Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

196 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suffering from acne problem. Using Epiduo gel. Prescribed Retinol. What can be used?

Answered by
Dr. Bharat Chawda


Practicing since :1996

Answered : 988 Questions

Posted on Sun, 17 Nov 2013 in Skin Hair and Nails
Question: Hello,
My name is XXXXX and i am suffering from severe acne problems since i was 15 years old. I have taken lots of medicaton (including antibiotics) and once i stop the medicine, it returns back after some interval of time. i started using Epiduo gel now but it makes my skin very dry. and one of my doctor had prescribed Retinol gel but that makes my Acne worse. Could you please provide me some suggestions on what to use?
Answered by Dr. Bharat Chawda 12 hours later
Brief Answer:
Look for any hormonal disturbance & investigate.

Detailed Answer:

Thank you for posting your query,

I understood your problem however it would be good if you can answer few of my queries:
1) How are your menstrual periods ?Are they regular or they are 5-6 days irregular
2) Are you over weight ?
3) Do you get acne 2 days prior to your periods ?
4) Have you ever applied steroids like betnovate on your face before or any cream on yourself without the prescription from a dermatologist ?
5) Do you have thick unwanted facial hair ?

Answer to these questions would help me understand your problem better.

Before we jump on the treatment of your acne we should understand the exact reason for your acne .

Pimples are multifactorial ,and therefore one has to find the exact cause of it.
It can be because of wrong use of soaps to moisturizers or any fairness creams which one is using , to hormonal disturbances if anybody has.So,a complete work up is necessary in all patients.Also one should remember that its not a short course treatment ,but a matter of say 6 months or so if pimples are sever .
Firstly I would advise you to stop all cosmetic creams if you are using on face.

Creams like retino A and Epiduo would definitely make your face very dry .They have a peeling action.Don't use them daily, instead give a interval of 2-3 days and use them strictly at night.

Acne can be due to hormonal disturbance also .
Look for other features of hormonal imbalance in body like weight gain,irregular periods,facial hair & scalp hair loss,pimples 2 days prior to periods ,pimples over jaw line etc .If you have any of these then get a hormonal profile done.In such cases conventional treatment for acne would not work,and one needs hormonal tablets to cure acne.
Hormonal test would include Serum Testosteron,LH/FSH ratio,DHEA-S ,Serum Insulin etc.These are blood test which should be done on 2nd day of your periods.Along with this one should also get a ultrasound of lower abdomen to rule out POLICYSTIC OVARY DISEASE (PCOD).If this comes positive then you actually need hormonal medicines to treat your acne.

In case you don't have any hormonal imbalance & you are not responding to conventional treatment(antibiotics) , then one can take oral retinoids(isotertinoin tablets) .Oral isotretinoin is a wonderful medicine for acne,provided one gets all the relevant investigations done and takes care of all the precautions associated with it.There are certain precaution which your dermatologist would tell you regarding this .

So,in your case, as you have not responded to antibiotics ,I would advise you to plan either for oral isotretinoin or for hormonal treatment (as required).Both medicines give excellent response .

Kindly XXXXXXX a experienced dermatologist who can understand your case properly and treat you .In this forum I can only guide you regarding the treatment and not treat you practically .The above mentioned drugs are prescriptions based drugs and not over the counter.

If you can reply me with the answers to the above questions I would be able to suggest you better.In case my advice is sufficient enough to make you understand your problem please accept my answer .

Should you have additional concern regarding the same ,I would be happy to address it.

Dr.Bharat chawda XXXXXXX specialist, Dermatology.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Bharat Chawda 7 hours later
Thank you doctor for the reply.
Please find below the answers to the queries

1. They are regular, may be 1-2 delays not more than that.
2. No. I weigh 47Kgs and 158cm of height
3. yes. i see and increase in acne before periods
4. No i have not
5. No i don't have.

But i do get acne on my jawline sometimes and i do have hair fall and dandruff problems.
Answered by Dr. Bharat Chawda 17 hours later
Brief Answer:
Try isotretinoin under dermatologist supervision.

Detailed Answer:

Thank you for the reply.

It seems you don't have any hormonal problem,but then it would be wise to get a hormonal checkup done before starting any medication.

If every thing comes normal, I in such cases prefer oral isotertinoin(retinoids) .There are certain do's & don'ts of the medicine which I am sure your dermatologist would discuss with you.

You should use 2% salicylic acid face wash(saslic/ saliface face wash).Instead of epiduo or retino A you can use nadoxin gel or nadibact gel.Drink 7-8 glasses of water daily & take good 7 hr sleep in night.Also reduce intake of milk & milk products .

Hope this answers your query. In case of any doubts, I am available for the follow ups.

wish you good health.

Please accept my answer in case you do not have further queries.


Dr.Bharat chawda XXXXXXX specialist, Dermatology.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Bharat Chawda 21 hours later
Thanks for the reply.
Could you please suggest me a dermatologist for consultation.
I live close to Indiranagar, Bangalore.

Answered by Dr. Bharat Chawda 1 hour later
Brief Answer:
Google your search .

Detailed Answer:

I would suggest you to google your search for a dermatologist near your place.I have personally worked in St.johns medical college ,koramangala for some time ,so I can suggest you to XXXXXXX a dermatologist there.You can even XXXXXXX Dr XXXXXXX XXXXXXX there or at his private clinic.If I am not wrong he practices in vasanth nagar.

wish you good health.


Dr.Bharat chawda
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,   ,  

Recent questions on  Acneiform eruptions

doctor1 MD

Hello there, I am hoping I would get some great responses here. I am 26-27, in 2002 I got Jaundice , and after that, my digestive system has become a lot weak I guess. I mean I am not like other guys who eat what ever they want, whenevery they want, and still get cleared in the morning soon after they wake up. My stools are not satisfactory, meaning after I am done with them I can feel there is something left in there, which did not come out. So sometimes there is a bed small when I fart and some gas too. Plus there is no consistency, sometimes I have to wait until afternoon for movements, sometimes If I stay awake late, I dont get movement the next day, or may get it late in the night. Sometimes I get 3-4 bowel movements, loose stools (not loose motions). This has affected my social life to a great extent. I have been trying to fight this since years now with little to no success. I sometimes try OTC medications, Home remedies, Fiber stuff such as Naturolax and practise dietary restrictions to fight this and get little success. I recently had a LFT test done on me and it was good..I mean all values w Alongside this, I have acne problem since I got Jaundice, almost 10 years now. I get painful Acne, pus filled, especially on my chin and surrounding areas. I have taken many medications for this problem too, but no long lasting results. I took Isoace for about a year during 2008, which reduced my acne a lot and I had better face appearance, less scars..but after a few months I stopped taking the medicine, they started to come back again. I also have started getting them on the sides of my face now, although ones which come on the sides of the face, are mostly non-pus filled acne. But those appearing on the chin and around the chin like lips, are pus filled acne, you know red at the bottom and yellow at the top.. FYI, I keep taking Protein supplements on an on and off basis, as I do weight lifting, but I must tell you that has nothing to do with my acne and digestion , because these poblems were there even when I was not taking the supplements. Sometimes I go in to depression as I had such a nice, clean face, but these acne have left scars and continue appearing even now.. I also notice, that when I have sex or when I masterbate, without much gaps, I start getting acne. Eg, lets say I have sex today after 3 weeks, alright no problem here, but If I do sex again very soon like in next 3-4 days, I will have some breakouts which eventually will go away in a couple of days.. Hopefully I have expleined everything in detail. I am not sure If my digestion and acne problem are related. When I take Iso ace, no matter how the digestion is or how many times I do sex, acne wont come normally, I might get 1 or 2 here and there, but nothing major. I got married last year, and I took Isoace for 3 months again, and it cleared up my face dramatically, I was looking great in the marriage..but then I stopped it as I got constipation, I had hard time releasing stools and I wont pee for 2 days, so I thought it might be a side effect of Iso ace and I stopped it immediately, I was clear for a few months but acne started appearing again. If you need to ask any questions about my history or condition, please feel free.

doctor1 MD

Hi I am a 22 year old female with cystic acne on my jaw/mouth area also my forehead. I only used to get a few pimples that would clear up. 2 years ago I had an implanon NXT implanted into my arm. I have heard that it can cause acne?? I am getting it removed next week. I have tried every acne product you can buy nothing works. It has made me have no confidence. What can I do to remove the acne? ?? Please I am desperate. What cream ect should I ask the doctor to prescribe???? Thank you

doctor1 MD

Recently I purchased acnefree for sensitive skin. When I first put it on a noticed a slight burning sensation. I put makeup over it and went to work. By 6pm my face was super itchy, I took the makeup off with a scrubby face wash and left it alone. When I woke up I had red bumps all along the areas I had acne which was my chin and cheeks. After consulting with a dermatologist over the phone I was told to use cortisone 10 to relieve the itching. After applying my skin started to form white pus filled white heads. Today they are much larger and filled with pus and my face itches constantly. I have a week wait for a dermatologist what should I do?

doctor1 MD

Hi i was prescribed by isotret n omnacortil should i take it with it?? I kinda missed the instructions my derm gave me.. So was thinking to tKe it aft 15 days... Its been 5days i m on isotretinoin.. Hav already faced the acne flare ups sadly... Pls do solve the dillemma

doctor1 MD

My face has broke out looks a little like pimples . My scalpe is very dry and itches.

doctor1 MD

What does Anthralin do for Alopecia Barbae. I have Barbae on 3spots each 1 X 0.5 inch. happened all within 2 months. I tried Kenalog, and topical steroid cream, not much difference i see. it s been only 1 injection and 1 month of topical steroid...

doctor1 MD

I use olay total effects cleanser, day cream and night cream regularly. Very often painfull red bumps and itching are developing on my face. Please suggest a solution. I am presently 36 years old.