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Date: | Fri, 27 Sep 1996 09:46:32 -0500 |
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To : Jessica
Re : Oral preps for Acne
As for the question of good oral preps for acne, since the topical ones don't
seem to work for this patient, I am far too removed from this case to offer
any good suggestions. Most oral medications, tetracyclines and other
antibiotics used for long periods would be contraindicated in a BFing mom
simply because of their chronicity (long term exposure). Accutane, a special
retinoid, is in my opinion far too dangerous to use in a breastfeeding mother
because of numerous side effects. In addition, because Accutane is horribly
teratogenic, the mother would have to be using at least 2 methods of birth
control which might not be optimal for continued breastfeeding.
So I would suggest that the mom listen to her dermatologist and keep with the
topical preparations. I'm sorry there's no alternate to offer her.
Regards
Tom Hale
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