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What Causes Severe Acne On Face And Back?

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Posted on Mon, 9 Jun 2014
Question: I have severe acne on face and back. What's the best acne treatment on the market today?
doctor
Answered by Dr. Kalpana Pathak (4 hours later)
Brief Answer:
Treatment used so far is inappropriate

Detailed Answer:
Hi,
Thanks for writing to us.
The treatment of acne varies according to severity and type of lesions.
The medicines that we prescribe are
Oral retinoid- isotretinoin( drug of choice in severe grade acne)
Oral antibiotics like doxycycline, azithromycin, minocycline, lymecycline
Topical retinoids- tretinoin, adapalene, tazarotene
Topical antibiotics- clindamycin, benzoyl peroxide, nadifloxacin, azithromycin gel etc.

Now if you have severe acne over face and body, I would prescribe a combination of drugs
Oral isotretinoin 0.5 to 1 mg/kg body weight/day
Oral antibiotic like azithromycin 500 mg once daily for three days in a week or doxycycline 100 mg twice in a day or minocycline 100 mg daily( one can use 50 to 100 mg daily). If isotretionin is prescribed, doxycyclone and minocycline has to be avoided.
topical- adapalene clindamycin or adapalene benzoyl peroxide combination
Soap- benzoyl peroxide or salicylic acid based soap.

Mupirocin and triamcinolone would not help acne lesions heals.

As anti acne medicines are prescribed drugs, a consultation with dermatologist is required.
Hope this helped.
Take care


Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

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What Causes Severe Acne On Face And Back?

Brief Answer: Treatment used so far is inappropriate Detailed Answer: Hi, Thanks for writing to us. The treatment of acne varies according to severity and type of lesions. The medicines that we prescribe are Oral retinoid- isotretinoin( drug of choice in severe grade acne) Oral antibiotics like doxycycline, azithromycin, minocycline, lymecycline Topical retinoids- tretinoin, adapalene, tazarotene Topical antibiotics- clindamycin, benzoyl peroxide, nadifloxacin, azithromycin gel etc. Now if you have severe acne over face and body, I would prescribe a combination of drugs Oral isotretinoin 0.5 to 1 mg/kg body weight/day Oral antibiotic like azithromycin 500 mg once daily for three days in a week or doxycycline 100 mg twice in a day or minocycline 100 mg daily( one can use 50 to 100 mg daily). If isotretionin is prescribed, doxycyclone and minocycline has to be avoided. topical- adapalene clindamycin or adapalene benzoyl peroxide combination Soap- benzoyl peroxide or salicylic acid based soap. Mupirocin and triamcinolone would not help acne lesions heals. As anti acne medicines are prescribed drugs, a consultation with dermatologist is required. Hope this helped. Take care