Battle Creek Location

(269) 224-6554

Okemos Location - NOW OPEN

(517) 349-9777

Patient Resources


Medications

Recommended Gentle Skincare Products

Medications

5-Fluorouracil (5FU)

5-Fluorouracil is a topical, chemotherapeutic cream typically applied twice daily for 2 weeks to treat precancerous and mild cancerous lesions. The effects of the medication may not be apparent for up to 1 week.

Expected effects of 5-Fluorouracil include, but are not limited to:

  • erythema
  • scaling
  • itching
  • weeping
  • crusting
  • pain

A 2 week follow-up appointment is typically made for the provider to assess your response to the medication. During that visit, a medication can be prescribed to help calm down any irritation associated with the Fluorouracil treatment.

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Doxycycline

Doxycycline will cause photosensitivity and increased risk for sunburn. Avoid sunlight, if possible. When exposed to sunlight, patients should wear protective clothing, sunglasses, and sunscreen.

Other common side effects include stomach upset and heartburn, so be sure to take medication with food and a large glass of water.

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Minocycline

Minocycline is generally very well tolerated. Common side effects include stomach upset, headache and dizziness. Very rare side effects include photosensitivity, autoimmune diseases, and discoloration of the teeth and skin. The side effects can be minimized by limiting the duration of treatment and exposure to sunlight.

Avoid pregnancy while on therapy due to potential birth defects.

Call the office immediately if any of the following severe adverse effects occur:

  • hearing changes
  • easy bruising/bleeding
  • severe headache
  • vision changes

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Isotretinoin/Accutane

Patients should follow the guidance below:

  • do not become pregnant
  • be on two forms of birth control
  • get monthly blood tests
  • do not donate blood
  • do not drive at night if vision is affected
  • do not share medication
  • do not undergo elective surgery for at least 6 months after treatment is completed

If any of the guidance above is not followed, please contact the office immediately.

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Protopic

Patients may experience a mild burning sensation during topical application. Protopic is not approved in children less than 2 years of age. There have been case reports of hematologic and skin malignancies in patients using topical calcineurin inhibitors although causality is questionable.

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Taltz (Ixekizumab)

Risks of Taltz (Ixekizumab) include, but are not limited to:

  • Immunosuppression
  • Serious infections
  • Worsening, or new onset, of inflammatory bowel disease
  • Allergic reaction

Testing for Tuberculosis is required prior to initiation of medication and the patient must alert the office if symptoms of infection or other concerning signs are noted.

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Cosentix

Risks of Cosentyx include, but are not limited to:

  • worsening/trigger inflammatory bowel disease
  • Immunosuppression allergic reactions
  • Infections

Testing for Tuberculosis is required prior to initiation of medication and the patient must alert the office if symptoms of infection or other concerning signs are noted.

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Dupixent (Dupilumab)

Risks of Dupixent include, but are not limited to:

  • eye infection and irritation
  • cold sores
  • injection site reactions
  • worsening of asthma
  • allergic reactions
  • increased risk of parasitic infection

Dupixent will also interact with certain medications such as Warfarin and Cyclosporine.

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Methotrexate

Possible adverse effects of Methotrexate include, but are not limited to:

  • nausea
  • vomiting
  • abnormalities in liver function tests
  • development of mouth sores
  • rash
  • diarrhea
  • abnormalities in blood counts

Monitoring is required including Liver Function Tests (LFTs) and blood counts. There is a rare possibility of scarring of the liver and lung dysfunction that can occur when taking Methotrexate. Persistent nausea, loss of appetite, pale stools, dark urine, cough, and shortness of breath should be reported immediately.

Discontinue Methotrexate treatment at least three months before attempting to become pregnant. Males should also not conceive while taking Methotrexate.

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Otezla

Possible adverse effects of Otezla include, but are not limited to: worsening or new depression weight loss diarrhea Nausea upper respiratory tract infection headache.

Patients should call the office if any adverse effects occur.

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Cellcept/Mycophenolate

Risks of Mycophenolate Mofetil include, but are not limited to:

  • infection/immunosuppression
  • GI upset
  • Hypokalemia
  • Hypercholesterolemia
  • bone marrow suppression
  • lymphoproliferative disorders
  • malignancy
  • GI ulceration/bleed/perforation
  • colitis
  • interstitial lung disease
  • kidney failure
  • progressive multifocal leukoencephalopathy
  • birth defects

Monitoring is required including a baseline creatinine and regular Complete Blood Count (CBC) testing. Patients must alert us immediately if symptoms of infection, or other concerning signs, are noted.

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Topical Steroids

Prolonged use of topical steroids can result in the increased appearance of superficial blood vessels (telangiectasias), lightening (hypopigmentation) and thinning of the skin (atrophy). Avoid using high potency steroids in skin folds, the groin or the face.

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Tretionin

Apply a pea-sized amount on your face only at bedtime (to avoid inactivation caused by sunlight) 30 minutes after washing. Start with an application every other night. If it is too drying, you may add a non-comedogenic moisturizer (ex: CeraVe).

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Keflex

To be taken by mouth as directed by the provider. May cause an upset stomach so take with food. Take exactly as directed and for the duration intended. Do not finish the course earlier than prescribed. seek medical advice if chronic diarrhea develops during or following a course of Keflex. Contact your doctor if you develop symptoms such as abdominal pain, excessive bruising or bleeding, or a rash.

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Aldara (Imiquimod)

Imiquimod is an immune stimulating topical medication used for the treatment of warts, precancerous and some non-aggressive cancerous lesions. The cream is generally applied twice daily for 2 weeks to the affected area, unless otherwise specified by the provider. The effects of the medication may not be apparent for up to 1 week.

Expected effects of Imiquimod, but are not limited to:

  • erythema
  • scaling
  • itching
  • weeping
  • crusting
  • pain

A 2 week follow-up appointment is typically made for the provider to assess your response to the medication. During that visit, a medication can be prescribed to help calm down any irritation associated with the Imiquimod treatment.

Inflammatory response to Imiquimod is variable from person to person. If flu-like symptoms develop, discontinue the medication and contact us immediately.

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Post Procedure Care

Caring For Your Biopsy Site(s)

Cryotherapy

Cryotherapy involves using liquid nitrogen (approximately -320 degrees F) to freeze and destroy abnormal skin tissue include, but are not limited to:

warts skin tags seborrheic keratoses actinic keratoses other benign or precancerous growths

The area that was treated will become red, swollen, and may develop a blister. It will then form a scab after a few days. The scab will crust over and fall off on its own within 1-2 weeks. A second scab may form as well, and it too will shed on its own.

Healing takes about 2 weeks, after which the skin may look perfectly normal, or slightly discolored for a period of time. If you begin to experience signs of an infection such as fever, swelling, tenderness, purulence (pus), or oozing from the site; contact our office.

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Punch Biopsy

After a punch biopsy, a bandage will be put on to prevent bleeding. This can be removed at any time. Occasionally, the biopsy site bleeds after you leave the doctor's office. This is more likely in people taking blood-thinning (anti-coagulant) medications. If this occurs, apply continuous, direct pressure to the wound for 20 minutes, then look at it. Wash and dry as you normally would. You may apply vaseline to help keep the area moist and act as a barrier. You can cover with a bandaid, but it is not necessary.

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Shave Biopsy (Scoop Biopsy)

The bandaid can come off later that same day No activity restrictions (e.g. exercise, bathing, etc.). Vaseline can be applied if the scab becomes thick or uncomfortable.

Please contact the office if you are noticing signs of infection:

  • bright green discharge
  • thick white pus
  • redness streaking beyond the biopsy site

We contact patients regarding their biopsies. We always leave a voicemail unless we are unable to do so. Please call us if you have not received your results and it has been more than 2 weeks since the procedure was performed.

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Intertrigo Care and Recommend Products

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Recommended Skincare Products

Recommended Gentle Skincare Products

Soaps: Dove unscented bar soap

Facial Cleansers: Neutrogena or Cetaphil Gentle Foaming Cleanser

Moisturizers: CeraVe moisturizing cream or Vanicream

Sunscreens: Neutrogena 30+ sport spray sunscreen.

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Contact Us

Our Locations

Hours of Operation

Okemos Location

Monday

7:20 am - 4:00 pm

Tuesday

8:00 am - 4:00 pm

Wednesday

8:00 am - 4:00 pm

Thursday

8:00 am - 4:00 pm

Friday

7:20 am - 4:00 pm

Saturday

Closed

Sunday

Closed

Battle Creek Location

Monday

8:00 am - 4:00 pm

Tuesday

7:30 am - 4:00 pm

Wednesday

7:30 am - 4:00 pm

Thursday

7:45 am - 4:00 pm

Friday

8:00 am - 4:00 pm

Saturday

Closed

Sunday

Closed

Okemos Location

Monday
7:20 am - 4:00 pm
Tuesday
8:00 am - 4:00 pm
Wednesday
8:00 am - 4:00 pm
Thursday
8:00 am - 4:00 pm
Friday
7:20 am - 4:00 pm
Saturday
Closed
Sunday
Closed

Battle Creek Location

Monday
8:00 am - 4:00 pm
Tuesday
7:30 am - 4:00 pm
Wednesday
7:30 am - 4:00 pm
Thursday
7:45 am - 4:00 pm
Friday
8:00 am - 4:00 pm
Saturday
Closed
Sunday
Closed