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Doctors' Answers to "Frequently Asked Questions" - Acne Rosacea

These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An indi vidual patient is always advised to consult their own physician.

[posted 06/17/2000]
Question: I am allergic to minocycline and erthromycin. I went to a dermatologist re: my acne-rosacea, but question what he told me and would like your opinion: He said basic tetracycline is very weak in treating acne-rosacea and Doxycycline isn't effective at all. Is this true?? I've taken doxycycline for quite a while and it has helped somewhat, plus I read that it is in fact used for acne.

He then prescribed Ampicillin (500mg/2 per day). I'm very hesitant to try it because I have hayfever and read that can cause a reaction to penicillin. Plus I had colitis 2 yrs ago and read that penicillin can cause that. And, I haven't seen anywhere that ampicillin is indicated as a treatment for acne.

Lots of questions and concerns I know, but could you please take the time to address them all? Thank you

Answer: The usual first treatment is topical metroniadazole gel(flagyl) The other antibiotics are used systemically if this fails and you are not allergic to it.

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