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Dermatology  (Expert Forum)
 | 
my sons acne continuation
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.

my sons acne continuation

by cindyc59, Dec 21, 2005 12:00AM
Hello again,
My son had his 6 week check up today. The derm did not like the progress with the doxy so he switched him to Bactrim DS.
I have since read many "scary" things regarding this antibiotic. I know in a previous question you had said that an antibiotic regimen can take 8-10 weeks to show improvement.
This Dr said he likes to see a 70% improvement in new lesions in 6 weeks.
I am confused, and moreso afraid of this new antibiotic.  I questioned the Dr and he said that only if he is allergic are there serious complications===not very settling.
What is your opinion on Sulfa based drugs for acne.  I have read about a syndrome that causes a burning of the skin and 1/2 the patients that this syndrome affects die.
Also another condition called TEN===not sure what that is.
Last, it can cause anxiety and insomnia.  Not something I want my son to have to experience.
Please give your take on above questions, and side effects and if you use this med for acne.
Thanks again,
Cindy

by Alan Rockoff, MD, Dec 22, 2005 12:00AM
Sulfa is a very effective drug for acne, and it works faster than most other antibiotics for this condition.  I also use it for cases that have not responded to other antibiotics.  Allergic reactions are uncommon, and usually go away promptly if they happen once the drug is stopped.  Sulfa drugs are widely used for colitis, urinary tract infections, ear infections, and so forth.  It sounds like a reasonable thing to try.  You should share your concerns with your doctor, though, so he'll know what you're worried about.

Best.

Dr. Rockoff
Member Comments (4)

by DrAtNIH, Dec 23, 2005 12:00AM
Cindy,
Sorry to hear about your son's situation, I am doing research at National Institute of Health (NIH) in Maryland on Biomedical research. My son has same situation as your son, but probably it is not as serious as your son. I prepared one solution which is specific for treating acne according to my medical knowledge on acne. The effect of treating is perfect. What you need do is just to wash the face for 10 to 15 minutes at first two or four weeks daily, then once or twice per week after. It will keep the acne free from face.
As I know, the basic ingredient in Proactive is Benzoyl Peroxide, the manufacture just wrap this acitve component into particles, they claim that it is easy to absorbed by the skin. As clinic report, benzoyl peroxide is not very effective on treating ance. There was a scientific report in 1992(Clin Thera 1992; 2:247-253), the treating effect (efficacy) of Benzoyl peroxide is even worse than Salicylic acid, Salicylic acid is 50%, but Benzoyl peroxide is only 28% on skin damage; for treating open acne, Salicylic acid is around 50%, but Benzoyl peroxid is only around 30%.
Even the new releasing drug, Adapalene, the clinic data show 38.78% significant effect after 8 weeks (Ind J Dermatol Ven & Leprolo 2003; 69(4):277-280 ).
If you are interesting, we could discuss further on this topic. I would like clearify here is that I am not business man, I am MD who is doing medical research for more than 20 years, and I am not happy on the manufactures who produce these kinds of products which already did not show much effective for treating acne long time ago.
In addition, as my clinical experience, if ance happen repeatedly, the dents will appear on the skin when the age is up.

by cindyc59, Dec 25, 2005 12:00AM
Yes I am interested, please email me at
***@****

by who_is_this, Dec 26, 2005 12:00AM
To: This is not allowed
Cindyc59,
You are not permitted to post email addresses on any Medhelp forum.  Also, please be cautious in believing everything you read here.  There is no screening process for the people supplying responses on any forum (except for the moderators).  This person could simply be selling something.  
I seriously doubt that an MD from the NIH would be posting here.  
Medhelp has had it's share of MD imposters in the past.  The point being that you have no way to know the credentials of those who post here.

Just be careful.


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