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Pimples. Puss and blood discharge when burst. Using betnovat N. Guide

hello Dr.
i have been usung betnovat N since past two years by applyn it daily at night.. my skin usw to glow nd was pimple free.. but now therw are pimples nd wen burst puss comes out of it.. what to do..?? should i stop using betnovate.. nd ya aftr puss blood also comes ..
plzz tell me hw can i get ri of such pimples...
Asked On : Fri, 5 Apr 2013
Answers:  1 Views:  38
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Dermatologist 's  Response
You have been using a potent steroid over your face since past 2 years which is a long time,,,,Betnovate should not be used over the face unless prescribed by a dermatologist..
by now, your skin must have developed signs of steroid abuse along with steroid dependence..
First of all,you should stop using this cream over your face
Acneiform lesions are very common in cases of steroid abuse..
Before coming to the exact treatment, i would like you to follow certain precautions:
1. Avoid using any oily creams or lotions over face as much as possible. you can however use oil free moisturisers

2. Wash your face frequently inorder to keep it dry

3. Drink plenty of water

4. Try to avoid eating dry fruits

5.Avoid touching or squeezing of pimples

6. Avoid Hair oil

7. Always use a sunscreen (SPF> 26) when going out in the sun

You should start using anti acne agents like clindamycin cream over your face in morning along with benzoyl peroxide 2.5% cream at night,,,,
You might face certain problems like increase in lesions , irritation , itching or redness over your face once you stop suddenly stop with topical steroids...So you have to be patient and follow this regime regularly...
Sometimes in case of very severe acne, oral anti acne drugs also have to be given along,,,for that you will need proper assessment and treatment by a skin specialist

Hope it helps
Dr Geetika Paul
Answered: Sat, 13 Apr 2013
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