Hidradenitis suppurativa (HS) is a chronic skin condition characterized by painful lumps, abscesses, and tunneling under the skin. While prescription treatments are often necessary, some over-the-counter (OTC) options can help manage symptoms and reduce discomfort. Here are the top 10 OTC treatments and self-care strategies:
1. Antibacterial Cleansers
- Use gentle antibacterial soaps or cleansers, such as Hibiclens (chlorhexidine), to reduce bacteria and prevent infections in affected areas.
2. Benzoyl Peroxide Wash
- Over-the-counter benzoyl peroxide (5-10%) cleansers can help reduce inflammation and bacteria. Products like PanOxyl or Neutrogena Rapid Clear Stubborn Acne Wash are commonly used.
3. Warm Compresses
- Apply warm compresses to painful lumps to soothe inflammation and encourage drainage. Use a clean, soft cloth soaked in warm water.
4. Non-Adhesive Dressings
- Protect affected areas with non-adhesive, breathable wound dressings like Mepilex to absorb drainage and reduce irritation.
5. Topical Zinc
- Zinc creams or lotions (e.g., Desitin or calamine lotion) may help reduce inflammation and promote healing. Zinc supplements can also support skin health (consult a healthcare provider before taking).
6. Tea Tree Oil
- Diluted tea tree oil has antimicrobial and anti-inflammatory properties. Mix a few drops with a carrier oil (e.g., coconut oil) before applying to the skin.
7. Turmeric
- Apply turmeric paste (turmeric mixed with water or coconut oil) topically to reduce inflammation. Oral turmeric supplements with curcumin can also help if cleared by a doctor.
8. Pain Relief Creams
- OTC creams containing lidocaine (e.g., Aspercreme with Lidocaine) or menthol can temporarily reduce pain in affected areas.
9. Moisturizers
- Keep the skin hydrated with non-comedogenic, fragrance-free moisturizers like CeraVe or Cetaphil to prevent dryness and irritation.
10. Anti-Inflammatory Supplements
- Omega-3 fatty acids, vitamin D, and probiotics can support immune and skin health. These should be considered alongside a healthy diet, with guidance from a healthcare provider.
Additional Tips:
- Avoid shaving over affected areas to reduce irritation.
- Wear loose, breathable clothing to prevent friction.
- Practice good hygiene and avoid harsh scrubbing.
If symptoms persist or worsen despite OTC treatments, consult a dermatologist for prescription options such as antibiotics, retinoids, or biologics like adalimumab (Humira). Early intervention can help prevent complications and manage the disease effectively.
