peroiral dermitits

i have a two really big red rashes on either side of my mouth, my dermatologists said it was perioral dermititus. I was on doxy for 2 months, and then minocyline for 3 months, and still these red rashed are still there bigger than ever.
just wanted to know if this red rash will go away ever, and do i need roaccutane again. (was on it about 2.5 years ago)

[loiloi]

Hi. Peri-oral dermatitis responds well to oral antibiotics such as Oxytetracycline or minocycline. It is better to persevere with one antibiotic for a fair trial rather than switching to another antibiotic too soon. Acne responds very slowly to oral antibiotics so be patient. You may need repeat prescriptions for as long as you are prone to acne.
Roaccutane is usually reserved for cystic acne and it may increase the redness associated with peri-oral dermatitis.
There are lots of good products to ease the redness of Rosacea and peri-oral dermatitis. I highly recommend the Rosaliac range by La Roche-Posay. I also like Redness Relief by Eucerin, and Redness Solutions by Clinique.
Eloise.

[mike599]

have been on roaccutane for 3 weeks now, I tablet a day, from by derm, cos apparently i have perorial dermititus, after 2 months on doxy and 3 months on minocyline, and my rash (on each side of my mouth) are getting bigger. should i go back on minocycline. And if so, can i take minocycline straight away after stopping roaccutane.
This rash i have on each side of mouth, has no pimples (havent had pimples for years)

[Larbie]

I have what sounds like exactly the same thing on my philtrum (below my nose, above my lips), the skin is often itchy or sore, never breaks of bleeds, and i do not have acne.
I have been given antibacterial creams, antibiotics, hydrocourtizone and nothing seems to be shifting it.

[Dr Santos]

Hi,

Perioral dermatitis sometimes recurs when the antibiotics are discontinued, or at a later date. However, the same treatment can be used again. It is important to discontinue all face creams including topical steroids, cosmetics and sunscreens at this time. When a steroid cream is discontinued, the rash gets worse for a few days before it starts to improve. Washing the face with warm water alone while the rash is present is also recommended .

Your doctor may also prescribe a course of oral antibiotics for six to twelve weeks. Normally tetracycline or one of its derivatives is recommended. Topical antibiotics such as erythromycin, clindamycin or metronidazole tend to be less effective. It is best to see your doctor for monitoring and proper management.

Take care and keep us posted.