Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
189 Doctors are Online

Acne on face and back, oral and topical medication - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Acne
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2288 Questions
Doctor :   Hi
Doctor :   Good evening.
Doctor :   How can I help you?
User :   gud evening
User :   actually my wife has a acne problem and she has been taking treatment for last three years still the condition is same
User :   please suggest something
User :   now the condition i getting worse day by day
Doctor :   May I know your wife's age?
User :   25years
User :   n baby is feed her milk
Doctor :   You mentioned that it is getting worse - do you mean there are more pimples developing or she having symptoms such as pain, redness and pus in those pimples?
User :   hi doc its for my wife
Doctor :   Hi.
User :   yes more pimple and blackheads are developing
Doctor :   Ok.
Doctor :   so there are no redness or pus pointing from the acne right?
User :   yes there are but in some parts
Doctor :   Do you feel that your acne is spreading to other parts of the body apart from the face?
User :   and tried so many medicine aloepathic n homopathis
User :   but that was worthless
User :   and i have black scars on my face and back
Doctor :   Ok
Doctor :   Do you feel that your acne is spreading to other parts of the body apart from the face?
User :   yes pimples are spreading
Doctor :   Ok
User :   same thing is developing on my back aswell
Doctor :   Ok
Doctor :   Do you have oily skin?
User :   yes but only in summer
User :   why it is coming again n again when i take medicine then only its improve else it comes again
Doctor :   Do you have history of diabetes, thyroid problems also?
Doctor :   How long ago did you deliver your child?
User :   last year in aug
User :   no i dont hav such problem
Doctor :   Ok
Doctor :   Are you still breast feeding?
User :   yes
Doctor :   Ok
Doctor :   Let me explain to you.
User :   ok
Doctor :   Acne/pimple is a chronic condition. It is a conditions that is known to persist for a long duration of time.
Doctor :   A complete cure of this problem is rarely achieved.
Doctor :   It is condition which usually shows reduction and then sudden flaring.
Doctor :   This is what is happening with you.
User :   ok now what should i do
Doctor :   There are few factors which are known to cause flaring of the pimples.
User :   now i hav more scars and blackheads on my face
Doctor :   Unfortunately one of those factors can be pregnancy and breast feeding. they can cause changes in the hormones changes causing it.
Doctor :   Let me put across the treatment options now available.
User :   but i m facing this problem since i was 18
User :   ok
Doctor :   That is right - what I meant was acne usually starts of during puberty due to changes in hormones.
Doctor :   They can get worse or improve during pregnancy and lactation due to further changes in the hormones.
User :   ok
Doctor :   So the treatment here is controlling the factors that can cause flaring of the acne.
Doctor :   Before I tell you about the prevention aspects, let me suggest you few medications that help in reducing a formed pimple.
Doctor :   There are various medications available.
Doctor :   One could try oral as well topical creams.
User :   ok
Doctor :   Topical creams such as Isotretinoin, benzoyl peroxide, clindamycin and so an are available which can be used.
Doctor :   Isotretinoin is the most commonly and widely used medication suggested by dermatologist.
Doctor :   These creams can be purchased as they are available at a chemist.
Doctor :   They are available as 0.05% or 0.1% medications
User :   i hav used bezoyl peroxide and clindamycin but its worthless
Doctor :   They need to be applied only at night, as day time exposure can lead to pigmentations
Doctor :   These are the 3 forms of topical medications that are used.
User :   for which one would the best apart from those two
Doctor :   Isotretinoin preparation is the most widely suggested topical medication suggested.
User :   ok
Doctor :   You could use the low strength that is 0.05% creams
Doctor :   They have to be applied only during night time.
Doctor :   Most patient respond to the topical creams, however
Doctor :   a few have severe acne not easily treatable by topical creams.
User :   ok
Doctor :   Such conditions are treated using oral medications.
Doctor :   Various oral medications such as isotretinoin itself, antibiotics, diuretic, hormone therapies etc are availalbe.
Doctor :   Each drug have side effects
Doctor :   and the use is limited while breast feeding.
Doctor :   Hence if you feel that the topical cream is not helping you too,
Doctor :   you need to see a dermatologist who will prescribe you one of these oral medications.
Doctor :   A course of the tablets are effective in treating the present condition.
User :   and what about the face wash and soap
User :   because problem i hav on my back as wel
Doctor :   I'l come to them.
User :   ok
Doctor :   Cosmetic product use can remove the much needed moisture away from the skin.
Doctor :   Apart from these use of harsh products can also effect a lot on the natural texture of the skin.
Doctor :   All these can aid acne formation.
User :   ok
Doctor :   It is recommended that washing is restricted as much as possible during acute acne episodes.
Doctor :   But since absolute restriction is not possible,
Doctor :   you could restrict your self from washing I mean cleaning more than twice a day.
Doctor :   Avoid using products on the areas where there are plenty of acne.
Doctor :   Use only mild products such as dove.
User :   ok
User :   but dove is not for oily skin
Doctor :   If you feel that there are plenty of acne and topical preparations are difficult to apply, you could use these products on the large acne alone.
Doctor :   Pears is another alternative to dove.
User :   ok
Doctor :   Avoid handling the pimples unnecessary with bare fingers.
Doctor :   Avoid dust and allergies.
Doctor :   Along with these measures, a healthy diet with proper stress management and good sleep
User :   ok and i hav to use pears soap for my face and whole body right
Doctor :   is very much beneficial.
Doctor :   Use the soap more on the normal skin, if there are lots of pimples grouped in one area, you could avoid cleaning or not more than once.
Doctor :   The last step, about stress and good sleep is very essential.
Doctor :   It is proved that lack of proper sleep, too much of worries and stress can actually aid acne formation.
User :   and the oral suspension may affect my baby
Doctor :   If there are high stress levels existing in your life then that could be one reason why you have had worse acne episode now.
User :   ok
Doctor :   Oral medications can get secreted via milk
Doctor :   and can to some extent enter baby's system.
User :   ok
Doctor :   Hence I suggest you to use the oral medications after consulting a dermatologist alone.
Doctor :   The mode of using the medications, the dosage and the frequency of the oral medications will be suggested by a dermatologist.
User :   ok
Doctor :   You need to follow them strictly.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Ok
Doctor :   Coming to your next problem, the dark spots.
Doctor :   One of the known after effects of acne healing is hyper pigmentation.
Doctor :   Though this is a worrisome concern, usually the hyper pigmented spots fade away over time.
Doctor :   After a few months, normal skin comes back.
Doctor :   This is achieved by the process of exfoliation, that is new skin development.
Doctor :   No major treatment is needed for this, except for the use of commercially available depigmentation / skin lightening products.
Doctor :   You could look for skin bright creams which are available at some reputed pharmacy.
Doctor :   or alternatively use any other products of your choice.
Doctor :   Sun screen lotions prevents worsening of hyper pigmentation as well as new hyper pigmented spots from occuring.
Doctor :   Are you following?
User :   yes
User :   which sunscreen lotion i should apply
Doctor :   Finally, if hyper pigmented spots are very disfiguring or
Doctor :   if there are 2 many scars on the face,
Doctor :   you could try derma abrasion.
Doctor :   It is a minor OPD procedure done by dermatologist.
Doctor :   Skin is rubbed and the underlying skin is allowed to grow back.
User :   derma abrasion is it a cream and if yes when do i ahve to apply
Doctor :   This is basically nothing but aiding the natural mechanism.
Doctor :   No
Doctor :   this is not a cream.
Doctor :   It is done by a dermatologist.
User :   ok again i hav to visit the dermatologist
Doctor :   Yes.
Doctor :   It is simple procedure done by a dermatologist.
Doctor :   It is useful for both scars and pigmentation caused by acne.
User :   so could you suggest the best dermatologist in bangalore at koramangla
Doctor :   I shall ask my customer care member to call you back and guide you with the last question.
User :   ok
Doctor :   They will be able to tell you the best dermatologist
Doctor :   You could probably give your husband's contact number
Doctor :   so that we can get back with the details of the doctor to him.
Doctor :   Thanks for confirming.
Doctor :   Do you have any other query that I can assist you with?
User :   thanks
User :   thanks for helping me
Doctor :   My pleasure.
Doctor :   Thanks for consulting me.
Doctor :   Bye.
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor