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The Hurley system, the most widely used assessment tool, describes three clinical stages: Record Hurley stage at area worst affected. Early referral to Dermatologist is key to access systemic therapy for moderate to severe cases. TreatmentGeneral measures for treating Hidradenitis Suppurativa include:
Hurley stage 1 or mild Hurley stage II diseaseTopical Treatment
Oral Treatment indicated for papules or nodules
Hurley Stage III: Severe Inflammatory flaresRifampicin 300mg every 12 hours and clindamycin 300mg every 12 hours may be initiated in secondary care by a Consultant Dermatologist and if transcribing prescription please note that rifampicin is an enzyme inducer, refer to interaction table. and refer to HPRA. Please note that rifampicin is never prescribed as monotherapy. Treatment of acute abscesses
Adalimumab (Humira) is licensed for the treatment of severe Hidradenitis suppurativa initiated by a Consultant Dermatologist. The regimen is a higher loading dose and more frequent maintenance dose than in psoriasis. Patient Information
Safe Prescribing (visit the safe prescribing page)
Reviewed January 2022 What clears up hidradenitis suppurativa?Mild symptoms might be managed with a topical antibiotic in liquid or gel form. For more-widespread disease, your doctor might prescribe antibiotic pills, such as doxycycline (Monodox), clindamycin (Cleocin), rifampin (Rimactane) or both. People with severe disease might need to take antibiotics for months.
Does amoxicillin help hidradenitis suppurativa?(ii) For Hurley stage I or II, amoxicillin/clavulanic acid or pristinamycin (which act synergistically against Gram‐positive and anaerobic bacteria) for 7 days is recommended because of their antimicrobial spectrum covering bacteria associated with HS lesions, including anaerobes.
What over the counter medicine is good for hidradenitis suppurativa?Acne washes with benzoyl peroxide are typically available over the counter and can be useful to reduce the symptoms of hidradenitis suppurativa. However, most patients will require other treatments in addition to this.
How can I get rid of hidradenitis suppurativa fast?Natural treatment options for hidradenitis suppurativa. Warm compress. A warm compress can immediately reduce pain in the affected area. ... . Turmeric. Turmeric has strong anti-inflammatory, antimicrobial, and antibacterial properties . ... . Honey. ... . Tea tree oil.. Aloe vera. ... . Rubbing alcohol. ... . Zinc. ... . Neem oil.. |