As I thought, he was concerned about my taking spiro for my acne. I showed him the pictures I took before I started taking spiro and he asked why it was prescribed to me. I told him I asked for the rx because my acne was getting worse and I'm in perimenopause. He examined my face and told me that I have rosacea (yes, I know this) and my acne has been caused by my rosacea being aggravated. He went on about spicy foods, coffee, alcohol, the weather, stress affecting rosacea. Perimenopause didn't seem to be a big thing with him. Yeesh!
He wrote a rx for a topical compound to help with the redness and also prescribed an antibiotic called Apprilon. This is the Canadian name for the antibiotic Oracea in the US and apparently people have had some positive results from this.
He gave me a low dose to take once a day. He did say to finish off my spiro (I have another week's supply) and the topical treatment and antibiotic should work. He also said that if I can control my acne within the 80% range, then he'd rather see me go this route instead of taking spiro continuously.
If this doesn't work, then I can get a rx for spiro renewed with my gp and to adjust the dose to a lower amount. He's obviously not a fan of taking oral drugs for skin conditions, at least not with spiro (and with good reason) and I'm glad he's not a pill pusher. He wrote the rx for the antiobiotic when I expressed concern about the acne coming back if I stopped taking spiro. Otherwise, I think the rx would have been just for the topical compound.
Of course I'm concerned my acne will come back once I stop taking spiro but I also gave some thought to what he said about stress. I have been under a tremendous amount of stress these past couple of years with work and personal stuff. Last year, I went on holidays and didn't think about work at all. My skin actually cleared up quite a bit. Hmm.... I do think there is a correlation with that. Stress can and does stimulate the hormones. I love spicy foods but I've cut that out of my diet and it looks like I'll have to continue doing so.
anyone taken oracea? did it help?
I'll be seeing my gp next week to discuss getting a rx for spiro, just in case.