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APART FROM PRESCRIBING ISOTRETINOIN AND BENZOYL PEROXIDE GELS AT NIGHT AND CLINDAMYCIN GEL COMBINED WITH SCAR TREATING NICOTINAMIDE DURING THE DAY,I WOULD ALSO ADVISE ORAL ANTIBIOTIC THERAPY SUCH AS PULSE THERAPY WITH AZITHROMYCIN IF NCESSARY.I WOULD LIKE TO AVOID ORAL TRETINOIDS BECAUSE OF THE SIDE EFFECTS ESPECIALLY ON YOUNG WOMEN.ALONG WITH THIS I WOULD LIKE TO TREAT ACTIVE ACNE AND POST ACNE SCARS USING ALPHA HYDROXY ACIDS SUCH AS GLYCOLIC ACID AND LACTIC ACID PEELS .APART FROM UNDERGOING MICRODERMABRASION FOR THOSE WITH WHITE HEADS ,I WOULD ALSO ADVISE THEM TO USE FACE WASH CONTAINING SALICYLIC ACID
Explain white meaning closed comedomes difficult to treat
ensure non pregnant if planning topical Retinoid
1st line
regular wash with benzyl peroxide 2.5% face wash / cleanser followed by Epiduo gel nocte
review in 6-8 wks
if very persistant
come done extraction/light hyperfication of the comedone followed by Tretinion 0.025 % nocte explain dryness of skin and sun screen 30+ SPF 2-3 hrs during day time
Doxy 50 mg daily and Adeplane at night, explain S/E of doxy short term nausea and Gi upset long term pigemntation problem
2 line:
child bearing age pregnacy test and OCP, consult about low dose isotretinion risk of teratogenicity and dryness of muscosa 10 mg daily slowly increae to 25 mg in 6-8 wks if no good response
Containing benzoyl peroxide and/or various acids in a cream, lotion or gel will do the trick. The key, however, may be to purchase several different products and rotate them. Every type of acne are different. Tretment by using of antibioticum - peroral using of azithromycin, doxycyclin. For ance papulopustulozis treatment by isotretinoin - not using for pregnant woman. Cream or lotion with adapalen, clindamycin lotion. Isotretinoin gel....
It depends on acne grade gender of patient and his adge .
regular face waching by potent cleanser containing benzoyl peroxide topical agents as azalaic acid and tretinoin also comedone extraction
Ithink the best treatment of non inflammatory acne both black head and white head retinoid treatment but take caution with female bearing age preventing pregnancy at the time of management
Gentle exfoliants
Retinoid creams, Retinods contain stronger versions of vitamin A
First i would like to suggest you to maintain your deit, get done deep cleening with Galvanic atleast once a month so that it helps to close the porses and reduce the excess sebum. Go for Acne treatment atleast 4 sittings, Also use the products according to your skin type.