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Skin Biology Skin Signals Solution - Large (113 g / 4 oz) IS Clinical C Eye Serum Advance+ (15 ml / 0.5 floz) Peter Thomas Roth Instant FIRMx Eye (30 ml / 1 floz)
perioral dermatitis - thoughts and suggestions please!
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cathy_jean
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Tue Jan 15, 2008 6:04 am      Reply with quote
jjb wrote:
Wow, how happy I was to see this thread - I've been so out of it since getting pregnant that I haven't been on the forum in months! Very Happy

Ironically, the last time I was on here, I was suffering from a major bad case of dermatitis and was totally depressed about it. I went to the derm and he also prescibed Elidel, which worked really well. Now however, I can't use it since I'm pregnant and I have the worst case of dermatitis I've ever had! It's ALL OVER my chin and forhead and is spreading to my cheeks. I'm going to a different derm on Monday to see what I can do until I finally have the baby next month, then I'm going to see about Metrogel or possibly an oral antibiotic if it is safe during breastfeeding - I am sooooo miserable right now! After doing some research, I think that my dermatitis has turned into a skin infection since it is so irritated.

As for any of you that are using Elidel, just be careful not to use it too long - it was required to carry an FDA black label warning in 2006 so I am wary of going back on it unless I really get desperate...

From the Elidel website:

What does the boxed warning in the ELIDEL label say? What are the other changes to the label for ELIDEL?
The boxed warning, which is located in the Warning section of the product label, states:

Long-term Safety of Topical Calcineurin Inhibitors Has Not Been Established

Although a causal relationship has not been established, rare cases of malignancy (e.g. skin and lymphoma) have been reported in patients treated with topical calcineurin inhibitors, including ELIDEL Cream.

Therefore:
Continuous long-term use of topical calcineurin inhibitors, including ELIDEL Cream, in any age group should be avoided, and application limited to areas of involvement with atopic dermatitis.
ELIDEL Cream is not indicated for use in children less than 2 years of age.

Changes were also made to other sections of the label, including the wording of the indication as well as the addition of a Warning's section.

What is a boxed (or "black box") warning?

A boxed warning is included in a product label. It is used when the FDA believes there is a need to highlight a significant safety concern.


I was diagnosed with POD three years ago and my derm had me on antibiotics but my POD was very stubborn and didn't seem to be responding to treatment. I was very frustrated! Despite feeling so ugly, I went for a facial and the aesthetician told me that to her, my rash looked a fungus, but to check back with my derm before using an antifungal. After I left the spa, I immediately drove to CVS and bought some antifungal cream and to my relief, it cleared it up almost immediately. If you are able to use topical antifungals while pregnant, it might be worth a try.

I remember reading back then that fluoride in toothpaste has been implicated as a culprit in POD -- might be best to use one with fluoride (at least until you are better) and to avoid getting toothpaste on your face when you are brushing your teeth.

-cathy

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