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I was prescribed betnovate for blackness under my eyes and as soon as i stopped, my cheeks were full of rashes and red bumps, then a dermatologist advised me momate. i have used for 4 years and it used to give me clear skin but now i want to stop using these steroids as i start getting rashes the moment i stop using them. From past 1 week i am facing the side effects of momate, my face is full of rashes and little red bumps. i know i used it for pretty long time now but please give me permanent solution to get rid of these steroids. My face is looking very ugly, please help me. Thank you

3 Answers

Dr. Vivek Nair answered : 12 years ago

Hi,

I am surprised you were prescribed topical steroid creams (Betnovate and Momate) for under eye dark circles - this is not recommended treatment, and when used for an exceptionally long time, as you have, can cause a number of side effects.

Regarding this rash which has come because of discontinuing Momate - it could be a side effect of the cream itself or another skin condition which was being suppressed by Momate and has flared on discontinuing it.

To advise you the best I can on how to deal with the rash I would need to see pictures of the affected area. I request you to either upload pictures on healcon to your profile/question profile (please contact customer care if you have trouble with this) or upload pictures to any free photo hosting site like picasa or photobucket and send me the link in your reply.

If you do upload pictures to your profile please let me know that you have done so by replying here.

Patient asked followup Question: 12 years ago

Dear Dr. Vivek, I uploaded few pics with a clear view of my rashes. waiting for a reply.

Dr. Vivek Nair answered : 12 years ago

Thank you for the photographs. The third one does not open but I could see one of each side of your face.

These bumps are most likely an acneiform eruption secondary to the steroid creams you used. Other possibilities would include superficial folliculitis and pityrosporum folliculitis.

I would suggest Capsule Doxycycline 100 mg twice a day for 14 days along with 1% Clindamycin lotion twice a day on the affected areas. If there is any itching take Tablet Levocetrizine 5 mg twice a day for as long as required. Keep your face protected from sunlight and use a mild soap like Dove for washing it. How you respond to this treatment will guide further care.

Once the problem has resolved please do not apply any steroid cream on your face. These are not recommended treatment for dark circles or facial pigmentation. There are numerous prescription creams designed for dark circles - these typically contain kojic acid, antioxidants and skin nourishing agents. I cannot mention the trade names here but your doctor would be aware of them. Besides this Arginine peels done twice a week and micro-current therapy can further help treating dark circles. Both these are done by dermatologists.

I would also recommend starting an oral antioxidant like Beta Carotene capsules and an SPF 50+ sunscreen every day (at least twice a day - e.g 8 am, 2 pm) and continuing them on a long term basis for general skin health.

Please feel free to ask if you have any queries.

Patient asked followup Question: 12 years ago

Dear Dr. Vivek, i have taking the medicine along with applying the Erytop Clindamycin lotion as soon as i received your reply. I noticed that my skin is getting dry and sort of peeling. i assume this is part of the healing process but still would you advice if its ok.

Dr. Vivek Nair answered : 12 years ago

Hi again,

Yes this is fine. The skin does dry and flake as it recovers from any inflammatory event like an anceiform eruption. You can use a bland moisturizer like Cetaphil cream for the dryness if you like and use a soap free face wash like Cetaphil-OS face wash.

All the best and regards!

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