Sunday, August 5, 2012

Reducing Use of Anti-bacterial Soap

So, I've cut back my use of anti-bacterial soap to once a day. I'm still only noticing a very occasional bump that goes away within a day of using the apple cider mixture. Eventually I would like to eliminate the anti-bacterial soap altogether, but I'm taking small steps for now.

Monday, April 9, 2012

petroleum free lip balm

I found a great sunscreen lip balm without petroleum products (one of the things I suspect causes my perioral dermatitis) in it. It is called Lizard Lips. It makes my lips very soft.

http://www.lizardlips.net/DrugFacts.aspx

Wednesday, March 28, 2012

SLS Free Toothpaste

I found another toothpaste that doesn't contain sodium laurel sulfate. There are some versions of Sensodyne that are SLS free. I found some travel size tubes at Target, and also a multi-pack of large tubes at Costco. But, there are also versions that contain SLS, so you have to be careful and read the label.

To follow up on my last post, I have been able to continue using moisturizer. I am still getting an occasional bump, that goes away after a day or two. I still use the red cider vinegar solution on the individual bumps.

Friday, March 2, 2012

Trying Moisturizer at Night

I have been noticing fine lines around my eyes, and am trying to use moisturizer at night again. It's been 3 days and I have not had a recurrence of the perioral dermatitis. I hope that I can continue to moisturize!

Sunday, February 12, 2012

How I Controlled My Perioral Dermatitis

Background
Several years ago, I noticed small bumps around my mouth. Smaller than acne, but similar in appearance. At first just a few bumps, but it got progressively worse. After looking at some pictures on the internet, I saw that it was perioral dermatitis (aka muzzle rash). I read that steroid creams can cause it, but I never used those or any other steroid treatments before the appearance of the problem.


Treatment by Dermatologist
After a few years, it got bad enough that I went to see a dermatologist. He prescribed a low-dose steroid cream which was mixed with sulfa. This cream was relatively expensive ($50) because it had to be made at a compounding pharmacy. This cream helped a little, although I was not thrilled with the thought of putting steroid cream on my face indefinitely. Then, he prescribed doxycycline (an antibiotic which you have to take for several weeks), which gave me severe abdominal cramps. But it did clear the perioral dermatitis.....for awhile. About a year later I tried the doxycycline again, hoping that the abdominal cramps would not return, but they did.


Alternative Treatments
I then turned to some alternative remedies I found in various places on the internet. I tried them all at the same time, and I have not experimented by stopping and starting the various remedies to see which are working. It could also just be coincidence that my perioral dermatitis cleared up. I do still get a very occasional bump that clears up within a couple days. I have no hard evidence any of the alternative treatments are effective.


The remedies I am using are (in order of perceived effectiveness):

  • I wash my face with antibiotic liquid soap, such as Neutrogena Oil Free Acne wash (although I usually buy the generic).
  • Before I go to sleep, I wash my face, and I do not apply any moisturizer, astringent, or anything else. This took some getting used to, because sometimes my face feels very dry. But it does seem that every once in a while when I try to use a moisturizer, I get a bump the next day. And I've tried several different moisturizers.
  • I stopped using petroleum jelly to moisturize my lips at night. Instead, I use a non-petroleum based lip product such as Burt's Bees. During the day, I still will use a petroleum based product on my lips, always something containing sunscreen.
  • I always wash my face after I brush my teeth, to make sure all toothpaste is cleaned from around my mouth. I also switched to toothpaste which does not contain sodium laurel sulfate. So far, the only toothpastes I have found are Biotene (a dry mouth toothpaste), and Burt's Bees. They are both expensive.
  • I use astringent before applying any sunscreen or makeup. Specifically, I use Clean & Clear Deep Cleansing astringent.
  • If I notice a bump, I dab it with a solution of 50% purified water and 50% apple cider vinegar.
  • I try to eat more yogurt.


More Information
Here are a couple articles on the condition:
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002426/
http://www.webmd.com/skin-problems-and-treatments/guide/perioral-dermatitis