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David Lortscher

Member Since 17 Feb 2013
Offline Last Active Aug 24 2014 10:23 AM

Posts I've Made

In Topic: Do I Have Rosacea?

17 May 2014 - 03:30 PM

Clotrimazole is a non-prescription anti-fungal cream. It tends to be safe and effective at treating seborrheic dermatitis - which is the red rough skin in the creases of the nose.

In Topic: Bumps On Face? What Is It?

10 April 2014 - 12:25 PM

I agree with Krissy. Other things that can help with clogged pores are salicylic acid and Retin-A (although this is only available with Rx).

In Topic: Online Prescription Treatment - Anybody Tried?

08 April 2014 - 06:02 PM

JoshD, great question. Thanks for asking.
(Disclosure: I am one of the dermatologists from the company you mentioned.)
Harry - in many cases your instinct is exactly right. Teledermatology (seeing a doc remotely) will never be better than seeing a dermatologist in person. But in a lot of cases (particularly for a condition like acne which can be diagnosed visually), it is just as good - and often more convenient. I say this as a doctor who sees most of his patients in person out of my practice in San Diego, California.
I started the company to provide convenient prescription treatment to patients who aren't able to see a dermatologist in person. We write these prescriptions on the basis of patient photos and a complete medical history which is submitted through the site. 
As a matter of ethics, we will never treat a patient who we believe would be better served by visiting a dermatologist in person. For roughly 10% of our patients to date (those with particularly severe acne), we have elected to refund their money and help them find a dermatologist in their area who we think would do a great job treating them.
Thank you again for your question. Please feel free to ask any questions you'd like. I'm happy to answer anything to be helpful - provided that I'm not violating any forum rules.  

In Topic: Do I Have Rosacea?

21 March 2014 - 05:51 PM

I think the acne is just reappearing after the effects of the spironolactone wore off. Are you able to go back on it?


The redness and very small white areas in the creases of the nose look like seborrheic dermatitis. I would try clotrimazole mixed with hydrocortisone every night (only on the creases of the nose).

In Topic: Query On Amlactin Lotion

21 March 2014 - 05:45 PM

The best non-prescription thing for hyperpigmentation is niacinamide in the PM (you can get the 4% version on amazon), and sunscreen in the AM.


Rx treatments like tretinoin and azelaic acid can be even more effective.


Am-Lactin won't help the pigmentation, and only has a small chance of helping the scars. You could always try it though, and stop if it causes any irritation.