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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Epiduo cream for acne. Golden crust formation later. Used dermal cream. No affect. Reason?

Hi Around 3 weeks ago I got fed with my acne so I went to a doctor that prescribed me epiduo cream for it. At first it was fine, with only mild burning and peeling occurring. But after about a week of using it, my skin began weeping and forming a golden crust on top of the acne. I then went to see a dermatologist who prescribed me some dermal cream and antibiotic tablets . This worked at first and reduced the crust. However over the last few days there has been no improvement and i feel trapped in the same cycle of putting cream on, it weeping, and the crust forming. Can you sugggest anything else to try? Thanks
Wed, 6 Nov 2013
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Dermatologist 's  Response
Hi. It seems you have severe grade of Acne.

Take Azithromycin 500mg at night Three days consequtively in a week for 4 weeks
Use a mild cleanser like cetaphil cleanser
Apply Nadifloxacin gel in the morning and Epiduo gel in the evening.

Your dermatologist might start you on Isotretinoin so please visit your dermatologist and inquire about that
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