How do you manage lamotrigine or lithium-induced acne?
Answer from: at Community Practice
For Lithium, I have referred patients to dermatology but it seems the interventions suggested such as Doxycycline, Spironolactone, or Bactrim do not fully help. I try to reduce the dose if possible or switch to another mood stabilizer if the acne is severe and bothersome that it is making the patien...
Comments
at Dept Dermatology Jefferson Medical College I think lithium is overrated as an acne stimulant....
at Next Step 2 Mental Health There’s an interesting segment where Rif El ...
at Sheppard Pratt Hospital I suppose there are different kinds of acne. Does ...
at Sheppard Pratt Hospital I have not had complaints about lamictal-related a...
at Private Practice I do a couple things for acne. First, it’s i...
at SaVida Health As a child psychiatrist, it is always hard to dete...
at Psychiatric Group Of Princeton I haven't seen this in my patients yet. I would re...
at Thapar Renu K Office Overall, very helpful discussion.
I don’t t...
at Aquidneck Psychiatric Services LLC Echoing Dr. @Short's comment above, my dermatologi...
at Next Step 2 Mental Health Yes. It’s helpful to know what we’re t...
As a derm, I have only treated one patient for cystic acne caused by lithium. I treated with accutane and it was successful.
According to the American Academy of Dermatology Consensus Conference: “There are no known absolute or relative psychiatric contraindications to isotretinoin ther...
If the acne is mild to moderate and there are no other obvious or possible inducers of acne other than lithium or lamotrigine that have alternate treatments, it can be managed by topical acne creams such as benzoyl peroxide.
If the acne is severe, it is important to collaboratively come up wi...
If the medication cannot be discontinued, a trial of photodynamic therapy, which consists of the application of levulenic acid incubated for 1 hour or more, followed by application of blue light for 16:40 seconds. Patients must strictly avoid the sun for 48 hours after. Even ambient light can cause ...
If the acneiform eruption is induced by lamotrigine or by other factors, isotretinoin can be a very useful adjunct in therapy.
If there is a pustule or lesion present that has sufficient material for culture or PCR analysis (i.e., Vikor swab), this can assist in therapeutic decision-making.
Recent...
I think lithium is overrated as an acne stimulant....
There’s an interesting segment where Rif El ...
I suppose there are different kinds of acne. Does ...
I have not had complaints about lamictal-related a...
I do a couple things for acne. First, it’s i...
As a child psychiatrist, it is always hard to dete...
I haven't seen this in my patients yet. I would re...
Overall, very helpful discussion. I don’t t...
Echoing Dr. @Short's comment above, my dermatologi...
Yes. It’s helpful to know what we’re t...