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If your dark underarms are caused by a skin condition, or if you simply prefer a more intense treatment, a doctor or dermatologist might prescribe medical treatments, like: creams or lotions containing ingredients, like: chemical peels with alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs) to exfoliate the skin dermabrasion or microdermabrasion to thoroughly cleanse the skin laser therapy to remove pigment If youve been diagnosed with erythrasma, your doctor will likely prescribe one of the following: a topical antibiotic, like erythromycin or clindamycin (Cleocin T, Clinda-Derm) an oral antibiotic, like penicillin both a topical and an oral antibiotic Treatments to lighten the skin may cause mild side effects that go away with time

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Additional best practices include: never reusing needles, as this increases infection risk and causes needle dulling that makes injections more painful

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