Dealing with Skin Issues: Antibiotics, Redness, and Treatment Options - Dermatology

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Acne


It hurts and itches! You mentioned it might be due to taking too many antibiotics! However, when I went to see the doctor, he prescribed me a lot of antibiotics! What should I do? I previously visited a female doctor at the provincial hospital, but after she prescribed me some topical medication, my whole body turned red just a few days later! It made me afraid to seek further medical attention! Would it be okay if I use glycolic acid lotion?

Buding, 10~19 year old female. Ask Date: 2008/01/29

Dr. Zhang Zhibo reply Dermatology


Hello: Low doses of antibiotics can suppress inflammation, but misuse can lead to the overgrowth of normal skin flora, such as Malassezia.
In such cases, antifungal antibiotics should be used for treatment instead of the commonly used antibacterial antibiotics.
If there is no improvement, it would be more appropriate to perform a biopsy to accurately diagnose the cause of folliculitis.
It is advisable to consult a physician for a biopsy and treatment rather than applying random medications.

Reply Date: 2008/01/29

More Info


Dealing with skin issues can be a frustrating and concerning experience, especially when symptoms like redness, itching, and dryness arise after using topical medications or antibiotics. It’s important to understand the underlying causes of these symptoms and how to manage them effectively.

Firstly, the redness and itching you are experiencing could be a result of several factors, including an allergic reaction to the medication, irritation from the topical treatments, or even a condition known as contact dermatitis. Contact dermatitis occurs when the skin reacts to a substance that it has come into contact with, leading to inflammation, redness, and itching. This can happen with topical medications, especially if they contain strong active ingredients or preservatives that your skin may not tolerate well.

Antibiotics, such as doxycycline, are often prescribed for skin conditions like acne because they help reduce inflammation and bacterial growth. However, overuse or prolonged use of antibiotics can lead to side effects, including skin reactions. It’s crucial to follow your doctor’s instructions regarding the dosage and duration of antibiotic treatment. If you feel that the antibiotics are causing more harm than good, it’s essential to communicate this with your healthcare provider. They may need to adjust your treatment plan or explore alternative options.

In terms of managing your current symptoms, here are some recommendations:
1. Moisturize: Use a gentle, fragrance-free moisturizer to help combat dryness and soothe irritated skin. Look for products that contain ingredients like ceramides, hyaluronic acid, or glycerin, which can help restore the skin barrier.

2. Avoid Irritants: Steer clear of harsh soaps, scrubs, or any products that contain alcohol or strong fragrances, as these can exacerbate irritation. Instead, opt for mild, hypoallergenic cleansers.

3. Cool Compresses: Applying a cool, damp cloth to the affected areas can help reduce redness and soothe itching. This can provide temporary relief from discomfort.

4. Topical Corticosteroids: If the redness and itching persist, your doctor may prescribe a mild topical corticosteroid to reduce inflammation. However, these should be used sparingly and under medical supervision, as overuse can lead to skin thinning.

5. Consider Alternatives: If you are contemplating using glycolic acid or other chemical exfoliants, proceed with caution. While these can be beneficial for some skin types, they may further irritate sensitive or inflamed skin. It’s best to consult your dermatologist before introducing new products, especially during a flare-up.

6. Follow-Up with Your Doctor: If your symptoms do not improve or worsen, it’s crucial to return to your dermatologist. They can reassess your condition, possibly perform allergy testing, or suggest alternative treatments that may be more suitable for your skin type.

7. Diet and Lifestyle: Sometimes, dietary factors can contribute to skin issues. Ensure you are drinking plenty of water, eating a balanced diet rich in antioxidants, and managing stress, as these can all impact skin health.

In conclusion, while skin issues can be distressing, understanding the potential causes and treatment options can empower you to take control of your skin health. Always communicate openly with your healthcare provider about your concerns and any side effects you experience from medications. They are there to help you find the best path to recovery and maintain healthy skin.

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