Do I Need to Continue Taking Medication for Skin Issues?

Q: Do I Need to Continue Taking Medication for Skin Issues?

Hello： Since I haven't seen your actual condition, I don't know the severity of your previous skin allergy or the current extent of the redness. <br>However, generally speaking, it is quite common for areas of the face that have experienced allergic inflammation to become red aft

Do I need to continue taking the medication?

I had an allergic reaction to hydrocortisone cream.
When I last consulted my doctor, I forgot to mention that the anti-redness cream I used was Elisone.
I have seen the doctor twice since then, and now I only notice redness on my cheeks when I wake up in the middle of the night; the rest of the time, they are not red.
The doctor did not prescribe that cream again.
Instead, the doctor continued with the medication: Tomin 2mg, P(5)-DONISON/5MG, SIMETHICONE 20MG, and propranolol 10mg, which I now take twice a day instead of three times.
The doctor mentioned that I could take just one packet if I felt it was sufficient.
Additionally, I was prescribed cetirizine 10mg to take every night because my biggest concern is that there are two marks on my cheeks.
Although I can cover them with makeup, they look like scars, but upon closer inspection, they are just patches.
The doctor initially said they would prescribe a depigmenting cream later, but now it seems that I should wait for my symptoms to improve before they prescribe only cetirizine 10mg every night to adjust my constitution, and that the pigmentation might take six months to a year to improve gradually.
(Will it really improve slowly?)
I would like to ask if taking medication continuously could be harmful to my body (I have some concerns about this).
For example, if I stop taking the medication, will the allergies return? Am I becoming too dependent on this medication? Is it effective for reducing the marks on my face? (I am quite worried about this.) Therefore, I have been taking vitamin B and C, hoping to improve my skin metabolism.
What else can I do? What should I buy to apply? Is the depigmenting cream very expensive? The doctor did not mention this.
Can I express my willingness to spend more money and ask the doctor to prescribe it for me? The doctor only mentioned adjusting my constitution through medication.
Is this the only option?
I apologize for the lengthy questions and would appreciate the doctor's response.
Thank you.

chia2, 20~29 year old female. Ask Date: 2007/12/19

Dr. Cai Changlin reply Dermatology

Hello: Since I haven't seen your actual condition, I don't know the severity of your previous skin allergy or the current extent of the redness.
However, generally speaking, it is quite common for areas of the face that have experienced allergic inflammation to become red afterward.
The time required for the redness to subside varies from person to person, depending on individual constitution and the severity of the previous inflammation.
Nonetheless, it is certain that the redness will gradually fade over time.
If you want to expedite the reduction of redness, oral medications, topical treatments, skincare products, or laser therapy can be helpful.
It is important to choose based on individual circumstances.
I recommend discussing this directly with your treating physician, who can adjust your oral medications and provide appropriate topical treatments based on your condition.
With patience and cooperation, improvement is certainly achievable.
Wishing you all the best.

Reply Date: 2007/12/19

More Info

When dealing with skin issues, particularly those that require medication, it's essential to understand the implications of continuing or discontinuing treatment. Based on your description, it seems you have been prescribed a combination of medications, including antihistamines and possibly corticosteroids, to manage your symptoms.
Firstly, it's important to recognize that skin conditions can be complex and may require ongoing management. The medications you are taking, such as cetirizine, are antihistamines that help alleviate allergic reactions and reduce itching. The concern about dependency on these medications is valid; however, antihistamines like cetirizine are generally safe for long-term use when taken as directed by a healthcare provider. They are not typically associated with dependency in the same way that some other medications, such as opioids or certain sedatives, might be.

Regarding your specific concerns about the red marks on your cheeks, it is common for skin conditions to leave behind post-inflammatory hyperpigmentation (PIH), which can take time to fade. The timeline for improvement can vary significantly from person to person, often taking several months to a year, depending on factors such as skin type, the severity of the original condition, and how well the skin responds to treatment.
You mentioned that your doctor has suggested waiting for the pigmentation to improve naturally over time. While this is a common approach, there are additional options you can discuss with your dermatologist. For instance, topical treatments containing ingredients like hydroquinone, azelaic acid, or retinoids can help accelerate the fading of hyperpigmentation. These treatments can be effective, but they may require a prescription and can vary in cost. It is entirely reasonable to express your willingness to invest in your skin care and ask your doctor about these options.

In terms of your overall skin health, maintaining a good skincare routine is crucial. This includes using a gentle cleanser, a suitable moisturizer, and sunscreen to protect your skin from UV damage, which can exacerbate pigmentation issues. Additionally, incorporating vitamins like B and C can support skin health, but it's essential to ensure that any supplements you take are appropriate for your individual health needs.

If you are concerned about the long-term use of your current medications or if you feel that your symptoms are not improving, it is advisable to have an open discussion with your dermatologist. You can express your concerns about dependency and ask about alternative treatments or adjunct therapies that may be available.
Ultimately, the goal is to find a balance that effectively manages your symptoms while minimizing any potential side effects from long-term medication use. Regular follow-ups with your dermatologist will help monitor your progress and adjust your treatment plan as necessary. Remember, skin healing is often a gradual process, and patience is key.

Similar Q&A

Should You Take Medication for Systemic Skin Conditions?

Hello Doctor: I have had skin issues since childhood, including palmar keratoderma (severe dryness, roughness, and scaling of the palms) and onychomycosis of the thumb. I also suffer from severe eczema around the anal area (tinea cruris) and athlete's foot (tinea pedis), wit...

Dr. Huang Ruiyun reply Dermatology
Hello: I apologize, but your question cannot be accurately answered online, as I cannot see your symptoms. Therefore, I am unable to provide a prescription or continue answering further questions. Please consult a physician. Wishing you all the best.

Managing Rosacea: Do I Have to Rely on Medication Forever?

Hello, Doctor: I have been treating my rosacea for a year now. During this time, I have taken oral isotretinoin, applied sulfacetamide, and used both oral and topical medications covered by insurance. Recently, the erythema on my face has mostly subsided, and my face is less pron...

Dr. Wu Yuxin reply Dermatology
Have there been any adjustments to your daily routine or diet? Medication treatment can only account for a small part of managing seborrheic dermatitis.

Concerns About A Acid Discontinuation: Will My Skin Condition Relapse?

I have been taking 20 mg of medication once a day for 7 months. I am concerned about whether I will relapse after stopping the medication. If I do relapse, can I return to the hospital to continue treatment?

Dr. Wu Yuxin reply Dermatology
It is possible to continue taking it.

Managing Seborrheic Dermatitis: Do You Need Long-Term Medication?

Is long-term medication necessary for seborrheic dermatitis? How should it be treated?

Dr. Zheng Lizhen reply Dermatology
Seborrheic dermatitis is a condition influenced by genetic factors, making it prone to recurrence. Treatment focuses on managing the dermatitis, as there is currently no medical way to change one's genetic predisposition. It may be helpful to view this condition from a diffe...