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Ohtsu, E., Ichiyama, A., Nishizuka, Y

(2001) published the landmark study

Treatment options include: Praziquantel cream Pimecrolimus cream Antibiotic creams Oral vitamin A analogs Oral antibiotics Non-steroidal anti-inflammatory drugs (NSAIDs) Avoid the use of cosmetics, cleansers, and moisturizers during the treatment Avoid strenuous physical exercise until the skin heals Does perioral dermatitis go away on its own

Monitoring: Track dose, site and observations weekly

Over 250 pounds (113kg+): Maximum standard dosing of 500mcg applies, though some individuals may benefit from extending cycle length rather than increasing dose

For weight concerns, a qualified doctor is the right place to start