Skin pigmentation. Low vitamin B12,D3. Taking PCOD(Cetapin1000mg)hypothyroidism(Thyroxin50mg) and Cipcal. Reason?
Patient: I am 39 year old female..suffering from severe facial and skin pigmentation for the past two years..nothing seems to work for my pigmentation.tests showed that I have a very low vitaminB12,D3and low sodium and potassium..I also take medicines for PCOD(Cetapin1000mg)hypothyroidism(Thyroxin50mg) and Cipcal for my D3 deficiency..have been taking thyroid and Cetaphin for more than a year .started cipcal 15 days back.what could be the reason for this severe pigmentation?am feeling so miserable Doctor: Hello,Thanks for posting your query.Some women may show skin pigmentation/melasma with PCOD. However you should also rule out adrenal disease(addisons disease) which increases skin pigmentation along with decreased sodium and potesium levels. If your adrenal gland is working well then melasma can be treated better with chemical peel. As you are also taking thyroxin, you should not take other drugs simultaneously, other drugs should be taken 4 hours apart to reduce drug interaction.If you are obese then weight loss will be very helpful.Take balanced diet with vit B12 supplements.Hope it helps.Take Care!