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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Persistent Acne?

I am 40 yrs old ....ihave been suffering from acne from last 16 yrs....taken lots of medicine but. Kuch ffayda nahi hua.....sir, kya aap koi medicine suggest karenge.....abhi as a topical tretment mein benjoyl peoxide 25% and clindamycin and nicotinamide gel laga rahi hu.my e-mail YYYY@YYYY
Tue, 7 Jan 2014
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Dermatologist 's  Response
Hi. Thanks for posting your concern at HCM

Acne commonly involves face, trunk, chest and shouders (all these areas are rich in sebaceous glands). All these areas may or may not be involved simultaneously.

You said that you are already using Benzoyl Peroxide 2.5 %. If i were your treating doctor i would have advised you to continue with that. Its used in both OTC and prescription acne products. 2.5 % cream/gel is recommended for use on face once or twice daily.

In addition to that, I would advice that you be put on a course of oral antibiotics like Doxycycline OR Azithromycin for 4-6 weeks.

In my practice i start my patients on oral retinoids (Isotretinoin) if they present me similar to you. Oral retinoids are Sebostatic(decreases oil production), normalises keratinization, are anti-inflammatory and decreases proliferation/population of Propionibacterium acnes as well as yeast(which feeds on your oil) in hair follicles.

You should visit a dermatologist to get a prescription for oral anti-acne medications(Antibiotics and Retinoids).

take care
regards
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What Is The Treatment For Persistent Acne?

Hi. Thanks for posting your concern at HCM Acne commonly involves face, trunk, chest and shouders (all these areas are rich in sebaceous glands). All these areas may or may not be involved simultaneously. You said that you are already using Benzoyl Peroxide 2.5 %. If i were your treating doctor i would have advised you to continue with that. Its used in both OTC and prescription acne products. 2.5 % cream/gel is recommended for use on face once or twice daily. In addition to that, I would advice that you be put on a course of oral antibiotics like Doxycycline OR Azithromycin for 4-6 weeks. In my practice i start my patients on oral retinoids (Isotretinoin) if they present me similar to you. Oral retinoids are Sebostatic(decreases oil production), normalises keratinization, are anti-inflammatory and decreases proliferation/population of Propionibacterium acnes as well as yeast(which feeds on your oil) in hair follicles. You should visit a dermatologist to get a prescription for oral anti-acne medications(Antibiotics and Retinoids). take care regards