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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medicines Should One Take For Indented Striae Above The Bust Area ?

Hi Doctor, I m a 20 years old woman and I have been using melacare cream for the past 3 years on my physician s prescription. I have been applying only before going to bed and I wash it off in the morning and I use faceclin gel on my through out the day. And my skin has become extremely fair and bright and it glows superbly so much so that people around me invariably ask me the reason behind my glowing complexion . My problem is really serious Dr, two indented red colored striae have appeared just above my bust area and it has really scared me. I consulted the same physician who had prescribed melacare to me , this time around he prescribed ELOCON OINTMENT to apply on the affected areas but it hasn t been able to better my condition. I have been browsing through various articles on skin thinning on the internet and I have discovered that any memotasone cream can induce skin thinning leading to skin atrophy and which i think what i have got just above my bust. Please tell me how should I discontinue the use of melacare which I believe comprises of memotasone and also what should I apply on those indented striae which looks like a skin atrophy case. PLEASE HELP!
Thu, 5 Apr 2012
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Dermatologist,  's  Response
Hello pallavi,

Your physician seems to be obsessed with steroids.

Melacare for 3 years is just too much.

I never give it for more than 2 months (max) at one go.

You are right, Mometasone causes considerable skin atrophy.

You are very lucky that you have not striae on the face. STria if formed are irreversiblee.

i am not sure whether what you have below your bust is a striae or something else.

Does the skin there, looks like a stretched plastic?

It will be best to stop melacare immediately.

But, be ready for steroid withdrawal symptoms.

there may be acne eruption, dryness, itching and blackness on the face which may be very bothersome.

But you will have to tolerate it, if you want to get rid of the steroids.

You may use Pimecrolimus cream twice daily to reduce the sypmtoms.
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Dermatologist,  Dr. Puvvula Kishore Kumar's  Response
Hi...dear Pallavi..,
Thanks for choosing HCM..,
MELACARE...It consists of Momentasone, Tretinoin.,
and Hydroquinone..,
Here Momentasone is steroid....it produce skin atrophy..,
on long time use ,Drying effect..,telangectasia, irritation and scab with striae...on withdrawal of this cream.,
So don't stop this cream abruptly..,
U stop by gradual withdrawal..like..once in 2 days..,
once in 3 days..and replaced cream by Moisturizing cream...,
with little quantity of this cream....then finally stop the..,
cream completely..ok..,then use..,
1) Morning apply REVALE SKIN CREAM (Stiefel)..,
on Striae area...daily..,
2) Night times....apply good Moisturizing cream..,
3) Tab..Derantox daily night times..,
ok...good luck

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What Medicines Should One Take For Indented Striae Above The Bust Area ?

Hello pallavi, Your physician seems to be obsessed with steroids. Melacare for 3 years is just too much. I never give it for more than 2 months (max) at one go. You are right, Mometasone causes considerable skin atrophy. You are very lucky that you have not striae on the face. STria if formed are irreversiblee. i am not sure whether what you have below your bust is a striae or something else. Does the skin there, looks like a stretched plastic? It will be best to stop melacare immediately. But, be ready for steroid withdrawal symptoms. there may be acne eruption, dryness, itching and blackness on the face which may be very bothersome. But you will have to tolerate it, if you want to get rid of the steroids. You may use Pimecrolimus cream twice daily to reduce the sypmtoms.