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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is My Medication Working For My Acne?

Hello,
I am having severe acne problem. My sides of the face of full of angry red acne. The acne spurt and become pus formed big postules. It pains a lot. I have started taking medication under a dermatalogist. I have currently taken 3 weeks of T Azee dosage(3 tablets a week-500 mg), apply Clindac A gel (Morning and Night-everyday) and Pernox 2.5(every night for 2 hours and wash it off). But, its been 3 weesa doing this now. I still see no reduction in acne. Also, my skin appears completeky scarred

Could you please suggest if this treatment is correct or do I have to consider some other treatment?
Tue, 22 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

For severe acne OR for acne unresponsive to traditional anti-acne medications, Isotretinoin is the drug of choice. It the only drug which offers any chance of long term cure and after a full course of isotretinoin significant number of people never have a recurrence of there acne.

For you, in addition to Isotretinoin, I would suggest an oral antibiotics as well, to bring down the flare/inflammatory papules/pustules. For inflammatory acne(papules and pustules) I usually advice my patients to start with Azithromycin 500mg. The antibiotic can be continued for 4-12 weeks depending on the response.

In addition to oral retinoids and oral antibiotics you must also use topical antiacne remedies e.g benzoyl peroxide gel OR Clindamycin+nicotinamide gel (as you have been using already).

Since Acne and seborrheic dermatitis/dandruff are usually associated it is advisable to use an Anti-dandruff shampoo since acne is worsened by dandruff.

regards
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Is My Medication Working For My Acne?

Hello and welcome to healthcaremagic For severe acne OR for acne unresponsive to traditional anti-acne medications, Isotretinoin is the drug of choice. It the only drug which offers any chance of long term cure and after a full course of isotretinoin significant number of people never have a recurrence of there acne. For you, in addition to Isotretinoin, I would suggest an oral antibiotics as well, to bring down the flare/inflammatory papules/pustules. For inflammatory acne(papules and pustules) I usually advice my patients to start with Azithromycin 500mg. The antibiotic can be continued for 4-12 weeks depending on the response. In addition to oral retinoids and oral antibiotics you must also use topical antiacne remedies e.g benzoyl peroxide gel OR Clindamycin+nicotinamide gel (as you have been using already). Since Acne and seborrheic dermatitis/dandruff are usually associated it is advisable to use an Anti-dandruff shampoo since acne is worsened by dandruff. regards