MetroGel Periocular Dermatitis

Hi there,

Next week I will have been on Metrogel .075% two months, for my periocular dermatitis under my right eye. Its only under the right eye. It came from a dermatoligist 3 years ago telling me it was okay to use Hydracortisone cream on my face for dryness/redness. Well I used it just about everday for 3 years and I heard its bad to use it for prolonged amounts of time. So I stopped completely. I developed the dermatitis several months ago, about 6 months ago. Its come and gone, I got fed up and I went to my doctor and he said to try Metrogel and see if its helps.

The metrogel is helping some. However my question is how long do I need to use it to see total results. My eye IS better however there is still one stubborn one that is taking forever to go away. I also have a cluster of pores under my eyes and I noticed its making some of the pores somewhat red. Not sure if that is normal.

However as I said, its been almost 2 months. I have seen improvement but it still comes and goes. How long do I need to continue to use the metrogel to keep the dermatitis away for good? 3 months? Not sure how long I should use it. Also, I was on doxycycline however it upsets my stomach (with or without food) so I have to call my doctor on monday to try a different antibiotic. Anything you reccomend as far as an antibiotic? Also what about using Metrogel while taking an antibiotic at the same time? I have heard to really get rid of periocular dermatitis, you have to take an antibiotic for 30-60 days to get rid of it fully.

Oh and also, is it okay to use a lotion on top of it or aloe on top of it? I have been putting aloe or lubriderm sensetive skin lotion on my face for dryness however I keep it away from the eye that has the dermatitis.

Thanks,
Adam

[Bhupinder Kaur, MD]

Hello,
Since you have been using metrogel for a long time, I suggest you to get prescribed oral antibiotics like tetracyclines. Topical antibiotics are less effective and take a longer time to heal. Oral antibiotics are required for 6-12 weeks.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.