I've used the 1st two but not really satisfied with either one. Will try the 1st one again. More concerned about the one with the keloid skin over it. Surgery has been advised to remove this keloid.
June 12
There's no single "best" topical antibiotic for HS — it really depends on the severity of your symptoms and how your skin responds. That said, here are the most commonly used options:
- Clindamycin — This is usually the first choice for mild or early-stage HS. It's applied twice daily and works well for surface-level Show Full Answer
There's no single "best" topical antibiotic for HS — it really depends on the severity of your symptoms and how your skin responds. That said, here are the most commonly used options:
- Clindamycin — This is usually the first choice for mild or early-stage HS. It's applied twice daily and works well for surface-level bumps, though it's less effective for deeper symptoms like tunnels under the skin.
- Dapsone — Some doctors prescribe this for moderate HS, and it may actually work better than clindamycin in those cases.
- Mupirocin — This can help with mild HS and surface-level skin infections on lesions.
- Gentamicin — Sometimes used after surgery to help wounds heal and reduce infection risk.
All of these require a prescription, so a dermatologist is the best person to help figure out which one suits your specific situation. It's also worth knowing that topical antibiotics are sometimes combined with oral antibiotics for better results. One myHSteam member shared that using both together helped their HS spots heal with no new ones appearing.
Always check with your dermatologist before starting or switching treatments — what works for one person may not work for another!
June 12