Perioral dermatitis help please

[Ledkr]

Hi, I had some great advice on here when I had a flare up and ended up on long term anti biopics which cleared it up.
So now I just have a little patch on the right side of my chin. I have some fucidet cream left over from before which keeps it at bay but it's still there and persisting.
I'm a nit sure they will give me anti biopics as it's such a small area but it's getting me down.
Anyone got any advice just to get rid of this small patch?
Thanks xx

I get a small patch every year or so. I have to take antibiotics every time. Nothing else works and it only gradually gets bigger and bigger (and more painful) if I don’t take antibiotics. This has consistently been the case for 20+ years.

Thanks for reply.
I wonder if they will give them to me in the current climate of not wishing to give them!
How long do you take them for?
I think I had 6 weeks last time.

I have lymecycline on a permanent prescription but only take them when I get a flare up.

I've had it for 3 months, the Dalacin ( clindamycin) doesn't seem to do much but I've not been offered anything else. Oral antibiotics haven't been mentioned, just they don't want to argh are my skin with anything stronger topical.

I use a Keihls facial wash oil or a miceller cleanser. Lush Celestial moisturiser. Nothing else. Even stopped my facial SPF. GP says it's likely to be hormone related and I think I'm perimenapausel so that makes sense.

Oh, I do cover it in Bobbi Brown foundation, it's too awful otherwise.

i get this now and again. I had it for years before being diagnosed (I self diagnosed in the end).

Quit using the Fucibet. Steroid creams will seem to clear it up, but are known for causing the issue.

The treatment that does it for me is a 3 month course of Lymecyline (Tetralysal).

God it's so weird isn't it? One first came when I was due for a big operation and was extremely stressed. I was literally covered in it and even wore concealer to go into hospital. I couldn't go out for weeks.
It was post steroidal flare up as a dr had prescribed them diagnosing it as exema.
I finally found out on here what it was and insisted on oral anti bs which eventually he gave me and it cleared up but took ages.
I'm going to have to see GP again aren't I? That means a 3 week wait for a non emergency appointment and I'm doubtful they will prescribe it for just a one inch patch.
I wonder if I can buy them on the net?

I would definitely ask for ABs - if you’ve had it before then ask for a repeat script because it does keep coming back.

Mine first appeared when i was pregnant - 20 years ago.

If i get a small tingling area I know that it it will erupt into perioral dermatitis and get straight on to the gp for a prescription. i do keep a supply in stock so i can start straight away.
Some GPs have been a little funny about prescribing for what they think is impetigo or acne but i just explain what it is and they can read back through my history if they want to.

Now that I know I get perioral dermatitis, I start my consultation with “so my perioral dermatitis seems to have returned”. If they’re not keen on trying oral antibiotics, they could try something topical, like clubdamycin or fucidin (not the one with steroid in it). As cosmetically awkward as it is, actually applying nothing really helps (apart from topical treatments). But the antibiotics get rid of it more efficiently.

Clindamycin, not clubdamycin, hehehe.

It's horrible isn't it. Sometimes, using Nizoral dandruff shampoo from the chemist as a face wash just sorts it out for me before I have to resort to antibiotics so it would be worth a fiver and a try before you go to the GP - its the zinc in it that helps PD.

I find that the rash usually clears within 2-3 weeks of antibiotics. Sometimes I stop then if I’m experiencing side effects, a couple of times I’ve taken them for 6 months. Regardless of what I do it generally recurs every 12-18 months.

Steroids make mine a lot worse and at one point I had a full facial flare up after using fucibet. My GP continued to prescribe topical steroids when I was 17, but it was only when I saw a dermatologist that I was properly diagnosed.

I had a bad bout of perioral 3 or 4 years ago after fairly extreme work stress. It went away without antibiotics when I discontinued all facial cosmetics and only used castile soap, water and zinc nappy cream for a few weeks. No recurrences and I was able to reintroduce all of my daily cosmetics gradually. But I am now careful with SLS laced stuff, no foaming face cleansers for me.

Good luck, it is awful but you will get better soon.

I self diagnosed in September and the GP gave me topical Clindamycin. Doesn't seem to do much, went back to GP who wouldn't offer anything else.

Read this thread and got so e Burts Bees nappy ointment. I don't use petrochemicals so this seemed the best zinc carrier, as its in a almond oil base. It also has lavender oil on it which I rate for healing spot scars. Anyway two days in with a twice daily application and I can see the difference. I'm going to carry on and lay off the topical antibiotics.

My miracle cure is a cream by La Roche-Posay and called "Cicaplast baume b5"

It cured mine when all others failed. Purchased mine on amazon after excellent reviews but I also stock up when I see it in Boots

Life changer for me

Finally I'm getting round to posting details of what I think helped reduce my perioral dermatitis. After researching this and many other sites. Trying apple cider vinegar and other methods I read about (some of which helped temporarily) and being given 6 week course of antibiotics (which I didn't use in the end), I tried a last resort which meant I was able to avoid the antibiotics. It is a combination of toothpaste without fluoride (either Sarakan, or Green People organic) and then, (I think this is important not to miss), rinse with bottled water. Not saying I will never get it back, but definitely worked for me. Fingers crossed it helps others.

Similar to many others, my PD was misdiagnosed by GP as eczema, so I went through the vicious circle of using steroid creams causing even worse flare ups until a private dermatologist finally gave me a proper diagnosis. As I was breastfeeding then she could not prescribe the most potent antibiotic treatment. I used Dalacin, but what I think had the most effect was Serozinc spray by LaRoche Posay which I used liberally several times a day with Aveeno moisturiser on top. Then I switched to Niacinamide with Zinc by The Ordinary. Good luck with it OP!

I self diagnosed this. My own doctor was useless. Saw an out of hours doctor about something else and mentioned it to her. She said to use Aveeno moisturiser. Bought some from Tesco - it went in 3 DAYS.

I have been prescribed Tacrolimus ointment from a Consultant Dermatologist - I asked for a referral after years of eczema on my hands and face (pomphlox and perioral)

So far so amazing (it's only been 2 weeks) but it's non steroidal

Definitely ask for a referral is my advice!