@jasrend, My heart goes out to you. What is helping keep the pain away for me is using mupirocin ointment then Desonide cream over that and if there remains pain I add prescription lidocaine ointment over that. If it's hurting badly to begin with I start with the lidocaine ointment. I am also taking fluconazole 150 mg tablets once weekly and minocyclime 50mg capsules once daily,both antibiotics.
The only thing which was healing the HH was as I wrote above, " My dermatologist had me try a compound Naltrexone 3mg caps because my HH had gotten so bad. This drug in 30mg is for some other problem, but scientists discovered it helped HH get well as long as you continue taking the compound. The first thing it did was stop the itching, then the pain and every thing except between the legs & behind was gone. The HH between legs & behind was shrinking. Then I ended up in the hospital where they stopped the drug to see if it was interfering with blood pressure meds. The HH returned with a vengeance! So I called dermatologist to have doctor put me back on the compound, which he did." Starting over with this product did not work, If the Dermatologist will let you try this and you will not let anyone stop it even for one day, it may be the answer to stop the disease. It's a compound because it's only 3mg of a 30mg Naltrexone tablet. Blessings to you and I'll be praying for you,