Folliculitis: Treatment Duration and Care Tips - Dermatology

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Folliculitis inquiry图。


Hello: Last week, I noticed some pimples on the inner thigh and visited a dermatologist.
The doctor diagnosed it as folliculitis and prescribed Gentasone (BG) ointment for me to apply.
How long should I apply it before it gets better?

A, 20~29 year old female. Ask Date: 2011/06/09

Dr. Guo Fengsheng reply Dermatology


Gentasone contains steroids and is not suitable for long-term use; it is best not to exceed 2 weeks of usage.

Reply Date: 2011/06/09

More Info


Folliculitis is a common skin condition characterized by the inflammation of hair follicles, often resulting in red, swollen bumps that may resemble acne. It can occur anywhere on the body where hair follicles are present, including the inner thighs, as you mentioned. The treatment for folliculitis typically involves topical or oral antibiotics, depending on the severity and cause of the condition.

In your case, since your dermatologist prescribed Gentasone (BG) ointment, it is likely that they are targeting a bacterial infection. Gentasone contains gentamicin, which is an antibiotic effective against certain bacteria, and it may also contain a steroid to reduce inflammation. The duration of treatment can vary based on the individual’s response to the medication and the severity of the folliculitis.

1. Treatment Duration: Generally, topical antibiotics like Gentasone are applied for about 7 to 14 days. It is crucial to follow your dermatologist's instructions regarding the frequency of application. Typically, applying the ointment 1-2 times a day after cleaning the affected area is recommended. If you do not see improvement after a week, or if the condition worsens, it is essential to follow up with your healthcare provider.

2. Care Tips: While treating folliculitis, consider the following care tips:
- Keep the Area Clean: Gently wash the affected area with mild soap and water. Avoid scrubbing, as this can irritate the skin further.

- Avoid Tight Clothing: Wear loose-fitting clothing to reduce friction and irritation in the affected area.

- Do Not Pick or Squeeze: Avoid picking at the bumps, as this can lead to further irritation or infection.

- Moisturize: If your skin becomes dry from the ointment, consider using a non-comedogenic moisturizer to keep the skin hydrated.

- Avoid Hot Water: When bathing, use lukewarm water instead of hot water, as hot water can exacerbate inflammation.

3. Follow-Up: If the folliculitis does not improve after the prescribed treatment duration, or if you experience increased pain, swelling, or pus, it is crucial to return to your dermatologist. They may consider alternative treatments, such as oral antibiotics or further investigations to rule out underlying conditions that could be contributing to recurrent folliculitis.

4. Preventive Measures: To prevent future occurrences of folliculitis, consider the following:
- Shaving Techniques: If shaving the area, use a clean razor and shaving cream to minimize irritation. Consider shaving in the direction of hair growth.

- Hygiene: Maintain good hygiene, especially in areas prone to sweating and friction.

- Avoid Hot Tubs: Hot tubs can harbor bacteria that may contribute to folliculitis, so it’s best to avoid them if you are prone to this condition.

In summary, the treatment duration for folliculitis with Gentasone ointment is typically around 7 to 14 days, with careful attention to hygiene and skin care. If symptoms persist or worsen, a follow-up with your healthcare provider is essential for further evaluation and management.

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