Antibiotic for Perioral Dermatitis if Doxy causes nausea

I was prescribed doxycycline hyclate for some very uncomfortable perioral dermatitis, 100 mg once daily, and after about 8 days on the stuff I was nauseous all the time---never got to the vomiting stage, but was so uncomfortable I had to stop.  (Years ago I was put on tetracycline for something completely unrelated and after about a week on that, I was puking and I stopped.) Then I read that there are some things you can try to do with doxy to keep your stomach settled, so I'm considering going back on the stuff IF it is the most likely to actually cure this incredibly frustrating and uncomfortable condition.  

Does anybody know if another antibiotic is as likely to be successful, or if I should try again with the doxy but to make sure to take with a big meal every time?

[Bhupinder Kaur, MD]

Hello,
Doxycycline is the preferred antibiotic for perioral dermatitis but minocycline can also be used. In unresponsive and granulomatous forms, oral isoterinoin may also be considered. Pimecrolimus cream can also be used. I suggest you to consult a dermatologist and discuss these treatment options with your dermatologist.

I hope it helps. Take care and regards.