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Having acute acne problem on forehead. What is the cure?

Jan 2014
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Practicing since : 2002
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im having acute acne problem on my forehead.kindly help
Posted Thu, 19 Dec 2013 in Skin Hair and Nails
Answered by Dr. Kakkar S. 24 minutes later
Brief Answer: Inflammatory Acne with PIH Detailed Answer: Hi. Acne is a very common problems among young people and can occur well beyond teenage years sometimes in people well into their thirties or even fourties. Looking at the picture, your is a case of moderate acne(grade II). You have inflammatory papules/pustules and also post-inflammatory hyperpigmentation (PIH). If I were your treating doctor I would have wished to start you on one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline for your inflammatory acne(papules and pustules). General measures: >Use a mild cleanser like cetaphil twice daily >Avoid all creams, moisturisers, sunscreens that you may be using for the time being till you are on anti acne treatment. >Avoid taking facials. >Avoid picking your acne. >Use an Anti-dandruff shampoo since acne is worsened by dandruff. Specific treatment: Topical treatment is a valuable adjunct to any form of acne treatment. Dermatologists around the world prescribe topical gels/creams containing topical antibiotics like either clindamycin 1%/ benzoyl peroxide 2.5%/ Nadifloxacin or combination of these during the day time and topical retinoids like Adapalene0.1%/ Tretinoin 0.025%/ Azaleic acid 10%/ Azaleic acid 20% at the night time either alone or in combination with clindamycin gel (pre-formulated combinations are available on prescription) Topical treatment has antibacterial, anti-inflammatory effect and normally show noticable improvement by 2-4 weeks. Topical treatment regimen especially the one which includes one of the retinoids that I mentioned above also helps to fade away the marks (post inflammatory hyperpigmentation)(PIH) I would advice that you visit a dermatologist and get a prescription out of these drugs. If you have any more query regarding this, you can ask me further.. take care regards Dr. kakkar
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Follow-up: Having acute acne problem on forehead. What is the cure? 13 minutes later
Which of the above medicines should i take and in what order. I have already shown this to two doctors but the results are not satisfactory. I was on doxycyclin for 14 days Facelin with spf cream in morning Sebamed gel with clyndamycin 5% gel Nodifloxcin 1%. Cream for large pimples All the above creams im still it has been 20 days.
Answered by Dr. Kakkar S. 20 minutes later
Brief Answer: Get a New Prescription with few modifications. Detailed Answer: Hi. Stop sunscreen altogether. For the time being don't put anything except antiacne medicines on your skin. >You can switch to Nadifloxacin 1% Gel instead of using Nadifloxacin 1% Cream since cream is oily whereas gel is water based or you can use Clindamycin 1% gel once during Day time on the whole affected area (Faceclin gel is 1% Clindamycin gel) >Use Adapalene0.1%+Clindamycin1% gel (Pre-formulated combination gel) at Night time. This combination enhances the efficacy of topical antibacterials and is the MAINSTAY of treating inflammatory acne. I could see that this part is lacking in your prescription!!! >For oral antibiotics you need to get a prescription from a Nearby Dermatologist. i usually prefer to put my patients on Azithromycin 500mg at night, three days consequtively/week for 4 weeks. I think that should work very well on your kind of acne. Take care Regards
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