Hi Dr. R,
There are 3 questions woven in - I have numbered them.
1. What do you think of Azelex? I had to go off of the pill (orthotricyclen) and spironolactdone (sp?) recently because I had hip surgery recently. In addition, I want to become pregnant as soon as it is safe post hip surgery - so I probably won't go back on them. So, my derma recommended I try Azelex.
2. Currently, my skin has been just fine (yahoo!) since stopping the meds (stopped ortho 2 months ago, stopped spironolactone 7 weeks ago). Although I have continued with Retin A and metrogel (Rosacea) and benzaclin (benz I use as needed for spot treatment of pimples). Should I start Azelex proactively, or wait for a flare up? Do people often have irritation or flareups up the start with this med?
3. A question about spot treatment. When you sense one of those underground pimples coming (can see a bump coming) what is the best thing to do? (Usually in the divet in my chin). I put benzaclin on it with a coverup that has salicytic acid. I do this a few times a day and it often goes away without coming up. Is that the best approach? Am I dreaming or could that work? Any other ideas? Would a little ice help? I have one of these now - shall I try Azelex on it? Thank you!!!