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Yes, you can have IPL. I always combine IPL with microneedling/prp to improve outcomes. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer
In my opinion, if you are taking an antibiotic that is phototoxic/photoallergic you cannot do it with IPL. A common antibiotic to treat Lyme's disease is doxycycline. This can be phototoxic in a approximately 15% of people when the dose is over 200 mg per day. Check the side effect profile of the antibiotic you've been prescribed.
There should not be any reason to avoid IPL while on antibiotic treatment for Lyme disease or for most other medical conditions that are not skin related.
Good afternoon and thank you for your question! If the antibiotic that you are on makes you photosensitive then you would need to wait to have an IPL treatment. Best of luck! For more information please feel free to visit our website!