Acne

Topical cipro ? topical spironolactone ? topical nianiande

Biaxin 250 TID plus Naprosyn 500 TID

Aldactone 100 mg x 7 days beginning with perimenstrual flare

Take in a.m. due to diuretic effect

CoA other Tx's

Accutane safe at 0.5 mg/kg in CRF

granulomatous flare to Accutane - dapsone and prednisone

severe nodule acne - amoxilorton plus preg

then add low dose Accutane and taper up

morning after pill - levonorgestrel/0.75 mg q 12 x 2 better

than estradiol/levonorgestrel pill

Accutane OK in renal failure

A.fulmininans male, teen, tender and ulcerated fever, polyarthralgia, Tx steroids

Pyoderma faciale females, central face, sinuses and deep nodules, kelacilal scarring

Tx abstacitine

Acne severe - Ceftin or Duricef; Biaxin 250 plus Naprosyn 500 BID

Hidradenitis - CYSA or Accutane x 1 year,

Naprosyn 5r with biaxin BID

Motrin 600 BID with min 100 BID with/without BPuagh with/without RA

Rosacea - add riboflavin (prescribing)

Androgen acne - spironolactone 25 TT BID, taper to 25 BID after months

50 percent TCA to apex of acne cyst, resolve in three to five days