recommend such pulse dosing until you are clear, we recommend full dose and then maintenence later.. You ought to take another zpack and keep on the 250 qd zithromax until you're clear and be doing the metro cream all through this. Then when clear, you can think about reducing the zithromax. Or, since you're not really commited to zithromax yet, taking a mere zpack, you could get on oral minocyline and do the same procedure. > My Derm prescribed MetroCream....will this eventually start to work? I am > still at a stage where I am the only one who can see the redness. I am > hopeing the cream works. (after reading most of these posts, I can see that > the odds are that it will not :-( ) > SO, I am wondering if the cream doesn't work, if oral antibiotics will. > Yikes, I feel like this is going to be a battle. > Lauri > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2002 Report Share Posted April 4, 2002 > I am a new arrival to this site. Just found out I had Pre cea. About a > month ago I noticed that my nose was red. Since I was drinking coffee at the > time, I thought that it was because I was sticking my nose in my hot coffee > cup while drinking it (meaning the steam from the hot coffee must have caused > it). Then the redness just kind of stayed. A few days later I was diagnosed > with a sinus infection and my doctor prescribed Z-pak (which is an antibiotic > - zithromax) and did not see one sympton of the red nose whille taking the > z-pak. After reading the post, I just realized that the redness returned > after I finished my cycle of z-pak. As we all know, Zpacks are marketed, among other things, for the rheumatic fever prevention for the standard upper respiratory beta hemolytic streptococci... Therapuetic levels are maintained for maybe 10 days, just like if you were taking erythromycin for 10 days, only you only take the zpack for 5 due to the long half live and low MICs. Anyways, it would be conceviable that your rosacea could improve by taking a zpack, especially if you only have pre rosacea (Dr. Nase's definition). Inflammatory acne is improved quite quickly, sometimes within 2 weeks, on full dose zithromax so pre rosacea would be reasonable to respond within the time span of a zpack. And it's almost as if the zpack is working for 10 days, even though you're only taking it for five. That's why zithro is used so often for pulse dosing. Taking a zpack on the first and 15th of the month. Though we in this group don't recommend such pulse dosing until you are clear, we recommend full dose and then maintenence later.. You ought to take another zpack and keep on the 250 qd zithromax until you're clear and be doing the metro cream all through this. Then when clear, you can think about reducing the zithromax. Or, since you're not really commited to zithromax yet, taking a mere zpack, you could get on oral minocyline and do the same procedure. > My Derm prescribed MetroCream....will this eventually start to work? I am > still at a stage where I am the only one who can see the redness. I am > hopeing the cream works. (after reading most of these posts, I can see that > the odds are that it will not :-( ) > SO, I am wondering if the cream doesn't work, if oral antibiotics will. > Yikes, I feel like this is going to be a battle. > Lauri > > > > Quote Link to comment Share on other sites More sharing options...
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