Reaction of RITALIN, DIAZEPAM with ARMOUR, PARNATE for acne.

Resolved question:
I am on a lot of medication. This is my medication list. Armour thyroid 30 mg, Famvir 250mg 2x a day, Parnate 40 mg 2x a day, Ritalin 5 mg 2x a day, Spironolactone 50 mg 2x a day, Diazepam 20 mg during the day, 10 mg at bedtime, Seroquel 100 mg at bedtime, and Trazodone 75 mg at bedtime. I also take lysine, Vitamin B6, and Vitamin D3. My complexion has been worse lately and the spironolactone seems to not be working as well. I read that Seroquel can sometimes cause acne. What about Ritalin and Diazepam? I'm asking about these 3 medications because I have been on the others without having problems with my complexion. I'm on the Seroquel to help augment my anti-depressant. I have unipolar depression, not bipolar and as far as the spironolactone , my hormones are normal I am just apparently very sensitive to androgens. I wanted to know if there was another atypical antipsychotic or other medication that might help that we could put in place of seroquel that never caused acne. Also, could the diazepam or ritalin make acne worse and what would be good substitutes for those that don't cause acne?

Submitted: 4 Days
Category: Psychiatrist

Expert:  Dr. Srikanth Reddy replied 4 Days.

Hello,
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
You have been on lot of medicines. Now the three medicines that you have mentioned do not have acne as one of their common side-effects. However quetapine is known to cause acne in certain case reports. It would be better to switch the medicine and to see if it helps your acne. Olanzapine is one of the options instead of quetiapine which can help you augment your treatment of depression and olanzapine will not lead to acne problems.
You may continue diazepam and ritalin as of now.
Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy

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