Re: Dr Sam
From: Christa (anonymous@obgyn.net)
Fri, 4 May 2001 16:46:17 -0500 (CDT)
Dr. Sam-
I wrote you that note to point out the way they talk about the Diane
being taken in conjunction with the Spironolactone.
At Thu, 3 May 2001, =?iso-8859-2?q?Zalányi wrote:
>
>Hi Christa,
>
>I am not entitled to criticise PCOS websites, but this is clearly a misinformation. I do not know what drugs are available in Australia, so I wouldn't say this and this drug is missing. But to list Roaccutane for the treatment of acne in PCOS is a mistake. Roaccutane is a symptomatic treatment for PCOS at best.
>The mechanism of action of cyproterone acetate is not reducing testosterone, but blocking its action on the receptor. Secondarily it may cause a reduction as well.
>
>Sam
>
>> Hi Dr. Sam--
>>
>> Just a note for you. At the website: http://www.posaa.asn.au (which is the
>> PCOS site in Australia) under treatment for acne it says (and I quote):
>>
>> "There are 3 main treatments for women suffering from acne due to PCOS,
>> Diane-35, Spironolactone (Aldactone) and Roaccutane. Diane-35 is an
>> oral contraceptive pill with an anti-androgen, cypreterone acetate. the
>> cypreterone acetate helps reduce the testosterone and therefore helps
>> control acne and hirsutism of PCOS. The amount of cypreterone acetate
>> in Diane-35 is quite small and if not found to be adequate to control
>> the acne it can be prescribed by itself or other drugs can be used such
>> as Roaccutane or Spironolactone. Spironolactone works very similarly to
>> cypreterone acetate as it is also an anti androgen, it can be used to
>> treat acne and hirsutism caused by high testosterone."
>>
>> I only write this to you to let you know that there is information out
>> there which is contradictory. It's very hard for women trying to get
>> information to know what to try and what not to try. This was from an
>> actual PCOS web site.
>>
>> I'm still only taking the Diane and the Gluco as per your advice.
>>
>> Thank you for listening.
>>
>> --
>> Christa :-)
>>
--
Christa :-)
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