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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pimples On Face, Dark Black Patches. Applying Creams. Recommendations?

Doctor I was using lomela for last 1 year recently I got tomany pimples on my face doctor had suggested isotroin 20 mg and glyco6 and apgel but with that my skin got too dark black patches all over my face know doctor has changed it to kojic cream instead of apgel and glyco and isotroin . But no difference in my skin it's black only so can I use sulphatret and lobate to lighten my skin m too worried doct
Mon, 13 May 2013
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Dermatologist,  's  Response
Hi,
Thanks for writing to us.
All your problems have stemmed up due to inadvertant use of topical creams.
Lomela is a pigmentation reducer cream containing steroid. Long term use of such creams can cause acne. The dark patches due to acne treatment might have occurred because all the creams that you used for acne have potential to irritate skin and if used in large amounts can irritate skin later on causing post inflammatory hyperpigmentation. Now to treat the pigmentation and acne, I would suggest
Take azithromycin 500 mg three times in a week
Apply clindamycin gel in morning and adapalene gel in night. Use a tooth pick to apply these over your acne lesions
Continue Kojic cream over pigmented areas
Use a sunscreen in morning
Take vitamin c tablet( limcee) orally daily.
You may also take few sessions of chemical peels to settle pigmentation and acne both.
Continue with these at least for a month to have good response.
Regards
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Pimples On Face, Dark Black Patches. Applying Creams. Recommendations?

Hi, Thanks for writing to us. All your problems have stemmed up due to inadvertant use of topical creams. Lomela is a pigmentation reducer cream containing steroid. Long term use of such creams can cause acne. The dark patches due to acne treatment might have occurred because all the creams that you used for acne have potential to irritate skin and if used in large amounts can irritate skin later on causing post inflammatory hyperpigmentation. Now to treat the pigmentation and acne, I would suggest Take azithromycin 500 mg three times in a week Apply clindamycin gel in morning and adapalene gel in night. Use a tooth pick to apply these over your acne lesions Continue Kojic cream over pigmented areas Use a sunscreen in morning Take vitamin c tablet( limcee) orally daily. You may also take few sessions of chemical peels to settle pigmentation and acne both. Continue with these at least for a month to have good response. Regards