Dr Penny Adams answers your questions
DR PENNY ADAMS SHARES HER ADVICE ON TREATING TEENAGE ACNE, DEALING WITH EXCESSIVE SWEATING AND THE BEST CONTRACEPTION FOR THOSE WITH PCOS
Isotretinoin has been recommended for my son’s severe acne, but I am worried that it may cause depression. Should I let him take it?
Isotretinoin has had a lot of bad press about alleged links to A mental health issues, however there is no evidence that people are more likely to become depressed from taking the drug. The simple fact is that mental health issues, prior to taking the drug, are common in teens and young adults. The other issue is that untreated acne makes teenagers (understandably) depressed. Isotretinoin can only be prescribed by a qualified dermatologist and they carefully supervise their patients on this medication. I think it is well worth trying it and all my young patients who have had their acne cured by it would agree.
I have a painless lump on the back of my hand, near my wrist. It’s not causing any problems, I just don’t like the look of it. What is it?
This sounds like a ganglion cyst, A which is a benign ball of fluid that grows on a tendon or joint. They are common on the backs of hands but can also grow on feet and ankles. We don’t know why they develop, but they often go away by themselves with no treatment. Treatment options include surgery or draining the cyst.
I have excessive sweating. I find it so embarrassing that I have to wear jackets, even when it’s hot, to cover my armpits. What can I do?
A Hyperhidrosis or excessive sweating, can sometimes be caused by an underlying medical problem or certain medications, so a check-up with your GP is the first step. Then the first-line treatment is an antiperspirant containing higher concentrations of aluminium chloride
(20 per cent). This can not only be applied to armpits but also hands and feet. In resistant cases, Botox injected to affected areas works well, though the most severe cases may need specialist referral.
I have PCOS that has led to prediabetes. Is it safe for me to take the oral contraceptive pill?
Theoretically, the hormones in the A
Pill could affect your glucose metabolism but good-quality research has shown that the current low-dose Pills don’t significantly affect glucose or insulin. If you don’t want to take the Pill, a good contraceptive option would be a longacting reversible contraception. The rod or the IUD give three and five years excellent contraception, respectively.
‘The simple fact is that mental health issues, prior to taking the drug, are common in teens and young adults’
We don’t know why they develop, but they often go away by themselves