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If the symptoms are not controlled by topical antibiotics, then oral antibiotics have to be prescribed.
I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.
Perioral dermatitis is a chronic papulopustular and eczematous facial dermatitis. First line of 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.
If the symptoms are not controlled by topical antibiotics, then oral antibiotics have to be prescribed.
I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.