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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Painful Cystic Acne Spots With Pus And Scabbing Be Treated?

Hi I have had a few cystic acne spots, which I had to squeeze cause they were so painful managed to pop the spots now I have these huge scabs all over my chin what can I use to help the healing off these as I have my sisters wedding in a week, would fucidin help?
Wed, 11 Feb 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us

You seem to have severe grade of acne.
Though there is no quick solution for acne however treatment would show improvement and it is advisable to start treatment as soon as possible.
I would suggest Oral antibiotics for you. Either of doxycycline, azithromycin or minocycline can be started.
Oral antibiotics are better able to take control of inflammatory acne. They may be required to be continued for 4- 12 weeks depending on the response and severity of acne.
I also suggest topical antiacne antibacterial e.g benzoyl peroxide gel Or clindamycin gel, for active acne during day time.
At night you may use a topical retinoid e.g adapalene gel over the whole affceted area.
Topical retinoids are also useful for maintenance of improvement because they are comedolytic and therefore prevent initiation of new acne.
I suggest you to visit a dermatologist for an assessment of the severity of acne and appropriate treatment.

Regards
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How Can Painful Cystic Acne Spots With Pus And Scabbing Be Treated?

Hello. Thank you for writing to us You seem to have severe grade of acne. Though there is no quick solution for acne however treatment would show improvement and it is advisable to start treatment as soon as possible. I would suggest Oral antibiotics for you. Either of doxycycline, azithromycin or minocycline can be started. Oral antibiotics are better able to take control of inflammatory acne. They may be required to be continued for 4- 12 weeks depending on the response and severity of acne. I also suggest topical antiacne antibacterial e.g benzoyl peroxide gel Or clindamycin gel, for active acne during day time. At night you may use a topical retinoid e.g adapalene gel over the whole affceted area. Topical retinoids are also useful for maintenance of improvement because they are comedolytic and therefore prevent initiation of new acne. I suggest you to visit a dermatologist for an assessment of the severity of acne and appropriate treatment. Regards