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Suffer with acne, white head pimples on face, worsened symptoms after using Retin A. Should I stop it?

reagrds Doctor ,thank you for taking the time to answer my question, I suffer from some acne and white head pimples on my face, and a doctor recommended Retin A. I have been using the lowest dosage of this cream for a year now , and the breakouts seem much worse.I am doing everything as the doctor requested : washing my face,let dry for 30 minutes, apply before bed, apply sunscreen during the day, using moisterizer. I do wish to use Retin A cream because of the great benifits it has as i age, I read it prevents wrinkles to some extent. but it s causing me more pimples even AFTER A YEAR, Id retin A just bad for me ? Do I think I should just stop using it once and for all ?
Asked On : Fri, 18 Jan 2013
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Dermatologist 's  Response
hi..Thanks for your query
I would like to mention here that Acne can present in several forms. This includes whiteheads, blackheads, and red, inflammed patches of skin (such as cysts).In the course of evolution, you may have any or all of these.Sometimes ,over a period of time, even if you are under a specific for of therapy,one agent might not be enough to handle it completely.This is based on the various internal hormonal stimuli as well, which can change several times in a month or year.
Although you have been compliant with the methods advised to you, I feel that only this agent in the lowest dose might not suffice now.there may be a need of addition in oral /topical therapies.
Eg: Oral antibiotics such as tetracycline, doxycycline, minocycline.
Topical antibiotics such as clindamycin, erythromycin.
Other needs may be benzoyl peroxide ,salicylic acid,topical azelaic acid.
These can only be suggested when a dermatologist has actually seen the type of lesions you have.
U definitely do not need to stop anything now, however please visits the doctor early so that there are no delays in the onset of more efficacious therapies.
Answered: Sat, 19 Jan 2013
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