UC and acne medicine

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Veteran Member

Date Joined Nov 2006
Total Posts : 552
   Posted 3/3/2008 12:02 AM (GMT -6)   
Hi. Bratcat went to the dermatologist. He prescribed Oracea (tetracycline-type med) and face wash and ointment. She only started the Oracea on Friday so she has only taken 3 pills. Hasn't even started the topical stuff yet. She started complaining about not feeling great today. However it has been a very full, somewhat stressful weekend. She had a full-day craft day for her Girl Scout Gold Award yesterday, hasn't eaten the best in about 3 days, and hasn't gotten the best sleep recently. It could be any of those things but she wanted me to ask if anyone knew if the medicine could be an issue. I did tell the dermatologist (several times) about her UC and the concern about drug interaction. He (and the pharmacist when we picked it up) said it wouldn't be a problem. At the dose and the short-term length she is to take it, it acts as an anti-inflammatory more than an antibiotic.
I didn't find anything negative about Oracea and UC on the web. Just thought I would ask here.
--Mom of bratcat (16 years old)--
Daughter bratcat was diagnosed with pancolitis October 2006
Current meds:
Asacol - 3 pills/3Xday, 2 tabs 6-mp/1.5 tabs 6-mp every other day
11/14/06 - started prednisone; 1/28/07 - finished prednisone!
3/3/07 - began to taper off hydrocortisone sloowwly! Summer 2007 - slowly began tapering Rowasa. 9/07 -- flaring? Nightly Rowasa. 9/21/07 -- added hydrocortisone enemas. 9/30/07--added prednisone. 10/31--started 6-mp, stopped the enemas. Started lowering prednisone.

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 3/3/2008 12:06 AM (GMT -6)   
Well I know that Acutane lists in their literature that it can cause colitis-like symptoms so I'd tread with caution...has she tried proactiv skin care treatment? It works very well.

My bum is broken....there's a big crack down the middle of it!  LOL  :)

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   Posted 3/3/2008 1:51 AM (GMT -6)   
Bennie, I hate to tell you this, but I was given a large dose of doxycycline (which is the same as Oracea) prior to some dental work. I took it at 1:00 on Monday. By 2:00 on Tuesday I had explosive D. I hope Bratcat doesn't have this reaction, but I'm still struggling a bit to hold of a flare until my next Remicade infusion.

If she isn't on a good probiotic, I'd start her ASAP. I doubled up on mine and it seemed to help. Just make sure she takes it at least two hours after her last dose of antibiotic for the day.
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Asacol, Rowasa, Pentasa, Prednisone, Entocort, Azathioprine
Colazal,  Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
Co-Moderator UC Forum

New Member

Date Joined Mar 2008
Total Posts : 12
   Posted 3/3/2008 2:06 AM (GMT -6)   
I don't understand why the DRs. don't think it is a problem to prescribe an Antibiotic for a person who has UC when it is well known that Antibiotic use frequently preceeds the onset of UC in many people. Your daughter NEEDS good bacteria in her gut to combat the UC symptoms. Antibiotics wipe out the good AND the bad bacteria in her body. Definitely she should be on a great probiotic. And I would be VERY hesitant about putting her on any Antibiotic for anything that is not life threatening...especially acne. There are alternative treatments available for acne. My daughter has UC also and has been very ill with it.

Regular Member

Date Joined Jan 2008
Total Posts : 56
   Posted 3/3/2008 2:12 AM (GMT -6)   
There's a little-known acne medication out there called Spironolactone (the brand name was Aldactone before it went generic). It's off-label usage for acne, but a fantastic gynecologic endocrinologist prescribed it for me when I was 13 or 14 and I stayed on it until I was 22. Both of my parents had bad acne, so I went on it at the first sign of puberty! (Yay for having a caring mom!) Here is my former doc's website. He's in NYC now, but can probably recommend someone in your area. Super nice guy. His website is very thorough, I've attached the page on female acne in particular. He's a big believer in hormone therapy for acne treatment. I don't know why dermatologists don't seem to know this drug very well...


Good luck!

Oh, and if she tries this drug, be sure to check for interactions. It's potassium sparing, so combined with another similar drug, you can raise potassium to unsafe levels.

23 yrs old
Diagnosed with UC: March 2004 with probable IBS component

Currently taking:
Asacol 4pills 3x/day
Prograf 5mg/day
(Prograf is my miracle drug! It doesn't seem to be well known, but it's fantastic!)

Previously Tried:
Prednisone (works, but such awful side effects!), 6-MP (gave me acute pancreatitis), Entocort, Cipro (antibiotic), Bentyl, Canasa suppositories, a couple different enemas

Veteran Member

Date Joined Jul 2007
Total Posts : 2148
   Posted 3/3/2008 1:57 PM (GMT -6)   
I am using Vishy toner and cream for my pred induced zits and pimples (only a couple so far, phew), it is a great help to me. I buy it at CVS, the toner and cream are about $15 ea but lasted me nearly 2.5 months. I use them 2xday. But if I even skip one night w/out washing my face (makeup and all) I get some zits. I think w/Proactive it's the same, you can't miss any of the steps but w/the Vishy I only bought 2 things and I think it's less of a process not sure which is better, but just my two cents.

Also, I was on accutane 3 years ago and I did not experience any UC symptoms (I was dx'd 8 yrs ago). I had been getting pimples for almost 20 years and started to get cysts (over 1" in diameter), it was for me one of the best things I ever did. I could finally see myself through all the red/purple painful pimples. Though the drug has side effects, you need to weigh all options before trying accutane.
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.

Old Hat
Veteran Member

Date Joined Feb 2007
Total Posts : 5187
   Posted 3/3/2008 7:45 PM (GMT -6)   
Has Bratcat ever tried Acnomel cream for pimples? It can be hard to find in chainstores, but RiteAide in my area stocks it. I found it the best for zapping any breakout right at the start & have used it for decades with steady relief from unsightly zits. Better to avoid antibiotics if at all possible, my take on Rx meds. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])
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