Guest guest Posted March 28, 2002 Report Share Posted March 28, 2002 -Dr. Lazoff, you said: " Klaron is another topical antibiotic like Noritate. The mechanism of action for all these topicals are as anti-inflammatory agents so only one is used at a time " -This is just not true. The Klaron is often prescribed interchangably with Cleocin T (Dalacin T). In fact I was prescribed both Cleocin T and MetroCream for use AT THE SAME TIME. -It is apparently quite common for cea patients to use two topical anti-biotic/anti-inflammatories at the same time. The Cleocn T or Klaron is applied first followed by a Metro product or Noritate, then sunscreen and moisturizers if desired. Perhaps each anti-biotic covers a differing spectra of bacteria? -----Jordan --- emarjency emarjency@...> wrote: > > > Michele, Klaron is another topical antibiotic like > Noritate. The > mechanism of action for all these topicals are as > anti-inflammatory > agents so only one is used at a time, but some > people do better with > one antibiotic than with another. Klaron uses a > different antibiotic, > a sulfonamide instead of metronidazole. It may be > that the added > sulfur will help you. The trade-off is that > sulfonamides can have > more side effects than the metronidazoles, so they > aren't usually > tried first. Whatever, I hope it works for you. > > Personally, I never respond to the tetracyclines, I > only respond to > doxycycline. Some of my tricks: I'm careful to keep > the blood level > constant by taking one of the 100 mg caps/pills > every 12 hours. I > also avoid any dairy products or vitamin/mineral > pills or antacids > one hour before or two hours after. That's very > important, because > doxycycline is easily inactivated by those three > things. Stay with > the doxycycline for at least 6 weeks before saying > it doesn't help at > all; if it helps even a little, continue it for the > full 12 weeks. > > And be careful not to further irritate your skin > with skin care > products. Use just a gentle cleanser, and the > mildest water-based > moisturizer with simethicone, or basic oil product > -- these act as a > protective barrier twice a day as your epidermal > layer heals. The > topical antibiotic goes on before the > moisturizer/oil. And your > sunblock for when you go out. > > Your doctor sounds to be slowly advancing a textbook > treatment of > rosacea, and he started off very gentle. > > Try not to be frustrated if the Klaron doesn't work > for you or if you > develop a reaction to it -- if the Doxycycline works > (there's an > excellent chance it will, and you'll know in 6-12 > weeks) you may just > hold off on all topical antibiotics while the doxy > has a chance to > work. Then, with improved skin, Noritate may be a > more effective > maintenance cream. That's how I use oral and topical > antibiotics. So > don't give up on Noritate yet, though Klaron may be > the answer for > you. > > You aren't my patient, I'm not your doctor, but I > hope that clarifies > what I suspect are your dermatologist's plan. > > Good luck. Keep us posted. > > Marjorie > > Marjorie Lazoff, MD > > > > Hi All - perhaps someone can help me? Went to my > > derm. on Monday and he gave me Klaron for the > > bumps/papules. When I asked how to apply > it--before > > or after Noritate--he said to discontinue the > > Noritate! I was confused! I said, " But I thought > I > > would using this cream 'forever.' " Quoting his > word > > back in December when I was diagnosed in Dec. and > he > > gave me Metrocream. He said he didn't think the > > Noritate was helping me and to discontinue it! > > > > (This gets long here.) For some background - I > started > > with Metrocream in Dec. (applied to cheeks and > nose). > > Four weeks later, I called and said I'm breaking > out, > > and he switched me to Noritate. At my next appt. > in > > Feb. he told me to apply the Noritate all over my > > face--not just cheeks and nose. (I was breaking > out on > > my forehead, between my eyebrows, temple and > > chin--these areas are not red, nor are they > > flakey--just small bumps/papules--some flesh > colored > > and some light red in color. Some felt like a pin > > prick to the touch, others did not.) He also gave > me > > tetracycline 250 mg. 2x's a day, which he then > > increased 3 weeks later to 500 mg 2x's a day, as I > > looked liked " possible perioral derm., or just > rosacea > > kicking in per the diagnosis. " > > > > Is anyone out there using Klaron (with or without > > Noritate)? My big fear is in 2 months I'll go > back > > and he will put me on Noritate again and I'll have > to > > start all over from square one. On Monday he also > > switched me to doxycycline instead of > tetracycline. > > My chin cleared last week finally!, so what he saw > is > > my bumps on one temple, forehead, sides of nose > > (between nose and cheeks), few on my nose, and > between > > eyebrows. Again these areas are not red (well > nose is > > a bit pink), nor dry or nor flakey. T-zone is a > bit > > oily though. The bumps are light red or flesh > > colored. My cheeks are red (blotchy), but not > bumpy, > > skin is smooth, and I have spider veins on cheeks > and > > bridge of nose. > > > > Prior to all this I have not taken any > antibiotics, > > with the exception of having step throat late in > > August, which I took Zithromax. I am allergic to > > Penicillin. > > > > My derm was not familiar with the other oral > > antibiotics Dr. Nase mentions or using > antihistimines > > to treat flushing for rosacea. In fact he was > very > > surprised by the thickness of Dr. Nase's book! > He's a > > nice guy and getting close to retirement--perhaps > it's > > time if find a new derm? Confused as ever here > in > > NY. Anyone with experience with Klaron or > Doxycycline > > (after using tetra.) or stopping Noritate --please > > educate me! > > > > BTW--Also trying to identify triggers--can't say > I've > > found positive proof of any foods--other than > spicey > > and alcohol. Which I didn't eat/use much in the > past, > > and don't do at all now. Have greatly increased > my > > water intake. Using Dr. Sy's flushing remedity, > > taking Vit. C and Niacinimide. I use vita oil and > > Zinko. Watching and limited carbs and sugars (I > used > > to be a cookie monster!) Eating lots of veggies, > and > > making Matija's soup! My big hurdles are heat and > > stress..... I used to drink 1 diet coke everyday, > but > > even gave that up! Never been a coffee or tea > drinker > > either; I'm 41. Sorry this is so long. Any > thoughts? > > Michele > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2002 Report Share Posted March 28, 2002 -Dr. Lazoff, you said: " Klaron is another topical antibiotic like Noritate. The mechanism of action for all these topicals are as anti-inflammatory agents so only one is used at a time " -This is just not true. The Klaron is often prescribed interchangably with Cleocin T (Dalacin T). In fact I was prescribed both Cleocin T and MetroCream for use AT THE SAME TIME. -It is apparently quite common for cea patients to use two topical anti-biotic/anti-inflammatories at the same time. The Cleocn T or Klaron is applied first followed by a Metro product or Noritate, then sunscreen and moisturizers if desired. Perhaps each anti-biotic covers a differing spectra of bacteria? -----Jordan --- emarjency emarjency@...> wrote: > > > Michele, Klaron is another topical antibiotic like > Noritate. The > mechanism of action for all these topicals are as > anti-inflammatory > agents so only one is used at a time, but some > people do better with > one antibiotic than with another. Klaron uses a > different antibiotic, > a sulfonamide instead of metronidazole. It may be > that the added > sulfur will help you. The trade-off is that > sulfonamides can have > more side effects than the metronidazoles, so they > aren't usually > tried first. Whatever, I hope it works for you. > > Personally, I never respond to the tetracyclines, I > only respond to > doxycycline. Some of my tricks: I'm careful to keep > the blood level > constant by taking one of the 100 mg caps/pills > every 12 hours. I > also avoid any dairy products or vitamin/mineral > pills or antacids > one hour before or two hours after. That's very > important, because > doxycycline is easily inactivated by those three > things. Stay with > the doxycycline for at least 6 weeks before saying > it doesn't help at > all; if it helps even a little, continue it for the > full 12 weeks. > > And be careful not to further irritate your skin > with skin care > products. Use just a gentle cleanser, and the > mildest water-based > moisturizer with simethicone, or basic oil product > -- these act as a > protective barrier twice a day as your epidermal > layer heals. The > topical antibiotic goes on before the > moisturizer/oil. And your > sunblock for when you go out. > > Your doctor sounds to be slowly advancing a textbook > treatment of > rosacea, and he started off very gentle. > > Try not to be frustrated if the Klaron doesn't work > for you or if you > develop a reaction to it -- if the Doxycycline works > (there's an > excellent chance it will, and you'll know in 6-12 > weeks) you may just > hold off on all topical antibiotics while the doxy > has a chance to > work. Then, with improved skin, Noritate may be a > more effective > maintenance cream. That's how I use oral and topical > antibiotics. So > don't give up on Noritate yet, though Klaron may be > the answer for > you. > > You aren't my patient, I'm not your doctor, but I > hope that clarifies > what I suspect are your dermatologist's plan. > > Good luck. Keep us posted. > > Marjorie > > Marjorie Lazoff, MD > > > > Hi All - perhaps someone can help me? Went to my > > derm. on Monday and he gave me Klaron for the > > bumps/papules. When I asked how to apply > it--before > > or after Noritate--he said to discontinue the > > Noritate! I was confused! I said, " But I thought > I > > would using this cream 'forever.' " Quoting his > word > > back in December when I was diagnosed in Dec. and > he > > gave me Metrocream. He said he didn't think the > > Noritate was helping me and to discontinue it! > > > > (This gets long here.) For some background - I > started > > with Metrocream in Dec. (applied to cheeks and > nose). > > Four weeks later, I called and said I'm breaking > out, > > and he switched me to Noritate. At my next appt. > in > > Feb. he told me to apply the Noritate all over my > > face--not just cheeks and nose. (I was breaking > out on > > my forehead, between my eyebrows, temple and > > chin--these areas are not red, nor are they > > flakey--just small bumps/papules--some flesh > colored > > and some light red in color. Some felt like a pin > > prick to the touch, others did not.) He also gave > me > > tetracycline 250 mg. 2x's a day, which he then > > increased 3 weeks later to 500 mg 2x's a day, as I > > looked liked " possible perioral derm., or just > rosacea > > kicking in per the diagnosis. " > > > > Is anyone out there using Klaron (with or without > > Noritate)? My big fear is in 2 months I'll go > back > > and he will put me on Noritate again and I'll have > to > > start all over from square one. On Monday he also > > switched me to doxycycline instead of > tetracycline. > > My chin cleared last week finally!, so what he saw > is > > my bumps on one temple, forehead, sides of nose > > (between nose and cheeks), few on my nose, and > between > > eyebrows. Again these areas are not red (well > nose is > > a bit pink), nor dry or nor flakey. T-zone is a > bit > > oily though. The bumps are light red or flesh > > colored. My cheeks are red (blotchy), but not > bumpy, > > skin is smooth, and I have spider veins on cheeks > and > > bridge of nose. > > > > Prior to all this I have not taken any > antibiotics, > > with the exception of having step throat late in > > August, which I took Zithromax. I am allergic to > > Penicillin. > > > > My derm was not familiar with the other oral > > antibiotics Dr. Nase mentions or using > antihistimines > > to treat flushing for rosacea. In fact he was > very > > surprised by the thickness of Dr. Nase's book! > He's a > > nice guy and getting close to retirement--perhaps > it's > > time if find a new derm? Confused as ever here > in > > NY. Anyone with experience with Klaron or > Doxycycline > > (after using tetra.) or stopping Noritate --please > > educate me! > > > > BTW--Also trying to identify triggers--can't say > I've > > found positive proof of any foods--other than > spicey > > and alcohol. Which I didn't eat/use much in the > past, > > and don't do at all now. Have greatly increased > my > > water intake. Using Dr. Sy's flushing remedity, > > taking Vit. C and Niacinimide. I use vita oil and > > Zinko. Watching and limited carbs and sugars (I > used > > to be a cookie monster!) Eating lots of veggies, > and > > making Matija's soup! My big hurdles are heat and > > stress..... I used to drink 1 diet coke everyday, > but > > even gave that up! Never been a coffee or tea > drinker > > either; I'm 41. Sorry this is so long. Any > thoughts? > > Michele > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2002 Report Share Posted March 28, 2002 -Dr. Lazoff, you said: " Klaron is another topical antibiotic like Noritate. The mechanism of action for all these topicals are as anti-inflammatory agents so only one is used at a time " -This is just not true. The Klaron is often prescribed interchangably with Cleocin T (Dalacin T). In fact I was prescribed both Cleocin T and MetroCream for use AT THE SAME TIME. -It is apparently quite common for cea patients to use two topical anti-biotic/anti-inflammatories at the same time. The Cleocn T or Klaron is applied first followed by a Metro product or Noritate, then sunscreen and moisturizers if desired. Perhaps each anti-biotic covers a differing spectra of bacteria? -----Jordan --- emarjency emarjency@...> wrote: > > > Michele, Klaron is another topical antibiotic like > Noritate. The > mechanism of action for all these topicals are as > anti-inflammatory > agents so only one is used at a time, but some > people do better with > one antibiotic than with another. Klaron uses a > different antibiotic, > a sulfonamide instead of metronidazole. It may be > that the added > sulfur will help you. The trade-off is that > sulfonamides can have > more side effects than the metronidazoles, so they > aren't usually > tried first. Whatever, I hope it works for you. > > Personally, I never respond to the tetracyclines, I > only respond to > doxycycline. Some of my tricks: I'm careful to keep > the blood level > constant by taking one of the 100 mg caps/pills > every 12 hours. I > also avoid any dairy products or vitamin/mineral > pills or antacids > one hour before or two hours after. That's very > important, because > doxycycline is easily inactivated by those three > things. Stay with > the doxycycline for at least 6 weeks before saying > it doesn't help at > all; if it helps even a little, continue it for the > full 12 weeks. > > And be careful not to further irritate your skin > with skin care > products. Use just a gentle cleanser, and the > mildest water-based > moisturizer with simethicone, or basic oil product > -- these act as a > protective barrier twice a day as your epidermal > layer heals. The > topical antibiotic goes on before the > moisturizer/oil. And your > sunblock for when you go out. > > Your doctor sounds to be slowly advancing a textbook > treatment of > rosacea, and he started off very gentle. > > Try not to be frustrated if the Klaron doesn't work > for you or if you > develop a reaction to it -- if the Doxycycline works > (there's an > excellent chance it will, and you'll know in 6-12 > weeks) you may just > hold off on all topical antibiotics while the doxy > has a chance to > work. Then, with improved skin, Noritate may be a > more effective > maintenance cream. That's how I use oral and topical > antibiotics. So > don't give up on Noritate yet, though Klaron may be > the answer for > you. > > You aren't my patient, I'm not your doctor, but I > hope that clarifies > what I suspect are your dermatologist's plan. > > Good luck. Keep us posted. > > Marjorie > > Marjorie Lazoff, MD > > > > Hi All - perhaps someone can help me? Went to my > > derm. on Monday and he gave me Klaron for the > > bumps/papules. When I asked how to apply > it--before > > or after Noritate--he said to discontinue the > > Noritate! I was confused! I said, " But I thought > I > > would using this cream 'forever.' " Quoting his > word > > back in December when I was diagnosed in Dec. and > he > > gave me Metrocream. He said he didn't think the > > Noritate was helping me and to discontinue it! > > > > (This gets long here.) For some background - I > started > > with Metrocream in Dec. (applied to cheeks and > nose). > > Four weeks later, I called and said I'm breaking > out, > > and he switched me to Noritate. At my next appt. > in > > Feb. he told me to apply the Noritate all over my > > face--not just cheeks and nose. (I was breaking > out on > > my forehead, between my eyebrows, temple and > > chin--these areas are not red, nor are they > > flakey--just small bumps/papules--some flesh > colored > > and some light red in color. Some felt like a pin > > prick to the touch, others did not.) He also gave > me > > tetracycline 250 mg. 2x's a day, which he then > > increased 3 weeks later to 500 mg 2x's a day, as I > > looked liked " possible perioral derm., or just > rosacea > > kicking in per the diagnosis. " > > > > Is anyone out there using Klaron (with or without > > Noritate)? My big fear is in 2 months I'll go > back > > and he will put me on Noritate again and I'll have > to > > start all over from square one. On Monday he also > > switched me to doxycycline instead of > tetracycline. > > My chin cleared last week finally!, so what he saw > is > > my bumps on one temple, forehead, sides of nose > > (between nose and cheeks), few on my nose, and > between > > eyebrows. Again these areas are not red (well > nose is > > a bit pink), nor dry or nor flakey. T-zone is a > bit > > oily though. The bumps are light red or flesh > > colored. My cheeks are red (blotchy), but not > bumpy, > > skin is smooth, and I have spider veins on cheeks > and > > bridge of nose. > > > > Prior to all this I have not taken any > antibiotics, > > with the exception of having step throat late in > > August, which I took Zithromax. I am allergic to > > Penicillin. > > > > My derm was not familiar with the other oral > > antibiotics Dr. Nase mentions or using > antihistimines > > to treat flushing for rosacea. In fact he was > very > > surprised by the thickness of Dr. Nase's book! > He's a > > nice guy and getting close to retirement--perhaps > it's > > time if find a new derm? Confused as ever here > in > > NY. Anyone with experience with Klaron or > Doxycycline > > (after using tetra.) or stopping Noritate --please > > educate me! > > > > BTW--Also trying to identify triggers--can't say > I've > > found positive proof of any foods--other than > spicey > > and alcohol. Which I didn't eat/use much in the > past, > > and don't do at all now. Have greatly increased > my > > water intake. Using Dr. Sy's flushing remedity, > > taking Vit. C and Niacinimide. I use vita oil and > > Zinko. Watching and limited carbs and sugars (I > used > > to be a cookie monster!) Eating lots of veggies, > and > > making Matija's soup! My big hurdles are heat and > > stress..... I used to drink 1 diet coke everyday, > but > > even gave that up! Never been a coffee or tea > drinker > > either; I'm 41. Sorry this is so long. Any > thoughts? > > Michele > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2002 Report Share Posted March 28, 2002 > > > > Michele, Klaron is another topical antibiotic like > > Noritate. The > > mechanism of action for all these topicals are as > > anti-inflammatory > > agents so only one is used at a time, but some > > people do better with > > one antibiotic than with another. Klaron uses a > > different antibiotic, > > a sulfonamide instead of metronidazole. It may be > > that the added > > sulfur will help you. The trade-off is that > > sulfonamides can have > > more side effects than the metronidazoles, so they > > aren't usually > > tried first. Whatever, I hope it works for you. > > > > Personally, I never respond to the tetracyclines, I > > only respond to > > doxycycline. Some of my tricks: I'm careful to keep > > the blood level > > constant by taking one of the 100 mg caps/pills > > every 12 hours. I > > also avoid any dairy products or vitamin/mineral > > pills or antacids > > one hour before or two hours after. That's very > > important, because > > doxycycline is easily inactivated by those three > > things. Stay with > > the doxycycline for at least 6 weeks before saying > > it doesn't help at > > all; if it helps even a little, continue it for the > > full 12 weeks. > > > > And be careful not to further irritate your skin > > with skin care > > products. Use just a gentle cleanser, and the > > mildest water-based > > moisturizer with simethicone, or basic oil product > > -- these act as a > > protective barrier twice a day as your epidermal > > layer heals. The > > topical antibiotic goes on before the > > moisturizer/oil. And your > > sunblock for when you go out. > > > > Your doctor sounds to be slowly advancing a textbook > > treatment of > > rosacea, and he started off very gentle. > > > > Try not to be frustrated if the Klaron doesn't work > > for you or if you > > develop a reaction to it -- if the Doxycycline works > > (there's an > > excellent chance it will, and you'll know in 6-12 > > weeks) you may just > > hold off on all topical antibiotics while the doxy > > has a chance to > > work. Then, with improved skin, Noritate may be a > > more effective > > maintenance cream. That's how I use oral and topical > > antibiotics. So > > don't give up on Noritate yet, though Klaron may be > > the answer for > > you. > > > > You aren't my patient, I'm not your doctor, but I > > hope that clarifies > > what I suspect are your dermatologist's plan. > > > > Good luck. Keep us posted. > > > > Marjorie > > > > Marjorie Lazoff, MD > > > > > > > Hi All - perhaps someone can help me? Went to my > > > derm. on Monday and he gave me Klaron for the > > > bumps/papules. When I asked how to apply > > it--before > > > or after Noritate--he said to discontinue the > > > Noritate! I was confused! I said, " But I thought > > I > > > would using this cream 'forever.' " Quoting his > > word > > > back in December when I was diagnosed in Dec. and > > he > > > gave me Metrocream. He said he didn't think the > > > Noritate was helping me and to discontinue it! > > > > > > (This gets long here.) For some background - I > > started > > > with Metrocream in Dec. (applied to cheeks and > > nose). > > > Four weeks later, I called and said I'm breaking > > out, > > > and he switched me to Noritate. At my next appt. > > in > > > Feb. he told me to apply the Noritate all over my > > > face--not just cheeks and nose. (I was breaking > > out on > > > my forehead, between my eyebrows, temple and > > > chin--these areas are not red, nor are they > > > flakey--just small bumps/papules--some flesh > > colored > > > and some light red in color. Some felt like a pin > > > prick to the touch, others did not.) He also gave > > me > > > tetracycline 250 mg. 2x's a day, which he then > > > increased 3 weeks later to 500 mg 2x's a day, as I > > > looked liked " possible perioral derm., or just > > rosacea > > > kicking in per the diagnosis. " > > > > > > Is anyone out there using Klaron (with or without > > > Noritate)? My big fear is in 2 months I'll go > > back > > > and he will put me on Noritate again and I'll have > > to > > > start all over from square one. On Monday he also > > > switched me to doxycycline instead of > > tetracycline. > > > My chin cleared last week finally!, so what he saw > > is > > > my bumps on one temple, forehead, sides of nose > > > (between nose and cheeks), few on my nose, and > > between > > > eyebrows. Again these areas are not red (well > > nose is > > > a bit pink), nor dry or nor flakey. T-zone is a > > bit > > > oily though. The bumps are light red or flesh > > > colored. My cheeks are red (blotchy), but not > > bumpy, > > > skin is smooth, and I have spider veins on cheeks > > and > > > bridge of nose. > > > > > > Prior to all this I have not taken any > > antibiotics, > > > with the exception of having step throat late in > > > August, which I took Zithromax. I am allergic to > > > Penicillin. > > > > > > My derm was not familiar with the other oral > > > antibiotics Dr. Nase mentions or using > > antihistimines > > > to treat flushing for rosacea. In fact he was > > very > > > surprised by the thickness of Dr. Nase's book! > > He's a > > > nice guy and getting close to retirement--perhaps > > it's > > > time if find a new derm? Confused as ever here > > in > > > NY. Anyone with experience with Klaron or > > Doxycycline > > > (after using tetra.) or stopping Noritate --please > > > educate me! > > > > > > BTW--Also trying to identify triggers--can't say > > I've > > > found positive proof of any foods--other than > > spicey > > > and alcohol. Which I didn't eat/use much in the > > past, > > > and don't do at all now. Have greatly increased > > my > > > water intake. Using Dr. Sy's flushing remedity, > > > taking Vit. C and Niacinimide. I use vita oil and > > > Zinko. Watching and limited carbs and sugars (I > > used > > > to be a cookie monster!) Eating lots of veggies, > > and > > > making Matija's soup! My big hurdles are heat and > > > stress..... I used to drink 1 diet coke everyday, > > but > > > even gave that up! Never been a coffee or tea > > drinker > > > either; I'm 41. Sorry this is so long. Any > > thoughts? > > > Michele > > > > > > __________________________________________________ > > > Quote Link to comment Share on other sites More sharing options...
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