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Dermatology  (Expert Forum)
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Followup to Treatment of Acne with Antibiotics
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Followup to Treatment of Acne with Antibiotics

by justchillin, Nov 07, 2005 12:00AM
Thanks for the response.  Any chance you could point me to some of the info/studies that indicate that the disturbance of flora (candida overgrowth) concerns are unfounded.  On the internet it seems that all you can find is info/proganda that insists this is real and a very serious concern.  It would be great to see the other side of the argument.  Thanks!

by Alan Rockoff, MD, Nov 09, 2005 12:00AM
When the question hit the papers, the American Academy of Dermatology sent an advisory to all its members that read, in part:

"A new study published in the February 18, 2004 issue of the Journal of the American Medical Association (JAMA) found that increased use of antibiotics may heighten women’s risk of
breast cancer. Many of your female patients may have seen news coverage of this study and, as a result, come to you with concerns regarding their breast cancer risk.

[R]eviewers of the study state that it provides many more questions than it does answers. ... more research needs to be done to understand any link between breast cancer and antibiotics. In the meantime, these drugs remain an important healthcare ally when used appropriately. The Academy encourages its members to carefully select patients for chronic antibiotic therapy and limit the long-term use to those patients without other alternatives."

That pretty well describes what we do: use antibiotics just for people who need them, and for as short a time as possible.

Best.

Dr. Rockoff
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