Re: First post, feedback to my derms prescriptions

[Guest guest]

Art, your skin and history sound almost exactly like mine. Regarding

the lasers, I've had thirteen photoderm treatments. Eight during the

last eight months of 2001, and five more about two years ago. Also

had V-Beam treatments, Versa-Pulse treatments and Dio-lite laser

treatments.

The Photoderm seems to be the most effective at general

pinkness/redness. They use it to treat your entire flush zone,

overlapping a little bit as they go. They use the V-Beam to target

specific areas with visible tiny veins, but treat much of your face

too. Those two treatments can be used together.

If possible you should see a doctor who administers both treatments

for a consultation about which one might be more appropriate for your

skin. He should be able to give you a better answer than any of us in

this group when he examines your skin.

Try to find a doctor who has treated many cea patients.

Minocyline can be helpful, I still use it. I work with a lady who has

developed cea after having flawless skin most of her life. She's

in her late 30's now. I knew her before she had cea and it's

true, she had perfect, beautiful skin. She resisted going on

antibiotics but couldn't control the cea, it just continued to

worsen despite using the common metrogel and metrocream. She

recently started the Minocycline and is finally seeming some relief.

[Guest guest]

> Hello, all.

>

> I've just learned this week that I'm a rosacean. I wish I could say

that I

> felt special about that, so please forgive me because this message

is a bit

> self-serving in that it is a passage for me to vent frustration.

>

> I'm 38, but I've been struggling with oily, pimply skin since my

teens. In

> my 20's and into my 30's, I was able to control my skin condition

by abusing

> my skin to the sun and tanning booths. But, for the past three

years my skin

> condition has changed. I blush so easily with heat, my face is

always pink

> (all over), increasingly oily, have more breakouts, its lumpy, and

my pores

> have increased in size.

>

> I visited a derm for the first time last year and after a 5 minute

> consultation, he prescribed a BENZOYL PEROXIDE wash and retin-a

micro. Holy

What was the brand of the benzoyl peroxide wash? And the strength.

My theory on bp washes is that they are good for the trunk, bad for

the face. You cannot control the bp from getting on the sensitive

nasolabial folds wherein it is very irritating, to even non

rosaceans. How many nights were you applying the retin-a micro?

Generally, it is a bad idea to start with a topical retinoid w/o

either minocin 100 mg bid or zithromax (y'all know the dose) because

a flare from hell will ensue as the comedones pustulate. For topical

retinoinds use differin gel -- less irritating, and start 2wks tiw,

then two weeks mon tue the fri, then nightly.

> s..., what a mistake that was. I was bright red for weeks. I

continued using

> the treatments because the derm told me that it takes a while to

become

> accustomed to the topical.

> 8 months later, I have a new derm. Although he diagnosed me with

Acne

> cea (but didn't tell me), he prescribed Minocycline (100MG

twice a day)

> with Clindamycin. I used this combination for 4 weeks and had a

visible

what vehicle was the clindamycin in. note the possible

bacteriological antagonism between to bacteriostatic antibiotics or

is that cidal and static??? whereing antagonism is usually noted, i

forget.. clindamycin topical is likely comedogenic due to poor

vehicle design. what other topicals were you using in the way of

moisturizers, etc?

> difference in my oily condition, however an increase in papules.

During this

your face was probably dried out from the clindamycin topical and

papules increased due to the irritation of cleocin topical and

comedogenicity.

> consultation he recommended two items for me to experiment with;

Differin

> and Kenerase. I used the Differin at night, used the Clindamycin

during the

> day, and continued with the Minocycline. After one week my papules

> multiplied ten fold and grew more inflamed. I ceased all

prescriptions

typical response to a topical retinoid. therefore, it was likely

that the cleocin topical WAS INDEED comedogenic to your skin, based

on the face that not differin was expelling all the comedones, which

whould take 4-12 weeks. in case your wondering, never use this

cleocin topical again, study the ingredients of the base, as well.

and

> did Internet research and I learned that I have all of the symptoms

of

> rosacea.

> I met with the Derm again this weekend and we officially discussed

the fact

> that I have rosacea. He's prescribed a steroid to calm me down

(20MG

> Prednisone for 3 days). I'm also to continue with the Minocycline

once a day

> and he's provided Nicosyn (sodium sulfacetamide 10, sulfer 5%). We

also

check the name of the Na sulfacetamide product and report back to us,

please.

> discussed the V-beam treatments and I'm scheduled for a trial

appointment.

> The goal of these treatments is to reduce the red, smooth the

skin, and

> hopefully reduce the pores/oily skin. Is that reasonable?

> Okay, I know these questions have been asked before, but I'm new to

the list

> and claim ignorance; considering the description of my skin

condition

> (pinkish red all over, oil, papules), should I consider Photoderm

over

> V-beam? It seems that this list has had more success with photo

than laser.

> Also, what about the prescription that the derm has me on now

(Minocycline

> and Nicosyn)? Is that a combo that has potential?

> Thanks. - Art

of all the combos, it might work the best but it still has problems.

[Guest guest]

> Hello, all.

>

> I've just learned this week that I'm a rosacean. I wish I could say

that I

> felt special about that, so please forgive me because this message

is a bit

> self-serving in that it is a passage for me to vent frustration.

>

> I'm 38, but I've been struggling with oily, pimply skin since my

teens. In

> my 20's and into my 30's, I was able to control my skin condition

by abusing

> my skin to the sun and tanning booths. But, for the past three

years my skin

> condition has changed. I blush so easily with heat, my face is

always pink

> (all over), increasingly oily, have more breakouts, its lumpy, and

my pores

> have increased in size.

>

> I visited a derm for the first time last year and after a 5 minute

> consultation, he prescribed a BENZOYL PEROXIDE wash and retin-a

micro. Holy

What was the brand of the benzoyl peroxide wash? And the strength.

My theory on bp washes is that they are good for the trunk, bad for

the face. You cannot control the bp from getting on the sensitive

nasolabial folds wherein it is very irritating, to even non

rosaceans. How many nights were you applying the retin-a micro?

Generally, it is a bad idea to start with a topical retinoid w/o

either minocin 100 mg bid or zithromax (y'all know the dose) because

a flare from hell will ensue as the comedones pustulate. For topical

retinoinds use differin gel -- less irritating, and start 2wks tiw,

then two weeks mon tue the fri, then nightly.

> s..., what a mistake that was. I was bright red for weeks. I

continued using

> the treatments because the derm told me that it takes a while to

become

> accustomed to the topical.

> 8 months later, I have a new derm. Although he diagnosed me with

Acne

> cea (but didn't tell me), he prescribed Minocycline (100MG

twice a day)

> with Clindamycin. I used this combination for 4 weeks and had a

visible

what vehicle was the clindamycin in. note the possible

bacteriological antagonism between to bacteriostatic antibiotics or

is that cidal and static??? whereing antagonism is usually noted, i

forget.. clindamycin topical is likely comedogenic due to poor

vehicle design. what other topicals were you using in the way of

moisturizers, etc?

> difference in my oily condition, however an increase in papules.

During this

your face was probably dried out from the clindamycin topical and

papules increased due to the irritation of cleocin topical and

comedogenicity.

> consultation he recommended two items for me to experiment with;

Differin

> and Kenerase. I used the Differin at night, used the Clindamycin

during the

> day, and continued with the Minocycline. After one week my papules

> multiplied ten fold and grew more inflamed. I ceased all

prescriptions

typical response to a topical retinoid. therefore, it was likely

that the cleocin topical WAS INDEED comedogenic to your skin, based

on the face that not differin was expelling all the comedones, which

whould take 4-12 weeks. in case your wondering, never use this

cleocin topical again, study the ingredients of the base, as well.

and

> did Internet research and I learned that I have all of the symptoms

of

> rosacea.

> I met with the Derm again this weekend and we officially discussed

the fact

> that I have rosacea. He's prescribed a steroid to calm me down

(20MG

> Prednisone for 3 days). I'm also to continue with the Minocycline

once a day

> and he's provided Nicosyn (sodium sulfacetamide 10, sulfer 5%). We

also

check the name of the Na sulfacetamide product and report back to us,

please.

> discussed the V-beam treatments and I'm scheduled for a trial

appointment.

> The goal of these treatments is to reduce the red, smooth the

skin, and

> hopefully reduce the pores/oily skin. Is that reasonable?

> Okay, I know these questions have been asked before, but I'm new to

the list

> and claim ignorance; considering the description of my skin

condition

> (pinkish red all over, oil, papules), should I consider Photoderm

over

> V-beam? It seems that this list has had more success with photo

than laser.

> Also, what about the prescription that the derm has me on now

(Minocycline

> and Nicosyn)? Is that a combo that has potential?

> Thanks. - Art

of all the combos, it might work the best but it still has problems.

[Guest guest]

> Hello, all.

>

> I've just learned this week that I'm a rosacean. I wish I could say

that I

> felt special about that, so please forgive me because this message

is a bit

> self-serving in that it is a passage for me to vent frustration.

>

> I'm 38, but I've been struggling with oily, pimply skin since my

teens. In

> my 20's and into my 30's, I was able to control my skin condition

by abusing

> my skin to the sun and tanning booths. But, for the past three

years my skin

> condition has changed. I blush so easily with heat, my face is

always pink

> (all over), increasingly oily, have more breakouts, its lumpy, and

my pores

> have increased in size.

>

> I visited a derm for the first time last year and after a 5 minute

> consultation, he prescribed a BENZOYL PEROXIDE wash and retin-a

micro. Holy

What was the brand of the benzoyl peroxide wash? And the strength.

My theory on bp washes is that they are good for the trunk, bad for

the face. You cannot control the bp from getting on the sensitive

nasolabial folds wherein it is very irritating, to even non

rosaceans. How many nights were you applying the retin-a micro?

Generally, it is a bad idea to start with a topical retinoid w/o

either minocin 100 mg bid or zithromax (y'all know the dose) because

a flare from hell will ensue as the comedones pustulate. For topical

retinoinds use differin gel -- less irritating, and start 2wks tiw,

then two weeks mon tue the fri, then nightly.

> s..., what a mistake that was. I was bright red for weeks. I

continued using

> the treatments because the derm told me that it takes a while to

become

> accustomed to the topical.

> 8 months later, I have a new derm. Although he diagnosed me with

Acne

> cea (but didn't tell me), he prescribed Minocycline (100MG

twice a day)

> with Clindamycin. I used this combination for 4 weeks and had a

visible

what vehicle was the clindamycin in. note the possible

bacteriological antagonism between to bacteriostatic antibiotics or

is that cidal and static??? whereing antagonism is usually noted, i

forget.. clindamycin topical is likely comedogenic due to poor

vehicle design. what other topicals were you using in the way of

moisturizers, etc?

> difference in my oily condition, however an increase in papules.

During this

your face was probably dried out from the clindamycin topical and

papules increased due to the irritation of cleocin topical and

comedogenicity.

> consultation he recommended two items for me to experiment with;

Differin

> and Kenerase. I used the Differin at night, used the Clindamycin

during the

> day, and continued with the Minocycline. After one week my papules

> multiplied ten fold and grew more inflamed. I ceased all

prescriptions

typical response to a topical retinoid. therefore, it was likely

that the cleocin topical WAS INDEED comedogenic to your skin, based

on the face that not differin was expelling all the comedones, which

whould take 4-12 weeks. in case your wondering, never use this

cleocin topical again, study the ingredients of the base, as well.

and

> did Internet research and I learned that I have all of the symptoms

of

> rosacea.

> I met with the Derm again this weekend and we officially discussed

the fact

> that I have rosacea. He's prescribed a steroid to calm me down

(20MG

> Prednisone for 3 days). I'm also to continue with the Minocycline

once a day

> and he's provided Nicosyn (sodium sulfacetamide 10, sulfer 5%). We

also

check the name of the Na sulfacetamide product and report back to us,

please.

> discussed the V-beam treatments and I'm scheduled for a trial

appointment.

> The goal of these treatments is to reduce the red, smooth the

skin, and

> hopefully reduce the pores/oily skin. Is that reasonable?

> Okay, I know these questions have been asked before, but I'm new to

the list

> and claim ignorance; considering the description of my skin

condition

> (pinkish red all over, oil, papules), should I consider Photoderm

over

> V-beam? It seems that this list has had more success with photo

than laser.

> Also, what about the prescription that the derm has me on now

(Minocycline

> and Nicosyn)? Is that a combo that has potential?

> Thanks. - Art

of all the combos, it might work the best but it still has problems.