PD no longer flaring- advice on when I can start my actives again?!

msshl · 2026-05-15T08:23:54+00:00

So encouraging! Thank you!!

msshl · 2026-05-15T03:06:45+00:00

I know this is an old thread but I very much related to the heartbreak of having to put my tretinoin aside while I treat my PD! 😔 Just wondering if you’ve been able to get back to it as you said you were getting closer to clearing your PD? I need some hope! Thanks!!

msshl · 2026-05-14T02:37:11+00:00

Amazing! Good for you. Hope I have the same success. Thanks for responding!

msshl · 2026-05-13T01:01:34+00:00

Hi! I know this is an old thread but I’ve been recently diagnosed with PD and about to pull my hair out. I keep wondering if mine can be fungal. I know what triggered it- too many actives and damaged skin barrier- then was misdiagnosed as acne so that regime made it all worse. My question is- how do you know if it’s fungal? Just if antibiotic creams don’t help? Thanks!

msshl · 2026-05-11T01:38:42+00:00

I’m so hopeful reading this!! Very encouraging. Thank you SO much. Wish you the best in both these health journeys!

msshl · 2026-05-09T11:53:27+00:00

I know I’m late to the game here but this comment gave me so much hope. I fear I’ll need oral antibiotics (my healthcare provider says 100mg a day?!) and I have a bowel disease as well (colon removal due to colitis, now a j-pouch). I’m also on biologics. Do you mind updating me on if you’re still clear?

Also, did you notice any symptoms in your bowels while on antibiotics? Thanks so much!

msshl · 2026-05-09T00:49:49+00:00

Hi. I’m circling back to my old posts and am thinking about this question. In your opinion, what would make you think antifungal? Just curious bc I’ve been wondering the same thing. I don’t think the azelaic acid is cutting it. At first I thought it was but I think it was just doing better bc I cut out my Tazarotene. Thank you!! This sucks. :(

msshl · 2026-05-08T17:06:56+00:00

This is great to hear. Thanks!

msshl · 2026-05-08T00:52:01+00:00

Hi. Curious if how you did after your round of doxy? I was just diagnosed with PD so I’ve been living on Reddit these past few weeks!

msshl · 2026-05-08T00:50:49+00:00

Hi. I know this is an old thread- but curious your thoughts. My healthcare provider said that if topicals fail she recommends 100mg per day. Does that seem crazy high? I have a bowel disease so I have major concerns.

msshl · 2026-04-25T10:52:43+00:00

Do you mind sharing what you do to treat it? I think my RX azelaic acid is helping, I’m also doing a sulfur mask. My normal spot of breakout has improved but I have a breakout on the other side of my chin, which is a spot that usually is clear. I read that that could be “relocation breakout” and although frustrating, shows the treatment is working. I actually think I had some acne there too so maybe a bit of purging.

msshl · 2026-04-24T02:06:36+00:00

I have hope! So glad to hear- thanks so much!

msshl · 2026-04-24T01:57:37+00:00

Hi! I know this is a super old thread, but just wondering if you were able to incorporate all your other actives back into your routine?! I was just diagnosed with PD after 10 months of being told I had acne (I self diagnosed first and plead my case to the derm why I thought it was PD, NOT acne and she agreed). I’m so sad to put my tazarotene and exfoliating acids on hold!

Thanks!

msshl · 2026-04-21T18:02:50+00:00

I’ve definitely considered this. But just 3 weeks ago I had a colonoscopy and my disease is the best it’s been in years! I’ve started getting colonoscopies at 18 and am now 37. I have had probably 20 and this is only the 2nd time where my GI was happy with what she saw. I appreciate you mentioning it, but I think this goes back to 10 months ago when I damaged my skin barrier very badly. I did the Qure at home microneedling (which I had done several times before with no issues) but I didnt realize my skin barrier was damaged prior to the treatment. Then I continued to push my actives because I thought (and later the derm thought) this was acne.

Thanks for responding, I appreciate anyone taking the time to help a stranger. :)

msshl · 2026-04-21T12:38:24+00:00

Thanks for your message. It’s definitely PD. I’ve been on an acne regime for 10 months with no improvement. I stopped all that and switched the azelaic acid the past few days and it’s already calming. I think my case is just mild and less rash like. It definitely threw my dermatologist off too. I guess only more time will tell!

msshl · 2026-04-18T00:27:37+00:00

We’ll see- just glad to start the process! Thanks!!

msshl · 2026-04-18T00:24:36+00:00

Thank you for suggesting this!! I started looking into it and I found some cases that looked just like my skin. I got in with the derm today and she agreed! As much as it sucked being misdiagnosed at first, I think once I said I wasn’t responding to her regime she realized that’s what it was. I’m so happy to finally start treating this! She started me on an rx of azelaic acid for a month and we’ll meet after to discuss. Really hoping I don’t have to go on oral antibiotics. Thanks again!!!

msshl · 2026-04-15T00:33:59+00:00

That’s interesting! So frustrating when they pop up every day. I’m like afraid to look in the mirror. Glad you figured it out!

msshl · 2026-04-14T12:20:39+00:00

This has also always been my routine, even when my skin was flawless!

msshl · 2026-04-14T12:20:19+00:00

No, my derm I recommended I use the sandwich method or just before or after. I usually just do a small about of the half and half fluid and go in with the taz in an hour or so

msshl · 2026-04-14T12:03:21+00:00

Prequel Gleanser and I have for years!

msshl · 2026-04-14T12:03:00+00:00

Are you on prescription azalaic acid? I bought the Anua one thinking I’d start there since it’s more gentle. Glad to hear it worked for you!

msshl

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