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Is Doxy With Lactic Acid Effective In Treatment Of Reihl Melanosis?

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Posted on Tue, 30 Dec 2014
Question: Hi Doc,

I have reihl melanosis. I am under Q switch laser and Peel. Besides am on Vitamin C and Glutathionate supplements. Recently my doc advised me to take doxy with lactic acid.

Am I on the right course for recovery?
doctor
Answered by Dr. Dr. Rahul Kumar (41 minutes later)
Brief Answer:
doxycycline not required

Detailed Answer:
Hello
Thanks for the query and photograph.
I don't think doxycycline has any role in Riehl melanosis. Peel and LASERS have good effect.
You can also go for skin lightening creams.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Rahul Kumar (23 minutes later)
Hi Doc,

Thank you for your reply. Have a few followup questions!

Doxycycline has been suggested for 2 weeks for the pimples that have surfaced recently. Should I take it for 2 weeks?

I have had 4 each of Laser and Peels and still have not seen a significant improvement in the hyper pigmentation! I did not see peeling of skin at all after the peeling sessions, should there be visible peels of the skin?

I use a Kojic acid based face wash in the morning, followed by a moisturizer and Sun Screen (SPF 50). I take Gluta and Vit C Tabs after bfast and dinner.
In the night I use Anti Ox + Vit C gel and Melalite 15 or Pigment reducing complex or Ban A XXXXXXX

All of the above I have been continuing for the last 2-3 month, still see no significant improvement in Skin color!

Do you think I should try micro dermabrasion or just continue what I have been doing and wait for the results? I also came across on google about Glutathione soaps, is it any good! would it make any difference?

How long does it take before I or anybody around me can see the return of my original skin color?

I seems to have tried every treatment, cream and medicine to treat Riehls melanosis, with not much luck...can it really be treated or am I simply wasting time and money?

Thanks
doctor
Answered by Dr. Dr. Rahul Kumar (12 hours later)
Brief Answer:
continue treatment

Detailed Answer:
Hello
Thanks for the follow up.
You are taking perfect treatment.
Doxycycline is fine for acne.
I would suggest you to continue the treatment for at least one year.
It should work.
Let me know if you have any other doubts.
Thank you
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6637 Questions

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Is Doxy With Lactic Acid Effective In Treatment Of Reihl Melanosis?

Brief Answer: doxycycline not required Detailed Answer: Hello Thanks for the query and photograph. I don't think doxycycline has any role in Riehl melanosis. Peel and LASERS have good effect. You can also go for skin lightening creams. Let me know if you have any other doubts. Thank you.