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Dermatology (Expert Forum)
dermo changed me to differin and oracea wat now
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.
dermo changed me to differin and oracea wat now
by boct, Nov 06, 2008 03:04PM
hi Dr Rockoff,
Im an adult male in my mid 40s with acne.i have been taking minocycline 100 mg to 200 mg a day sometimes and using retin a micro 0.1% gel every night for 2 years.I have been getting alot of acne for the last 2 or 3 months so i went to my see my dermatologist.he said since i been taking minocycline 100 mg daily for 2 years and using the retin a micro 0.1% for 2 years and im still breaking out i should try something new like it may be wearing off....he put me on oracea 40mg once a day and differin gel 0.3%....i was reading the paper that comes with oracea~doxycycline and it says it doesnt kill bacteria now im getting worried because minocycline does kill bacteria now im worried i will break out more from the oracea.it says its for rosacea but doest oracea work to kill acne to or no?and the differin gel 0.3% isnt this not as strong drying to dry up pimples as retin a micro 0.1%?why do you think he changed everything i dont wanna break out more for this stuff im thinking of calling the office friday and asking him but hes always so busy..do you think this is a good change or bad and why.im trying to uunderstand how the differin gel 0.3% not as strong as the retin a mico 0.1% i was on and minocycline 100 mg daily to 40 mg a day oracea for only redness and not pimples would help ?seems like it would make it worse..please explain...thanks for your time and help dr
Im an adult male in my mid 40s with acne.i have been taking minocycline 100 mg to 200 mg a day sometimes and using retin a micro 0.1% gel every night for 2 years.I have been getting alot of acne for the last 2 or 3 months so i went to my see my dermatologist.he said since i been taking minocycline 100 mg daily for 2 years and using the retin a micro 0.1% for 2 years and im still breaking out i should try something new like it may be wearing off....he put me on oracea 40mg once a day and differin gel 0.3%....i was reading the paper that comes with oracea~doxycycline and it says it doesnt kill bacteria now im getting worried because minocycline does kill bacteria now im worried i will break out more from the oracea.it says its for rosacea but doest oracea work to kill acne to or no?and the differin gel 0.3% isnt this not as strong drying to dry up pimples as retin a micro 0.1%?why do you think he changed everything i dont wanna break out more for this stuff im thinking of calling the office friday and asking him but hes always so busy..do you think this is a good change or bad and why.im trying to uunderstand how the differin gel 0.3% not as strong as the retin a mico 0.1% i was on and minocycline 100 mg daily to 40 mg a day oracea for only redness and not pimples would help ?seems like it would make it worse..please explain...thanks for your time and help dr
Doctor's Answer
by Alan Rockoff, MD, Nov 06, 2008 07:48PM
, Nov 06, 2008 07:48PMTo: boct
No need to be nervous. Antibiotics work as anti-inflammatory agents in acne, not as bacteria-killers. If you've been on the minocycline that long and you're still not clear, it does make sense to try something different. And Differin 0.3% is an excellent product, not a bad change from Retin-A, again since you're still not clear. If this regiment doesn't work, your doctor may consider some other regimen or perhaps Accutane.
Best.
Dr. Rockoff
Best.
Dr. Rockoff
Member Comments (2)
by boct, Nov 06, 2008 03:09PM
To: dr Rockoff
Ps i forgot to say that i wanted to try accutane but he wants me to try this first..im really nervous about going off the minocycline and retain micro.
