Perioral dermatitis and corticoids?

I started having a problem with rash around my mouth some months ago. I went to my dermathologist and she prescribed me Scheriderm for one week. The same day I quit using the cream, the rash came back, so she told me to continue using it untill we have the results of some blood tests I made.
When the rash seemed to have disappeared, the same dermathologist told me to use it less and less untill I finally quit it. But the rash came back the same moment I stopped using the cream twice a day.
So I read a bit about perioral dermatitis, and call my dermathologist to ask her about that. She told me my problem actually IS perioral dermatitis, but Scheriderm should be fixing it. But even in the directions for use of the product says it HAS NOT to be used with perioral dermatitis.
I'm desperate. I don't want to continue the treatment with corticoids, but I need a solution and my dermathologist doesn't want to prescribe any antibiotics for me.
Should I change my dermathologist? Or is it true that Scheriderm can help even if the directions for use say it doesn't?

[maatson]

Many a times ''demodicidosis" is missed as perioral dermatitis and is well treatable with metronidazole gel. Do consult your doc.ok?

[Bhupinder Kaur, MD]

Hello,
Perioral dermatitis like acne is a chronic papulopustular and eczematous facial dermatitis. It mostly effects women and appear around the nose, mouth and eyes. Treatment consists of oral antibiotics and anti-inflammatory drugs. A mild soap or soap substitute, such as Dove or Cetaphil should be used for washing. Scrubbing should be avoided.

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.

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.