The issue of crusting with phenylephrine?
Should I continue applying phenylephrine to a wound that has already scabbed over? Or should I just let the black scab fall off naturally? Thank you for your response.
Feng Tian Xiao Yao, 40~49 year old female. Ask Date: 2024/04/27
Dr. Wu Yuxin reply Dermatology
Once the scab falls off, have your original physician check it for you.
Reply Date: 2024/04/27
More Info
When it comes to using Fenretinide (a retinoid) on scabbed skin, it’s important to consider both the nature of the medication and the condition of your skin. Fenretinide is primarily used for its ability to promote cell turnover and improve skin texture, making it effective for conditions like acne and photoaging. However, applying it to scabbed or broken skin can lead to irritation and potentially worsen the healing process.
Understanding Scabbed Skin and Retinoids
Scabs form as part of the natural healing process after an injury or skin irritation. They protect the underlying tissue as it heals. Applying a retinoid like Fenretinide to scabbed skin can cause several issues:
1. Irritation: Retinoids can be irritating, especially on compromised skin. This irritation can lead to increased redness, peeling, or discomfort.
2. Delayed Healing: The active ingredients in retinoids may interfere with the natural healing process, potentially prolonging the time it takes for the scab to fall off and the skin to fully heal.
3. Risk of Scarring: If the skin is irritated or damaged further by the application of Fenretinide, there is a risk of scarring or hyperpigmentation, particularly in darker skin types.
Recommendations
Given these considerations, here are some recommendations:
- Allow Natural Healing: It is generally advisable to allow scabs to heal naturally without the application of active ingredients like Fenretinide. This means letting the scab fall off on its own, which usually occurs as the skin underneath heals.
- Moisturize: Instead of applying Fenretinide, consider using a gentle, fragrance-free moisturizer to keep the area hydrated. This can help soothe the skin and support the healing process.
- Consult Your Dermatologist: If you have concerns about the healing process or the appearance of your skin after the scab falls off, it’s best to consult with a dermatologist. They can provide personalized advice based on your specific skin condition and history.
- Resume Use Carefully: Once the scab has fallen off and the skin has healed, you can consider resuming the use of Fenretinide. However, start with a lower frequency to gauge how your skin reacts, especially if it has been sensitive or reactive in the past.
Conclusion
In summary, it’s best to avoid applying Fenretinide on scabbed skin. Allow the scab to heal naturally, and focus on gentle moisturization. Once the skin is fully healed, you can gradually reintroduce Fenretinide into your skincare routine, keeping an eye on how your skin responds. Always prioritize the health of your skin and consult with a healthcare professional for tailored advice.
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