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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Acne, High Prolactin Level, Using Clindamycin Phosphate. Suggestions?

hi... i have high prolactin level and confirmed it through blood test. since last two months i have acne beneath skin. it pains a lot and sometimes it pop out. i m sincerely using clindamycin phosphate and nicotinamide gel- Femicinol during night since then. but acne is still there. i cant even take photographs. dr says prolactin level or the hormone imbalace is playing role and will be fine if i control my stress. i even drink lot of water and ok type food habits. i clean my face 4 times. any suggestions how to clear my skin ? any creams or ointments to be applied? plz help
Wed, 17 Apr 2013
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General & Family Physician 's  Response
Hi,

Based on the information provided the it seems as genuine hormonal imbalance and it occurs during the secondary growth spurt where the secondary sex characteristics like, mustache and voice changes in boys, breast development and menses in females, are part of such changes. In some condition the excesses amount of sex hormones like estrogen / testosterone in females / males respectively will lead to be a major cause of ACNE.

Now in your case clindamycin may not help as it is a treatment used for bacteria induced acne / acne with pus.

Most likely treatment in cases like yours is
1) Washing face so that Dirt and debries can be removed to reduced acne infection
2) Steroid may be used to reduces scar formation.
3) Vitamin A - retinol may help if that cream applied at night time.
4) Clindimycin may sometimes helps to improve the conditional pus formation.
5) Stay away from "SPICY" and "FRIED" food.
6) Drink a lot of water so it cleanses the intestines.

Well if you are taking all of above and have no improvement then lastly home remedies like
1) application of rose water may help.
2) application of "sand from multan" may help.
3) use of aloe vera juice / cucumber juice may help.

HOPE IT HELPS.

Dr. JAY PATEL
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Acne, High Prolactin Level, Using Clindamycin Phosphate. Suggestions?

Hi, Based on the information provided the it seems as genuine hormonal imbalance and it occurs during the secondary growth spurt where the secondary sex characteristics like, mustache and voice changes in boys, breast development and menses in females, are part of such changes. In some condition the excesses amount of sex hormones like estrogen / testosterone in females / males respectively will lead to be a major cause of ACNE. Now in your case clindamycin may not help as it is a treatment used for bacteria induced acne / acne with pus. Most likely treatment in cases like yours is 1) Washing face so that Dirt and debries can be removed to reduced acne infection 2) Steroid may be used to reduces scar formation. 3) Vitamin A - retinol may help if that cream applied at night time. 4) Clindimycin may sometimes helps to improve the conditional pus formation. 5) Stay away from SPICY and FRIED food. 6) Drink a lot of water so it cleanses the intestines. Well if you are taking all of above and have no improvement then lastly home remedies like 1) application of rose water may help. 2) application of sand from multan may help. 3) use of aloe vera juice / cucumber juice may help. HOPE IT HELPS. Dr. JAY PATEL