Hi,I m now on Accutane and it s working great. However, a large nodule appeared on my neck under my chin around 5 weeks ago. It never came to a head and the swelling has gone down, although it s still quite purple/red and is visible. My Dermatologist gave me some Dermovate to use on the nodule to reduce the inflammation. Although after reading some of the posts online, I m a little sceptical that it s going to work and could even exacerbate the problem.Would a cortisone injection be a much better approach here?
Hi, Thanks for writing in. Accutane is a vitamin A derivative isotretinoin and is used for treatment of acne nodules on face. Derogate is a topical corticosteroid which is used in the treatment of skin inflammatory conditions. The derogate cream is much milder than a corticosteroid injection. Creams might cause certain exacerbation however it is not seen in every patient. Taking a cream is a safer option over the injection. Injections give a high dose and might cause side effects in other places. Please use derogate ointment and if there is any adverse event then stop and consult your doctor urgently. Please do not worry.