Licensed Ontario healthcare professionals
Every assessment is reviewed by a healthcare professional licensed in Ontario, trained in health conditions prescribing.
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Care365
Ontario Virtual Care
Hidradenitis Suppurativa Treatment Online
Recurring, painful lumps in skin folds? A licensed healthcare professional can help — online, confidentially.
Hidradenitis suppurativa (HS) treatment is matched to how often flares happen and whether there's scarring or tunnels under the skin — mild, infrequent flares respond to a topical antibiotic, while frequent flares or scarring need oral combination therapy and a dermatology referral for biologic consideration. Smoking cessation is the single most impactful change you can make.
Licensed Ontario healthcare professionals
Same-day review
Prescriptions sent directly
CCare365
Care365 workflowComplete assessment → clinical review → prescription sent when appropriate.
Quick Self-Check
Answer a few quick questions. This isn't a diagnosis — a real clinical assessment is the next step either way.
How We Work
A Care365 healthcare professional first checks for complications (fever with spreading redness, a fast-growing or non-healing lump, or new bowel symptoms with blood) that need urgent in-person assessment rather than routine HS management, and asks directly about safety given the real mental-health burden of HS. Treatment then steps up with severity: topical clindamycin for mild, infrequent flares without scarring; an oral antibiotic for monthly flares; and oral combination therapy plus dermatology referral for frequent flares, scarring/tunnels, or significant functional limitation.
Complete a short online assessment
Answer real, condition-specific questions — takes a few minutes, no appointment needed to start.
A licensed clinical reviews your answers
A real healthcare professional licensed in Ontario reviews your case, typically the same day — not an automated approval.
Get your treatment plan
When appropriate, your prescription is sent directly to your preferred pharmacy, with clear next steps.
Why Choose Care365?
Fast, Real Assessments
No generic templates — your answers are reviewed by a real person, typically the same day.
Secure & Private
Your information is encrypted and only seen by the clinical reviewing your case.
Prescriptions Sent Directly
When appropriate, your prescription goes straight to your preferred pharmacy — no extra trip needed.
Common Symptoms
- Recurring, painful lumps in the armpits, groin, or under the breasts
- Boil-like bumps that break open and drain
- Scarring, tunnels, or thickened skin in affected areas (more advanced disease)
- Flares ranging from a few times a year to almost constant
Treatment Options
These options may be prescribed by a Care365 healthcare professional after a real assessment — this is general information, not a recommendation to use any specific medication without one.
| Medication | Class | Route | Typical Duration |
|---|---|---|---|
| Clindamycin 1% topical solution | Topical antibiotic | Topical | BID for 12 weeks — mild, infrequent flares |
| Doxycycline 100mg | Tetracycline | Oral | BID for 12 weeks — monthly flares |
| Clindamycin/Rifampin combination 300mg | Oral antibiotic combination | Oral | BID for 10-12 weeks — frequent or severe flares |
Non-medication options
- Smoking cessation counselling — The single most impactful modifiable factor in HS.
- Weight management — Can reduce mechanical friction and improve severity.
- Reduce friction/irritation — Loose-fitting clothing and gentle skin care.
Everything in One Place
- Easy online scheduling — submit your assessment in minutes
- Real clinical review, not an automated approval
- Prescriptions sent directly to your preferred pharmacy when appropriate
- 100% virtual — no travel, no waiting room
Frequently Asked Questions
Why does smoking matter so much for HS?
Smoking is the single most important modifiable risk factor for how severe and frequent HS flares are — cessation counselling is offered as a priority alongside any medical treatment.
What if my flares keep coming back?
Flare frequency directly guides treatment: infrequent flares without scarring use a topical antibiotic, monthly flares move to an oral antibiotic, and frequent or near-constant flares (or visible scarring/tunnels) call for oral combination therapy and a dermatology referral.
Is HS linked to other health conditions?
Yes — HS is associated with diabetes/prediabetes and inflammatory bowel disease. If either applies to you, that's screened for and coordinated alongside your HS treatment.
When does this need same-day attention instead of routine treatment?
A fever with rapidly spreading redness, a lump that's growing quickly or not healing, or new bowel symptoms with blood are all signs that need urgent in-person assessment rather than a routine HS visit.
Is it normal for HS to affect my mood?
HS carries a real, significant mental health burden, and that's taken seriously — if you're having thoughts of self-harm, that's addressed immediately, not left for a later visit.
Hidradenitis Suppurativa Can Be Treated
Complete a real assessment online — a licensed Ontario clinical reviews your case and arranges treatment and prescription support when appropriate.
Start My Free Assessment