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How To Treat Prolonged Acne?
I m 21 years old male , i m having acne from last 7 years on head and on face from 4 years , 4 years ago i went to dermatologist and he prescribed me with isotrenion orally for 6 months , prognosis was good but acne starts to appear again after 8 months , i left it untreated than seek to another dermatologist and i told him that i have taken isotrenion but he again precribed me which i used for 3 months , i am medical student and hostellite and donot get any healthy food either mostly oily things , my acne is getting worse day by day both on face and head , what should i do ?
Thu, 13 Nov 2014
Hello. Thanks for writing to us at healthcaremagic.
Acne can relapse after seemingly complete cure. Isotretinoin is the best available treatment for moderate to severe grade of acne and cures acne in about 60-70% of those who complete a course of Isotretinoin; however at least 30-40 % of patients relapse and some of these may require repeat courses of Isotretinoin.
The recommended total dose of Isotretinoin that is curative in most is 120-140 mg/kg.
Relapses are more frequent in those who don't take isotretinoin for the recommended duration Or don't complete the total recommended dose; also in those who have trunk involvement.
In addition to the oral retinoids, oral antibiotics like Azithromycin can also be prescribed for moderate to severe grade inflammatory acne.
Topical treatment is a useful adjunct to oral treatment and comprises Topical antibacterials like clindamycin, nadifloxacin; Topical benzoyl peroxide and Topical retinoids.
I would suggest that you seek an appointment with your dermatologist for a discussion regarding the treatment options appropriate for the severity of your acne.
Your dermatologist after proper assessment might start you on a combination of oral antibiotics, oral retinoids and topical applications.
Your dermatologist might also suggest you to take a few sessions of salicylic acid chemical peeling once every 2 weeks, for faster control of acne activity.
Regards
Acne can relapse after seemingly complete cure. Isotretinoin is the best available treatment for moderate to severe grade of acne and cures acne in about 60-70% of those who complete a course of Isotretinoin; however at least 30-40 % of patients relapse and some of these may require repeat courses of Isotretinoin.
The recommended total dose of Isotretinoin that is curative in most is 120-140 mg/kg.
Relapses are more frequent in those who don't take isotretinoin for the recommended duration Or don't complete the total recommended dose; also in those who have trunk involvement.
In addition to the oral retinoids, oral antibiotics like Azithromycin can also be prescribed for moderate to severe grade inflammatory acne.
Topical treatment is a useful adjunct to oral treatment and comprises Topical antibacterials like clindamycin, nadifloxacin; Topical benzoyl peroxide and Topical retinoids.
I would suggest that you seek an appointment with your dermatologist for a discussion regarding the treatment options appropriate for the severity of your acne.
Your dermatologist after proper assessment might start you on a combination of oral antibiotics, oral retinoids and topical applications.
Your dermatologist might also suggest you to take a few sessions of salicylic acid chemical peeling once every 2 weeks, for faster control of acne activity.
Regards
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