Pimples on face. No relief from zincovit tablets and benzyol peroxide. Suggest - Online Doctor Chats
Dr XXXXXXX here
How can I help you?
I amxxxxxfrom XXXXXXX s/w
How are you ?
I am fine, thank you.
I have a question
How are you doing and do you have a medical query?
My wife is getting pimples in her face
even though we are taking some medical treatment, i can see any visible effect
You mean there is no visible effects with her current treatment?
May I know what treatment is she on currently?
could you please advice something on it ?
The doctor has prescribed her to take zincovit tablets
Acne is a chronic condition influenced by hormones and life style.
And hence we think of prevention or control of the condition rather than a cure here.
Zincovit is a nutritional supplement and doesn't have any active role in controlling acne.
even she is using two creams
The most important aspect is to recognize whether or not there is an infection associated with acne.
one is some benzo(coud not remember the exact name)
other is cleargel
and one more tablet also, which I can not remember right now
Infected acne also referred to as pustular acne is characterized by presence of red, swollen and angry looking pimples - the size can vary from few mm to cms.
if there is on such pustular lesions, benzoyl peroxide (which I presume she is currently on) can be effective.
I beleive she is using benoyl peroxide
if benzoyl peroxide is not effective in your wife, alternative cream such as isotretinoin 0.025% or 0.05% cream can be tried.
Since these creams can cause pigmentation
are you from xxxxxxx
one needs to apply only a thin film and avoid sun exposure with this cream.
No, I am based frxxxxxxxxx
yes, she is using it in night time before going to bed
Many of my patients have given good reviews with this cream.
Your wife may try this cream over the active acne lesions at night.
do we have any side effect if she use isotretinoin 0.025% or 0.05% along with benzoyl peroxide ?
If this cream is not effective or if the acne is widespread, she would need oral medications under the guidance of a dermatologist.
yes, what we see is few acnes are big in size
Benzoyl peroxide is a good cream for acne but if that is not effective in controlling acne, then you may stop it.
and the rest of the areas we can see very small acnes
A large looking acne with pus pointing is an indication that there is some infection happening.
we are under treament of a dermatolosgist
If feasible do discuss about these creams and the need for oral drugs for your wife with your dermatologist.
Could you advice me any good dermatologist here in xxxxxxxxx
Oral medications are better effective than topical creams alone.
As I do not have any personal reference would you mind I taking help of some of my colleagues.
I can post the details about good dermatologist in a mail to you.
sure ...thanks a lot sir
and one more thing,if you have some time
You would get this mail from the customer support team to your email address.
Can you confirm your email id?
Proceed with your next query.
I am getting a lots of pain in my leg muscels
May I know your age and since when are you having this pain?
and this from last 3-4 years
but not in a regular basis
Do you notice any factor that causes or worsens this pain?
Does it involve both leg or only one?
may be less sleep(lack of rest)
both leg muscles
Does it hurt when you walk?
Are you on any regular drugs?
I have gastricites problem from last few years
usually take few medcines whenever it is wose
like nexpro 40
but not regularly
May I know your gender?
Can you scale the intensity of pain from 1 - 10 (1 being mild and 10 being most serious)
Do you smoke or consume alcohol?
not at all
Let me brief you.
Leg or calf pain are usually muscular aches.
However a few medical conditions such as vascular insufficiency, deep vein thrombosis / emboli also present with such calf pain.
These few medical conditions are serious pathologies which needs urgent medical attention.
Based on your description, I do not find any such serious problems or any other serious medical problem to be the cause of your pain.
The pain probably a muscular ache - related to exertion and you need not worry.
do you advice any medication for me ?
Gastritis once in a while is fine and this is usually related to lack of sleep or diet.
Antacid and nexpro which you are taking is fine.
For this leg pain, I suggest you a mild pain reliever such as Tab. Dolo or crocin pain relief.
This should take care of the pain.
I also suggest that you take good rest and diet supplemented with vitamin B12 capsules such as Unicobal forte for 2-4 weeks.
That should be ok.
If the pain symptoms are very frequent and recurring
Have you followed>
Have you followed what I suggested?
Low thyroid hormone is rare cause of recurrent calf pain.
because I usually find myself throat infection very easily in case of viral cold
How can I get it checked ?
I do not think this as a primary cause since your problem is not very frequent.
It contains Serum TSH levels and Serum T3 / T4 levels.
so do you advice me to go to any diagnosticts cnter and get my blood tested ?
You may check to rule out thyroid problems.
okay...so then to whom I need to contact to verify the report ?
can I take your help or I need to go to any physician ?
If you get the tests done, you may refer back to us and we can tell you if there is something to worry.
thanks Dr. XXXXXXX
But next time, I may not find you online
You can ask for me.
the next time you come on chat.
could you mind giving me any alternate contact of yours, so that i can get the blood tested and provide you the report ?
may be your email ID
You may leave your details to YYYY@YYYY
alternatively you may write back to YYYY@YYYY
I would respond to your mail from here.
Thanks Mr. Prasda
You are welcome
do shall I continue taking that B12 capsules such as Unicobal forte before going for the blood test ?
Do you have any other medical query?
finally,could you please drop an email to me with the medicines for me along with the blood test that you are advising ?
I shall leave a mail to you with the details of dermatologist.
As we do not have your contact number with us,
it would be better if you can provide your contact number for better service.
We can call you for any updates regarding sending the doctors details to you.
So may I know your contact number?
could you please drop an email to me with the medicines for me along with the blood test that you are advising ?
I mean for calf/leg muscles pain
I shall do that.
Is there any other query?
thanks a lot
nothing for now
I will get back to your after receiving your email and after having the blood test
and finally , shall I continue taking that B12 capsules such as Unicobal forte before going for the blood test ?
You may take them for few weeks.
it gives other benefits too and you need not wait for the test.
one tab per day will be enough and when shall i take it , like bed time ?
is it having anything like unicobol 20 mg or 40 mg ?
I suggest Unicobal forte which comes as a single preparation.
nice talking to you
waiting for your email
bye for now Dr. XXXXXXX
Thanks for consulting me.
Bye for now.
sorry, so sahll i take one tablet per day ?
One capsule per day.
Bye for now.
Related questions you may be interested in